Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus

PurposeThis study aims to investigate the psychological status of patients with Hepple V osteochondral lesions of the talus (OLT) and evaluate the effect of autologous osteoperiosteal transplantation (AOPT) on their psychological well-being.MethodsFifty patients with Hepple V OLT who underwent AOPT...

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Main Authors: ShiHang Cao, Qiang Zan, Jun Lu, Yi Li, BingBing Li, Hang Zhao, Tao Wang, JunKui Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356856/full
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author ShiHang Cao
Qiang Zan
Jun Lu
Yi Li
BingBing Li
Hang Zhao
Tao Wang
JunKui Xu
author_facet ShiHang Cao
Qiang Zan
Jun Lu
Yi Li
BingBing Li
Hang Zhao
Tao Wang
JunKui Xu
author_sort ShiHang Cao
collection DOAJ
description PurposeThis study aims to investigate the psychological status of patients with Hepple V osteochondral lesions of the talus (OLT) and evaluate the effect of autologous osteoperiosteal transplantation (AOPT) on their psychological well-being.MethodsFifty patients with Hepple V OLT who underwent AOPT at the Comprehensive Foot and Ankle Surgery Ward of Xi’an Honghui Hospital from November 2021 to May 2023 were included in this study. The patients were divided into two groups based on the presence or absence of preoperative symptoms of anxiety/depression. Group A comprised patients with preoperative symptoms, while Group B included patients without such symptoms. Preoperative and final follow-up assessments included the Hospital Anxiety and Depression Scale for evaluating anxiety and depression, the visual analogue scale for pain assessment, and the American Orthopaedic Foot and Ankle Society scores for assessing ankle and hindfoot function.ResultsAmong the 50 Hepple V OLT patients who obtained complete follow-up, twenty-four had preoperative symptoms of anxiety/depression, with an incidence rate of up to 48%. Patients in Groups A and B showed significant improvement in all evaluation indexes after AOPT compared to the preoperative period, but the overall prognosis of Group A was poorer than that of Group B.ConclusionAOPT can effectively improve patients’ pain, functional activities, and psychological status, and there is a significant correlation between patients’ preoperative psychological status and prognosis.
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spelling doaj.art-b70072104893454cbdf7a57a93fe403a2024-03-08T04:45:17ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-03-011510.3389/fpsyt.2024.13568561356856Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talusShiHang Cao0Qiang Zan1Jun Lu2Yi Li3BingBing Li4Hang Zhao5Tao Wang6JunKui Xu7Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Joint Surgery, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang, Shaanxi, ChinaHonghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaHonghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaHonghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaHonghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaDepartment of Joint Surgery, Huaibei Miners General Hospital, Huaibei, Anhui, ChinaHonghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, ChinaPurposeThis study aims to investigate the psychological status of patients with Hepple V osteochondral lesions of the talus (OLT) and evaluate the effect of autologous osteoperiosteal transplantation (AOPT) on their psychological well-being.MethodsFifty patients with Hepple V OLT who underwent AOPT at the Comprehensive Foot and Ankle Surgery Ward of Xi’an Honghui Hospital from November 2021 to May 2023 were included in this study. The patients were divided into two groups based on the presence or absence of preoperative symptoms of anxiety/depression. Group A comprised patients with preoperative symptoms, while Group B included patients without such symptoms. Preoperative and final follow-up assessments included the Hospital Anxiety and Depression Scale for evaluating anxiety and depression, the visual analogue scale for pain assessment, and the American Orthopaedic Foot and Ankle Society scores for assessing ankle and hindfoot function.ResultsAmong the 50 Hepple V OLT patients who obtained complete follow-up, twenty-four had preoperative symptoms of anxiety/depression, with an incidence rate of up to 48%. Patients in Groups A and B showed significant improvement in all evaluation indexes after AOPT compared to the preoperative period, but the overall prognosis of Group A was poorer than that of Group B.ConclusionAOPT can effectively improve patients’ pain, functional activities, and psychological status, and there is a significant correlation between patients’ preoperative psychological status and prognosis.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356856/fullosteochondral lesions of the talusautologous osteoperiosteal transplantationdepressionanxietyprognosis
spellingShingle ShiHang Cao
Qiang Zan
Jun Lu
Yi Li
BingBing Li
Hang Zhao
Tao Wang
JunKui Xu
Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
Frontiers in Psychiatry
osteochondral lesions of the talus
autologous osteoperiosteal transplantation
depression
anxiety
prognosis
title Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
title_full Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
title_fullStr Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
title_full_unstemmed Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
title_short Analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
title_sort analysis of preoperative and postoperative depression and anxiety in patients with osteochondral lesions of the talus
topic osteochondral lesions of the talus
autologous osteoperiosteal transplantation
depression
anxiety
prognosis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356856/full
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