The Impact of Psychological Health on Patient Recovery After Arthroplasty

Abstract

PurposeThe purpose of this study was to determine the relationship between psychological health and postoperative recovery and satisfaction in patients undergoing total joint arthroplasty (TJA).MethodsWe prospectively enrolled patients undergoing TJA from July 2019 to December 2020. A psychological evaluation was conducted according to the Hospital Anxiety and Depression Scale (HADS). Based on the preoperative HADS scores, we grouped the patients into two groups: the symptomatic group and the asymptomatic group. Data on the Harris Hip Score (HHS), Knee Society Knee Scoring System (KSS), Forgotten Joint Score-12 (FJS-12), Short Form-12 (SF-12), and Numeric Rating Scale (NRS) for pain in these two groups were collected preoperatively and postoperatively. Then, these data were analyzed by Statistical Package for Social Sciences (SPSS) version 19.ResultsThe final cohort consisted of 80 patients. Patients undergoing TJA had significantly decreased HADS and NRS scores and improved HHS, KSS, SF-12, and FJS-12 scores (all p < 0.001). Compared with the symptomatic group, the asymptomatic group showed better postoperative recovery (p < 0.05), especially after total knee arthroplasty (TKA) (p < 0.05). Good postoperative recovery positively impacted the patients’ postoperative psychological state.ConclusionFinally, the psychological state can affect recovery after TJA, and successful TJA can help improve patients’ psychological states, especially after TKA.

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Psychological Factors as Risk Contributors for Poor Hip Function after Periacetabular Osteotomy

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Combining various acupuncture therapies with multimodal analgesia to enhance postoperative pain management following total knee arthroplasty: a network meta-analysis of randomized controlled trials

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“…TKA, a well-established and effective reconstructive treatment, has demonstrated long-term efficacy in managing severe multi-compartmental knee osteoarthritis with deformity. When compared to basic treatment, pharmacological intervention, and reparative approaches for KOA, TKA demonstrates significant improvements in pain relief and joint function ( 2 ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, hospital for special surgery knee score (HSS), and overall quality of life during long-term follow-up.…”