Biopsychosocial needs and complementary treatments for patients undergoing management for periprosthetic joint infection following hip or knee arthroplasty: a systematic review.

IF 4.6 2区医学 Q1 ORTHOPEDICS

Efort Open Reviews Pub Date : 2026-04-07 DOI:10.1530/EOR-2025-0107

Amarins Koster, Gesine H Seeber, Sjoukje van der Werf, Max Ettinger, Inge van den Akker-Scheek, Martin Stevens

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引用次数: 0

Abstract

Purpose: A periprosthetic joint infection (PJI) is considered the most drastic complication after hip/knee arthroplasty. Despite extensive research into PJI treatment, insights into patients' biopsychosocial needs are sparse. The aim of the current review is to provide an overview of patients' biopsychosocial needs and interventions aimed at these needs.

Methods: A systematic review incorporating a comprehensive database search of seven major scientific databases. Articles were included if they reported on the biopsychosocial needs of patients with PJI and on interventions aimed at these needs. Quality of the included studies was assessed by two reviewers with the Mixed Methods Appraisal Tool. Characteristics of included studies and the associated results were extracted.

Results: Of the 9,745 identified research articles, 20 were included in the review. All of the included articles reported about biopsychosocial needs, but only two (10%) of them also reported on interventions focused on these needs. Psychological needs were reported most often (n = 19, 95%), followed by physical (n = 14, 70%) and social needs (n = 8, 40%). Improving mental health was the most frequently reported psychological need (n = 13, 65%). Functional improvement emerged as the most common identified physical need (n = 12, 60%), while social support from healthcare professionals (n = 5, 25%) was the most reported social need.

Conclusion: The results show a clear need for interventions on top of the primary surgical treatment for patients diagnosed with PJI, especially for psychological and physical support. Interventions targeting needs were described in only two articles (10%) in the current literature. Future studies should explore patient-centered approaches and integrate psychological and physical management into PJI treatment pathways to improve outcomes.

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髋关节或膝关节置换术后假体周围关节感染患者的生物心理社会需求和补充治疗：系统综述

目的：假体周围关节感染（PJI）被认为是髋关节置换术后最严重的并发症。尽管对PJI治疗进行了广泛的研究，但对患者的生物心理社会需求的了解却很少。本综述的目的是概述患者的生物心理社会需求和针对这些需求的干预措施。方法：对7个主要的科学数据库进行系统的检索。如果文章报道了PJI患者的生物心理社会需求以及针对这些需求的干预措施，就会被纳入。纳入研究的质量由两名评论者使用混合方法评估工具进行评估。提取纳入研究的特征和相关结果。结果：在9745篇确定的研究文章中，20篇被纳入综述。所有纳入的文章都报道了生物心理社会需求，但其中只有两篇（10%）也报道了针对这些需求的干预措施。最常见的是心理需求（n = 19, 95%），其次是身体需求（n = 14, 70%）和社会需求（n = 8, 40%）。改善心理健康是最常报告的心理需求（n = 13, 65%）。功能改善是最常见的身体需求（n = 12, 60%），而医疗保健专业人员的社会支持（n = 5, 25%）是最常见的社会需求。结论：对于PJI患者，在基础手术治疗的基础上，明显需要干预，尤其是心理和生理支持。目前文献中只有两篇（10%）文章描述了针对需求的干预措施。未来的研究应探索以患者为中心的方法，并将心理和身体管理纳入PJI的治疗途径，以改善疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Efort Open Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

6.60

自引率

2.90%

发文量

101

审稿时长

13 weeks

期刊介绍： EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.