The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature
Background: The gold standard treatment for periprosthetic joint infections is the two-stage revision that includes the spacer placement before definitive reimplantation. The management of PJI affects patients’ joint function and, subsequently, their mental health. Even though significant advances h...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-04-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/12/7/790 |
| _version_ | 1797212571338539008 |
|---|---|
| author | Donato Di Gennaro Giannantonio Coletta Enrico Festa Domenico De Mauro Maria Rizzo Luca Diana Giovanni Balato Massimo Mariconda |
| author_facet | Donato Di Gennaro Giannantonio Coletta Enrico Festa Domenico De Mauro Maria Rizzo Luca Diana Giovanni Balato Massimo Mariconda |
| author_sort | Donato Di Gennaro |
| collection | DOAJ |
| description | Background: The gold standard treatment for periprosthetic joint infections is the two-stage revision that includes the spacer placement before definitive reimplantation. The management of PJI affects patients’ joint function and, subsequently, their mental health. Even though significant advances have been achieved, little to no attention has been paid to the psychological implications. So, based on standardized patient-reported outcome measures (PROMs), this study aimed to clarify the effect of spacer treatment of infected hip and knee arthroplasties on patients’ mental health. Methods: We performed research on the literature on PJIs in the English language using the MEDLINE database with the search strings “spacer” OR “spacers” AND “hip” OR “knee” AND “SF-12” OR “SF-36” OR “EQ-5” OR “mental” OR “depression” OR “anxiety.” The reference lists of selected articles were also hand-searched for any additional articles. Results: A total of 973 published papers were extracted, and 9 papers were finally included. A total of 384 patients who underwent spacer placement for PJI were identified. Of these 384 patients, 54% were female. The mean age ranged from 62 to 78.2 years. Of the11 papers identified for this review, 4 analyzed only hip spacers, including 119 patients; 4 only knee spacers, evaluating 153 patients; while a single study included 112 patients for both joints. Conclusions: Patients with the spacer are living in a state of mental upset, albeit better than the preoperative state. Clinical improvement with the review is not assured. The alteration of mental state turns out not to be transient for all the patients. |
| first_indexed | 2024-04-24T10:44:30Z |
| format | Article |
| id | doaj.art-6df722f600244b7885dbb7d494ba083c |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-24T10:44:30Z |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-6df722f600244b7885dbb7d494ba083c2024-04-12T13:19:02ZengMDPI AGHealthcare2227-90322024-04-0112779010.3390/healthcare12070790The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the LiteratureDonato Di Gennaro0Giannantonio Coletta1Enrico Festa2Domenico De Mauro3Maria Rizzo4Luca Diana5Giovanni Balato6Massimo Mariconda7Orthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyDepartment of Orthopedics and Geriatric Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyOrthopedic Unit, Department of Public Health, “Federico II” University, 80131 Naples, ItalyBackground: The gold standard treatment for periprosthetic joint infections is the two-stage revision that includes the spacer placement before definitive reimplantation. The management of PJI affects patients’ joint function and, subsequently, their mental health. Even though significant advances have been achieved, little to no attention has been paid to the psychological implications. So, based on standardized patient-reported outcome measures (PROMs), this study aimed to clarify the effect of spacer treatment of infected hip and knee arthroplasties on patients’ mental health. Methods: We performed research on the literature on PJIs in the English language using the MEDLINE database with the search strings “spacer” OR “spacers” AND “hip” OR “knee” AND “SF-12” OR “SF-36” OR “EQ-5” OR “mental” OR “depression” OR “anxiety.” The reference lists of selected articles were also hand-searched for any additional articles. Results: A total of 973 published papers were extracted, and 9 papers were finally included. A total of 384 patients who underwent spacer placement for PJI were identified. Of these 384 patients, 54% were female. The mean age ranged from 62 to 78.2 years. Of the11 papers identified for this review, 4 analyzed only hip spacers, including 119 patients; 4 only knee spacers, evaluating 153 patients; while a single study included 112 patients for both joints. Conclusions: Patients with the spacer are living in a state of mental upset, albeit better than the preoperative state. Clinical improvement with the review is not assured. The alteration of mental state turns out not to be transient for all the patients.https://www.mdpi.com/2227-9032/12/7/790mentalspacerperiprosthetic joint infectionsPJIinfectionhealth |
| spellingShingle | Donato Di Gennaro Giannantonio Coletta Enrico Festa Domenico De Mauro Maria Rizzo Luca Diana Giovanni Balato Massimo Mariconda The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature Healthcare mental spacer periprosthetic joint infections PJI infection health |
| title | The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature |
| title_full | The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature |
| title_fullStr | The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature |
| title_full_unstemmed | The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature |
| title_short | The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients’ Mental Health: A Narrative Review of the Literature |
| title_sort | effect of spacer treatment of infected hip and knee arthroplasties on patients mental health a narrative review of the literature |
| topic | mental spacer periprosthetic joint infections PJI infection health |
| url | https://www.mdpi.com/2227-9032/12/7/790 |
| work_keys_str_mv | AT donatodigennaro theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT giannantoniocoletta theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT enricofesta theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT domenicodemauro theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT mariarizzo theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT lucadiana theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT giovannibalato theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT massimomariconda theeffectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT donatodigennaro effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT giannantoniocoletta effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT enricofesta effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT domenicodemauro effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT mariarizzo effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT lucadiana effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT giovannibalato effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature AT massimomariconda effectofspacertreatmentofinfectedhipandkneearthroplastiesonpatientsmentalhealthanarrativereviewoftheliterature |