Improvements in functioning are dependent or pain relieving measures not mental health – hip and knee replacements

Fear avoidance model makes one consider cause of disability is in the psyche. Normalization of physical functioning despite mental health status with  knee replacement belies that contention and further suggests those with mental health issues can have joint replacements.

Acta Orthop. 2017 Apr;88(2):158-165. doi: 10.1080/17453674.2016.1250059. Improvements in physical function and pain sustained for up to 10 years after
knee or hip arthroplasty irrespective of mental health status before surgery.
Geeske Peeters GM

  • ¬† 9,737 middle-aged participants (47-52 years) and 9,292 older participants (73-78 years)
  • “TKA (total knee arthroplasty) improved physical function and reduced bodily pain, with improvements sustained up to 10 years after surgery.”
  • “TKA contributed to restoration of social function in women with good Mental health(MH), but this was less clear in women with poor MH.”
  • “In both MH groups, mental health appeared to be unaffected by TKA.”

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