Tags

Type your tag names separated by a space and hit enter

Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study.
Bone Joint J. 2013 Mar; 95-B(3):360-6.BJ

Abstract

We assessed the effect of mental disability on the outcome of total knee replacement (TKR) and investigated whether mental health improves post-operatively. Outcome data were prospectively recorded over a three-year period for 962 patients undergoing primary TKR for osteoarthritis. Pre-operative and one year Short-Form (SF)-12 scores and Oxford knee scores (OKS) were obtained. The mental component of the SF-12 was stratified into four groups according to level of mental disability (none ≥ 50, mild 40 to 49, moderate 30 to 39, severe < 30). Patients with any degree of mental disability had a significantly greater subjective physical disability according to the SF-12 (p = 0.06) and OKS (p < 0.001). The improvement in the disease-specific score (OKS) was not affected by a patient's mental health (p = 0.33). In contrast, patients with mental disability had less of an improvement in their global physical health (SF-12) (p < 0.001). However, patients with any degree of mental disability had a significant improvement in their mental health post-operatively (p < 0.001). Despite a similar improvement in their disease-specific scores and improvement in their mental health, patients with mental disability were significantly more likely to be dissatisfied with their TKR at one year (p = 0.001). Patients with poor mental health do benefit from improvements in their mental health and knee function after TKR, but also have a higher rate of dissatisfaction.

Authors+Show Affiliations

University of Edinburgh, Department of Orthopaedics, The Royal Infirmary of Edinburgh, Little France, Old Dalkeith Road, Edinburgh EH16 4SU, UK. nickclement@doctors.org.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

23450021

Citation

Clement, N D., et al. "Primary Total Knee Replacement in Patients With Mental Disability Improves Their Mental Health and Knee Function: a Prospective Study." The Bone & Joint Journal, vol. 95-B, no. 3, 2013, pp. 360-6.
Clement ND, MacDonald D, Burnett R. Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study. Bone Joint J. 2013;95-B(3):360-6.
Clement, N. D., MacDonald, D., & Burnett, R. (2013). Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study. The Bone & Joint Journal, 95-B(3), 360-6. https://doi.org/10.1302/0301-620X.95B3.29563
Clement ND, MacDonald D, Burnett R. Primary Total Knee Replacement in Patients With Mental Disability Improves Their Mental Health and Knee Function: a Prospective Study. Bone Joint J. 2013;95-B(3):360-6. PubMed PMID: 23450021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study. AU - Clement,N D, AU - MacDonald,D, AU - Burnett,R, PY - 2013/3/2/entrez PY - 2013/3/2/pubmed PY - 2013/4/23/medline SP - 360 EP - 6 JF - The bone & joint journal JO - Bone Joint J VL - 95-B IS - 3 N2 - We assessed the effect of mental disability on the outcome of total knee replacement (TKR) and investigated whether mental health improves post-operatively. Outcome data were prospectively recorded over a three-year period for 962 patients undergoing primary TKR for osteoarthritis. Pre-operative and one year Short-Form (SF)-12 scores and Oxford knee scores (OKS) were obtained. The mental component of the SF-12 was stratified into four groups according to level of mental disability (none ≥ 50, mild 40 to 49, moderate 30 to 39, severe < 30). Patients with any degree of mental disability had a significantly greater subjective physical disability according to the SF-12 (p = 0.06) and OKS (p < 0.001). The improvement in the disease-specific score (OKS) was not affected by a patient's mental health (p = 0.33). In contrast, patients with mental disability had less of an improvement in their global physical health (SF-12) (p < 0.001). However, patients with any degree of mental disability had a significant improvement in their mental health post-operatively (p < 0.001). Despite a similar improvement in their disease-specific scores and improvement in their mental health, patients with mental disability were significantly more likely to be dissatisfied with their TKR at one year (p = 0.001). Patients with poor mental health do benefit from improvements in their mental health and knee function after TKR, but also have a higher rate of dissatisfaction. SN - 2049-4408 UR - https://www.unboundmedicine.com/medline/citation/23450021/Primary_total_knee_replacement_in_patients_with_mental_disability_improves_their_mental_health_and_knee_function:_a_prospective_study_ L2 - https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.95B3.29563?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -