Yu WX, Hao YQ, Lu C, Li H, Cai YZ. Efficacy and risk factors for anxiety and depression after mini-incision hip arthroplasty for femoral head osteonecrosis. World J Psychiatry 2023; 13(12): 1016-1026 [PMID: 38186734 DOI: 10.5498/wjp.v13.i12.1016]
Corresponding Author of This Article
Yuan-Zhen Cai, MD, Doctor, Osteonecrosis and Joint Reconstruction Ward, Xi’an Hong Hui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Xi’an 710054, Shaanxi Province, China. bonny17173@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Dec 19, 2023; 13(12): 1016-1026 Published online Dec 19, 2023. doi: 10.5498/wjp.v13.i12.1016
Efficacy and risk factors for anxiety and depression after mini-incision hip arthroplasty for femoral head osteonecrosis
Wen-Xing Yu, Yang-Quan Hao, Chao Lu, Hui Li, Yuan-Zhen Cai
Wen-Xing Yu, Yang-Quan Hao, Chao Lu, Hui Li, Yuan-Zhen Cai, Osteonecrosis and Joint Reconstruction Ward, Xi’an Hong Hui Hospital, Xi'an Jiaotong University, Xi’an 710054, Shaanxi Province, China
Author contributions: Yu WX and Cai YZ contributed to the study conception and design, drafting manuscript, data analysis and interpretation; Yu WX, Hao YQ, Lu C, Li H and Cai YZ contributed to the study conception, critical revision of article for important intellectual content; Yu WX and Cai YZ contributed to the study conception and design, critical revision of article for important intellectual content.
Institutional review board statement: This study was approved by the Institutional Review Board of the Xi’an Hong Hui Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data for this study can be obtained from the corresponding author upon request at bonny17173@163.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan-Zhen Cai, MD, Doctor, Osteonecrosis and Joint Reconstruction Ward, Xi’an Hong Hui Hospital, Xi'an Jiaotong University, No. 555, Youyi East Road, Xi’an 710054, Shaanxi Province, China. bonny17173@163.com
Received: August 30, 2023 Peer-review started: August 30, 2023 First decision: September 13, 2023 Revised: October 25, 2023 Accepted: November 8, 2023 Article in press: November 8, 2023 Published online: December 19, 2023 Processing time: 111 Days and 4.4 Hours
ARTICLE HIGHLIGHTS
Research background
Osteonecrosis of the femoral head (ONFH) is a complex and multifactorial disease, which can seriously affect the quality of life of patients at the advanced stage. Although conventional total hip arthroplasty (THA) is effective in relieving symptoms, the procedure is invasive, resulting in a long recovery period for patients. Minimally invasive THA (MITHA) has begun to be used clinically with the development of minimally invasive techniques.
Research motivation
There is a lack of studies comparing MITHA with conventional THA, especially its effects on postoperative pain, recovery, and psychological distress in patients with ONFH.
Research objectives
This study aims to compare the effects of MITHA vs conventional THA in patients with ONFH and to further explore risk factors for postoperative negative emotions (NEs).
Research methods
The two surgical methods were comparatively analyzed, and the emotional state of the patients before and after surgery was investigated and analyzed using the regression model.
Research results
Patients undergoing MITHA had shorter operation time, less intraoperative bleeding and smaller incision length. Both groups of patients developed anxiety and depression before surgery, but some of them experienced emotional relief after treatment. Sex, postoperative pain score, and treatment cost were identified as risk factors affecting postoperative NEs of ONFH patients.
Research conclusions
MITHA is obvious advantageous over conventional THA in the treatment of ONFH, with short operation time and less bleeding. Sex, postoperative pain score, and treatment cost are risk factors that affect patients' postoperative mood. Targeted psychological counseling can effectively relieve the pressure of patients.
Research perspectives
A larger sample size and a long-term patient follow-up are needed to further determine the long-term effects of MITHA, as well as the depth and durability of the psychological impact on patients. Meanwhile, we need to better understand and deal with patients' postoperative psychological problems to improve the overall effectiveness of treatment.
