The presence and influence of mild depressive symptoms on post-operative pain perception following primary total knee arthroplasty

Abstract

Prospective comparative study, II.

Psychiatric disorders increase complication rate after primary total knee arthroplasty

“…The realization that roughly 18% of patients are dissatisfied after their total knee replacement [9][10][11] has generated further investigation into the influence of preoperative psychiatric disease on outcomes when mechanical, infectious, or radiographic causes have been ruled out [2]. Depression is one of the most common mental health disorders [12] and has been increasingly studied in outcomes after total knee arthroplasty with conflicting results [2,[13][14][15][16].…”

“…Critical patient selection and evaluation of modifiable comorbidities will be essential to achieve the best outcome for patients. Depression and psychiatric disease (PD) have been previously associated with increased complications after total joint replacement and may be more prevalent than traditionally reported [2][3][4][5][6][7].…”

The interaction of depression and prior opioid use on pain and opioid requirements after total joint arthroplasty

“…Bistolfi et al. [22] studied the influence of mild depressive symptoms on postoperative pain perception after TKA. Though there was no difference in pain perception before surgery, the mildly depressed cohort patients were more likely to report pain and have lower Hospital for Special Surgery scores at 1 year postoperatively.…”

Prophylaxis of knee joint contractures after primary knee replacement with kinesiotherapy (metaanalysis and literature review)

“…Эффективным методом лечения поздних стадий деформирующего артроза, при которых интенсивность боли, ограничение подвижности и связанная с ними степень дисабилитации существенно ухудшают качество жизни пациентов [1][2][3] является эндопротезирование коленного сустава. Указанная операция в таких случаях обес печивает практически полное восстановление функции, возвращение к нормальной двигательной активности и социальную реадаптацию этой категории больных [4][5][6].…”