Shilpi Singh¹*, Abha Rani Sinha², Ashish Singh³ and Lavanya Sing⁴

¹Research Scholar, Department of Psychology, Babasaheb Bhimrao Ambedkar Bihar University, Patna, Bihar, India
²Professor and Head of the Department, Department of Psychology, Babasaheb Bhimrao Ambedkar Bihar University, Patna, Bihar, India
³Orthopaedic Surgeon, Department of Orthopaedics, ANUP Institute of Orthopaedics and Rehabilitation, Patna, Bihar, India
⁴6^th Form Student, The Hazley Academy, Emperor Drive Hazeley, Milton Keynes, MK8 0PT, India

*Corresponding Author: Shilpi Singh, Research Scholar, Department of Psychology, Babasaheb Bhimrao Ambedkar Bihar University, Patna, Bihar, India.

Received: October 14, 2024; Published: November 29, 2024

Abstract

Osteoarthritis (OA) of the large joints is one of the leading causes of pain and disability, with 2.5 million people affected globally, and most of them are considered for total joint replacement surgery (TJRs). This study examined the impact of psychological distress, such as anxiety and depression, on functional recovery after arthroplasty. This is a prospective nonrandomized single-centred study conducted orthopaedics hospital with subjects undergoing TJR surgery. The following scales are used to assess the mental status of the patients; The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale and Short Form-36 (SF-36) and Brief Symptom Inventory (BSI 18). The scales were performed preoperatively and at the end of 06 weeks (± 2 weeks) and 12 weeks (± 2 Weeks). The data were analyzed using the SPSS 22.0 software. Changes in BSI-16, WOMAC and SF-36 scales for THA and TKA patients are presented in Table 2. There was no significant difference in WOMAC scores between THA and TK, but the improvement was seen from preoperative (T0) to 12-week scores (T2) with large effect sizes.

 Keywords: Total Joint Replacement; Psychological Factors; BSI 18; MHI; SF-36; WOMAC Scale

References

1. Jonsson H., et al. “Incidence and prevalence of total joint replacements due to osteoarthritis in the elderly: Risk factors and factors associated with late life prevalence in the ages-reykjavik study”. BMC Musculoskeletal Disorders1 (2016).
2. Harmon D. “Knee arthroplasty market report: A global analysis for 2019 to 2025, Market Scope (2020).
3. Antonovsky A. “The structure and properties of the sense of coherence scale”. Social Science and Medicine 6 (1993): 725-733.
4. Vaidya SV., et al. “India joining the world of hip and knee registries: Present status—a leap forward”. Indian Journal of OrthopaedicsS1 (2020): 46-55.
5. Lopez-Olivo MA., et al. “Psychosocial determinants of outcomes in knee replacement”. Annals of the Rheumatic Diseases10 (2011): 1775-1781.
6. Harris WH and Sledge CB. “Total hip and total knee replacement”. New England Journal of Medicine11 (1990): 725-731.
7. Bellamy N., et al. “Western Ontario and McMaster Universities Osteoarthritis Index. PsycTESTS Dataset (1988).
8. Stucki G., et al. “Evaluation of a German version of WOMAC (Western Ontario and McMaster Universities) arthrosis index”. Zeitschrift fur Rheumatologie1 (1996): 40-49.
9. Bullinger M and Kirchberger I. “The SF-36 questionnaire to assess health status”. A manual. Göttingen: Hogrefe (1998).
10. Ware JE and Sherbourne CD. “The MOS 36-ltem short-form health survey (SF-36)”. Medical Care6 (1992): 473-483.
11. Franke GH., et al. “Psychometric Analysis of the brief symptom inventory 18 (BSI-18) in a representative German sample”. BMC Medical Research Methodology 171 (2017).
12. Derogatis LR and Kathryn L. “The SCL-90-R and Brief Symptom Inventory (BSI) in primary care. In Handbook of psychological assessment in primary care settings (2000): 310-347.
13. Beaupre LA., et al. “Impact of Depressive Symptomology on Pain and Function during Recovery after Total Joint Arthroplasty”. Southern Medical Journal8 (2021): 450-457.
14. Hamilton D., et al. “Comparative outcomes of total hip and knee arthroplasty: a prospective cohort study”. Postgraduate Medical Journal1045 (2012): 627-631.
15. Bachmeier CJ., et al. “A comparison of outcomes in osteoarthritis patients undergoing total hip and knee replacement surgery”. Osteoarthritis and Cartilage2 (2001): 137-146.
16. Wylde V., et al. “Patient-reported outcomes after total hip and knee arthroplasty: comparison of midterm results”. The Journal of Arthroplasty2 (2009): 210-216.
17. de Beer J., et al. “Patient perspective survey of total hip vs total knee arthroplasty surgery”. The Journal of Arthroplasty6 (2012): 865-869.
18. Badura-Brzoza K., et al. “Psychological and psychiatric factors related to health-related quality of life after total hip replacement-preliminary report”. European Psychiatry2 (2009): 119-124.
19. Caracciolo B and Giaquinto S. “Self-perceived distress and self-perceived functional recovery after recent total hip and knee arthroplasty”. Archives of Gerontology and Geriatrics2 (2005): 177-181.
20. Browne JA., et al. “Depression is associated with early postoperative outcomes following total joint arthroplasty: a nationwide database study”. The Journal of Arthroplasty3 (2014): 481-483.
21. Khatib Y., et al. “Do psychological factors predict poor outcome in patients undergoing tka? A systematic review”. Clinical Orthopaedics and Related Research 8 (2015): 2630-2638.
22. Aust H., et al. “A cross-sectional study on preoperative anxiety in adults”. Journal of Psychosomatic Research 111 (2018): 133-139.
23. Mavros MN., et al. “Do psychological variables affect early surgical recovery?” PloS one5 (2011): e20306.

Citation

Citation: Shilpi Singh., et al. “Study on Impact of Psychological Factors on the Physical Recovery of Patients After Total Joint Replacement".Acta Scientific Orthopaedics 7.12 (2024): 29-35.

Copyright

Copyright: © 2024 Shilpi Singh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.