Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;55(6):783-786.
doi: 10.1055/s-0040-1708519. Epub 2020 Apr 6.

Mind Health Before and After Total Knee Arthroplasty

Igor Magalhães Barbosa  1 , Thales Gonçalves de Sousa  1 , Larissa Meireles Fernandes  1 , Jessica Studart Matos Campos  1 , João Bosco Sales Nogueira  2 , Marcelo José Cortez Bezerra  3   4
Affiliations

Mind Health Before and After Total Knee Arthroplasty

Igor Magalhães Barbosa et al. Rev Bras Ortop (Sao Paulo). 2020 Dec.

Abstract

Objective To assess the preoperative and postoperative outcomes of patients diagnosed with severe knee osteoarthritis who underwent a total knee arthroplasty (TKA) using a mobile-bearing implant with a rotating platform and removing the posterior cruciate ligament. The present study focused on the outcomes relative to depression, pain, functional limitations, and fall episodes. Methods The Lequesne questionnaire was used to assess pain and functional limitations before and after TKA. In addition, the geriatric depression scale (GDS) was also used. Episodes of falls before and after the surgery were estimated. Results The mean Lequesne score before the surgery was 15.95, and that after surgery was 6.5. This finding was statistically significant ( p < 0.001). The mean GDS score before the surgery was 7.43, and that after TKA was 2.22 ( p < 0.001). The mean number of fall occurrences before the procedure, over a 1-year period, was 1.22, and that after TKA was 0.27 ( p = 0.004). A direct relationship was found between the Lequesne scores before the surgery and the GDS scores ( p = 0.004). Conclusions Total knee arthroplasty resulted in the improvement of pain and functional limitation, decrease or disappearance of the depressive condition, and decrease of fall rates in the evaluated patients.

Keywords: arthroplasty, replacement, knee; depression; osteoarthritis.

PubMed Disclaimer

Conflict of interest statement

Conflito de Interesses Os autores declaram não haver conflito de interesses.

Figures

Fig. 1
Fig. 1
Lequesne scores before and after surgery (source: the author).
Fig. 1
Fig. 1
Escores de Lequesne antes e após a cirurgia (fonte: autor).
See this image and copyright information in PMC

References

    1. Vennu V, Bindawas S M. Relationship between falls, knee osteoarthritis, and health-related quality of life: data from the Osteoarthritis Initiative study. Clin Interv Aging. 2014;9:793–800. - PMC - PubMed
    1. Sheng J, Liu S, Wang Y, Cui R, Zhang X. The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain. Neural Plast. 2017;2017:9.724371E6. - PMC - PubMed
    1. Garcez-Leme L E, Sitta M C, Toledo M a, Henriques S S. Cirurgia ortopédica em idosos: aspectos clínicos. Rev Bras Ortop. 2011;46(03):238–246. - PMC - PubMed
    1. Liow M H, Chin P L, Tay K J, Chia S L, Lo N N, Yeo S J. Early experiences with robot-assisted total knee arthroplasty using the DigiMatch™ ROBODOC® surgical system. Singapore Med J. 2014;55(10):529–534. - PMC - PubMed
    1. Piano L P, Golmia R P, Scheinberg M.Artroplastia total de quadril e joelho: aspectos clínicos na fase perioperatória Einstein (Sao Paulo) 20108(3 Pt 1):350–353. - PubMed