No significant differences in postoperative clinical outcomes evolution after fresh osteochondral allograft transplantation of the knee between patients with pathological and non-pathological scores regarding anxiety, depression, kinesiophobia and catastrophizing factors

IF 2.7 Q2 ORTHOPEDICS Journal of Experimental Orthopaedics Pub Date : 2025-03-07 DOI:10.1002/jeo2.70210

Pablo Eduardo Gelber, Eduard Ramírez-Bermejo, Anna Castellà-Pujol, Aránzazu Gonzalez-Osuna, Oscar Fariñas

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Abstract

Purpose

The aim of this study was to determine the influence of preoperative psychological factors on clinical outcomes of fresh osteochondral allograft (FOCA) transplantation of the knee. The hypothesis was that patients with preoperative pathological scores on psychological factors would show worsen functional outcomes after FOCA transplantation of the knee.

Methods

A prospective data collection study was performed from patients undergoing FOCA transplantation for osteochondral lesions of the knee. All patients were followed up for 30 months. Psychological factors of anxiety, depression, kinesiophobia and catastrophizing were assessed by means of self-administered Hospital Anxiety and Depression Subscale (HADS), Tampa Scale for Kinesiophobia (TSK) and Pain Catastrophizing Scale (PCS) questionnaires one week prior to surgery. Clinical outcomes were evaluated preoperatively and at 3, 6, 9, 12, 15 and 30 months postoperatively using the Kujala score, the Western Ontario Meniscal Evaluation Tool (WOMET) score, the International Knee Documentation Committee (IKDC) score and the Tegner Activity Scale. Participants were classified as pathological or non-pathological scores for each psychological parameter in accordance with the cut-off point proposed by the authors of each questionnaire. The interaction between clinical outcome's evolution and pathological scores was analysed using two-way ANOVA tests with Greenhouse–Geisser correction to avoid non-sphericity errors.

Results

Forty-one cases were included (mean age 37.1 years old, 41% female). In the postoperative clinical outcome's evolution, no differences were observed between preoperative pathological and non-pathological scores (p > 0.05) regarding anxiety, depression, kinesiophobia and catastrophizing factors.

Conclusions

No significant differences were observed in the evolution of postoperative clinical outcomes between patients with pathological and non-pathological psychological scores.

Level of Evidence

Level III, case series.

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同种异体膝关节新鲜骨软骨移植术后病理与非病理评分患者在焦虑、抑郁、运动恐惧症和灾难因素方面的临床结果演变无显著差异

目的探讨术前心理因素对新鲜同种异体骨软骨（FOCA）膝关节移植临床疗效的影响。假设术前心理因素病理评分较高的患者在FOCA膝关节移植后功能预后较差。方法对膝关节骨软骨病变行FOCA移植的患者进行前瞻性资料收集研究。所有患者随访30个月。采用术前1周自行填写的医院焦虑抑郁量表（HADS）、坦帕运动恐惧症量表（TSK）和疼痛灾难化量表（PCS）对焦虑、抑郁、运动恐惧症和灾难化心理因素进行评估。采用Kujala评分、Western Ontario半月板评估工具（WOMET）评分、国际膝关节文献委员会（IKDC）评分和Tegner活动量表对术前和术后3、6、9、12、15和30个月的临床结果进行评估。根据每个问卷作者提出的分界点，将参与者的每个心理参数分为病理或非病理分数。采用双向方差分析分析临床结果的演变与病理评分之间的相互作用，并采用温室-盖瑟校正以避免非球形误差。结果共纳入41例，平均年龄37.1岁，女性占41%。在术后临床结局的演变中，术前病理评分与非病理评分在焦虑、抑郁、运动恐惧症和灾难化因素方面均无差异（p > 0.05）。结论病理与非病理心理评分患者术后临床结局的演变无显著差异。证据级别III级，案例系列。

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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