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De Caro MF, Vicenti G, Abate A, et al. OPTIMAL IMPROVEMENT IN FUNCTION AFTER TOTAL HIP AND KNEE REPLACEMENT: HOW DEEP DO YOU KNOW YOUR PATIENT’S MIND?. J Biol Regul Homeost Agents. 2015;29(4):95-102
De Caro, M. F., Vicenti, G., Abate, A., Picca, G., Leoncini, V., Lomuscio, M., Casalino, A., Solarino, G., & Moretti, B. (2015). OPTIMAL IMPROVEMENT IN FUNCTION AFTER TOTAL HIP AND KNEE REPLACEMENT: HOW DEEP DO YOU KNOW YOUR PATIENT’S MIND?. Journal of biological regulators and homeostatic agents, 29(4), 95-102.
De Caro, M F, et al. "OPTIMAL IMPROVEMENT IN FUNCTION AFTER TOTAL HIP AND KNEE REPLACEMENT: HOW DEEP DO YOU KNOW YOUR PATIENT’S MIND?." Journal of biological regulators and homeostatic agents vol. 29,4 (2015): 95-102.
De Caro MF, Vicenti G, Abate A, Picca G, Leoncini V, Lomuscio M, Casalino A, Solarino G, Moretti B. OPTIMAL IMPROVEMENT IN FUNCTION AFTER TOTAL HIP AND KNEE REPLACEMENT: HOW DEEP DO YOU KNOW YOUR PATIENT’S MIND?. J Biol Regul Homeost Agents. 2015 Oct-Dec;29(4):95-102. PMID: 26652495.
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J Biol Regul Homeost Agents. 2015 Oct-Dec;29(4):95-102.

OPTIMAL IMPROVEMENT IN FUNCTION AFTER TOTAL HIP AND KNEE REPLACEMENT: HOW DEEP DO YOU KNOW YOUR PATIENT’S MIND?.

Journal of biological regulators and homeostatic agents

M F De Caro, G Vicenti, A Abate, G Picca, V Leoncini, M Lomuscio, A Casalino, G Solarino, B Moretti

Affiliations

  1. Department of Neuroscience and Organs of Sense, Psychology section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
  2. Department of Neuroscience and Organs of Sense, Orthopedics Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
  3. Department of Orthopedics and Traumatology, Monsignor Raffaele Dimiccoli Hospital, Barletta, Italy.

PMID: 26652495

Abstract

Osteoarthritis (OA) of the hip and knee causes pain and loss of joint mobility, leading to limitations in physical function. When conservative treatment fails total hip and knee replacement is a cost-effective surgical option. Patients have high expectations regarding functional outcome after these procedures. If such expectations are not met, they may still be dissatisfied with the outcome of a technically successful procedure. Recently, numerous studies reported that psychological factors can influence the outcome of total knee replacement (tkr) and total hip artrhoplasty with total hip replacement (thr). We conducted a prospective study on a consecutive sample of 280 patients affected by hip or knee OA who underwent total joint replacement. At patients’ admission, Harris Hip Score (HHS) and Knee Society Score (KSS) were used to assess pain and function. Furthermore, SF-36, Mini-Mental Status Examination (MMSE), Symptom Checklist-90-R (SCL-90-R), Coping Orientation to Problems Experienced (BRIEF-COPE) and the Amsterdam Preoperative Anxiety and Information Scale (APAIS) were administered. Patients had clinical and radio graphical follow up at 1, 3 and 6 months post-operatively. The HHS and KSS values before surgery showed a linear correlation with both SCL-90-R and MMSE. None of the investigated variables influenced post-operative HHS and KSS scores; however, the improvement of functional scores resulted conditioned by SCL-90-R values, VAS score, schooling and MMSE. Psychological factors and mental status in primary total hip and knee replacement can affect outcome and patient satisfaction. Strategies focused on identification and facing of these conditions must be considered to improve outcome of total replacement.

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