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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 783-786
DOI: 10.1055/s-0040-1708519
Artigo Original
Joelho

Mind Health Before and After Total Knee Arthroplasty[*]

Article in several languages: português | English
Igor Magalhães Barbosa 
1   Faculdade de Medicina, Universidade Unichristus, Fortaleza, CE, Brasil
,
Thales Gonçalves de Sousa 
1   Faculdade de Medicina, Universidade Unichristus, Fortaleza, CE, Brasil
,
Larissa Meireles Fernandes 
1   Faculdade de Medicina, Universidade Unichristus, Fortaleza, CE, Brasil
,
Jessica Studart Matos Campos 
1   Faculdade de Medicina, Universidade Unichristus, Fortaleza, CE, Brasil
,
João Bosco Sales Nogueira 
2   Centro do Joelho, Fortaleza, CE, Brasil
,
Marcelo José Cortez Bezerra 
3   Departamento de Ortopedia, Santa Casa da Misericórdia de Fortaleza, Fortaleza, CE, Brasil
4   Departamento de Ortopedia, Universidade Unifor, Fortaleza, CE, Brasil
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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 - osteoarthritis - depression

* Work developed at the Faculty of Medicine, Universidade Unichristus, Fortaleza, CE, Brazil.




Publication History

Received: 30 September 2019

Accepted: 20 December 2019

Article published online:
06 April 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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