Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions

Cross-cultural adaptation and validation of a self-reporting tool to assess health-related quality of life for Egyptians with extremity bone sarcomas in childhood or adolescence

“…Although the causes of our mental scores are currently not well defined, the significantly higher scores of the original pTESS/TESS versions, compared to the total scores of their modified versions, suggest a considerable psychological affection that is worth further assessment when evaluating the HRQOL for patients undergoing surgeries for bone sarcomas. HRQOL measures, including mental status, could aid the orthopedic surgeons in assessment and decision making; for instance, deciding on patient eligibility for different treatment options, choosing how to deal with patients and their possible need for special assistance, or interpreting various responses to treatment with the role of mental health in affecting such responses [ 52 ]. To better interpret the mental scores in the future, it could be useful to include more specific items that indicate whether the declared mental feelings are general or directly related to physical disability.…”

Comments on the Article “Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions”: To the Editor

“…Since the coronavirus disease 2019 (COVID-19) pandemic, it was found in London that the proportion of patients with both a fracture and psychiatric illness has more than doubled, while the number of patients presenting due to a traumatic suicide attempt has more than tripled. 2) Additionally, as mentioned by Yoo et al, 1) the nature of these injuries tends to be more severe and is associated with more complications. In a study conducted by Giordano et al, 3) all patients who acquired > 3 skeletal injuries post-fall experienced complications, with acute infection occurring in over half of those who survived.…”

“…Preexisting mental illness has posed a variety of challenges in surgical management amongst all surgical specialties, with orthopedics being no exception. As seen in the article, “Orthopedic patients with mental disorder: literature review on preoperative and postoperative precautions” by Yoo et al, 1) the nature of these challenges is heavily impacted by the specific nature of the mental illness and the orthopedic sequelae and/or interventions. Given the broad spectrum of mental illnesses and orthopedic conditions, it is important that a review explored overarching themes in the current literature.…”

“…However, it is difficult to establish a universal profile of intentional fallers due to inconsistencies in the literature. While the article by Yoo et al 1) states that most suicide attempt survivors primarily had a prior diagnosis of depression, other studies have noted that schizophrenia could be the predominant illness. 4 5 6) In another study, prior diagnosis of a personality disorder was shown to be more notable than depression in intentional fallers.…”

Comments on the Article “Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions”: In Reply

“…We thank you for the opportunity to respond to the interesting letter commenting about our literature review, “Orthopedic patients with mental disorder: literature review on preoperative and postoperative precautions”, published in 2022 of Clinics in Orthopedic Surgery . 1) …”