Patients Requiring Manipulation Under Anesthesia After Total Knee Arthroplasty Have Higher Rates of Preoperative Depression.

Sean S Rajaee, Kevin T Rezzadeh, Anderson Lee, Caleb R Durst, Eytan M Debbi, Guy Paiement
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Abstract

Arthrofibrosis is a complication after total knee arthroplasty (TKA) that can limit functionality and cause dissatisfaction. This study assesses the prevalence of preoperative depressive symptoms amongst patients who required manipulation under anesthesia (MUA) for arthrofibrosis after TKA. Patients who underwent primary TKA with need for subsequent MUA were age and sex matched to control patients who underwent primary TKA without requiring MUA. Preoperative and postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores for function, pain, and depression as well as range of motion in both groups were compared. There were 16 MUA patients and 48 non-MUA patients included in this study. There was a significantly higher percentage of patients with preoperative depression in the MUA group (62.5% vs. 10.4%, p < 0.001). (Journal of Surgical Orthopaedic Advances 34(2):078-081, 2025).

全膝关节置换术后需要麻醉下操作的患者术前抑郁率较高。
关节纤维化是全膝关节置换术(TKA)后的并发症,可限制功能并引起不满意。本研究评估TKA术后需要麻醉下操作(MUA)治疗关节纤维化的患者术前抑郁症状的患病率。接受原发性TKA并需要后续MUA的患者的年龄和性别与不需要MUA的对照组患者相匹配。比较两组患者术前和术后患者报告结果测量信息系统(PROMIS)的功能、疼痛、抑郁和活动范围评分。本研究共纳入16例MUA患者和48例非MUA患者。MUA组患者术前抑郁的比例明显更高(62.5%比10.4%,p < 0.001)。[j] .外科骨科进展34(2):078-081,2025。
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