[A review on psychosomatic factors affecting the outcome after total knee-arthroplasty (TKA)]

Z Psychosom Med Psychother. 2017 Dec;63(4):370-387. doi: 10.13109/zptm.2017.63.4.370.
[Article in German]

Abstract

A review on psychosomatic factors affecting the outcome after total knee-arthroplasty (TKA) Objectives: In today's ageing Western societies, arthroplasty is a common treatment for endstage osteoarthritis. Despite highly developed implants and surgery, however, this treatment does not always succeed in relieving pain and restoring joint function, i.e., in restoring satisfactory algofunction. Clinicians partly blame psychological factors for this discrepancy, especially in the absence of objective medical complications.

Methods: The present review summarizes previous studies on the role of psychosomatic interactions affecting the course after total knee arthroplasty (TKA).

Results: During the perioperative period, patients with TKA suffer from marked psychic distress that is also linked to the postoperative algofunction.

Conclusions: We discuss the theoretical and clinical implications of the findings reviewed.

Keywords: Algofunktion; Arthroplastik; Arthroplasty; Pain and Functional Problems; Psychosomatic Factors.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological
  • Arthroplasty, Replacement, Knee / psychology*
  • Humans
  • Osteoarthritis, Knee / psychology*
  • Osteoarthritis, Knee / surgery*
  • Pain Measurement
  • Patient Satisfaction
  • Perioperative Period / psychology
  • Postoperative Complications / diagnosis
  • Postoperative Complications / psychology*
  • Projective Techniques*
  • Psychophysiologic Disorders / diagnosis
  • Psychophysiologic Disorders / psychology*
  • Risk Factors