AAOS 2023: Mental Health Effects of Girdlestone Resection Arthroplasty

Healio spoke to Antonia Chen, MD, the director of research for the Division of Adult Reconstruction and Total Joint Arthroplasty in the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, about research she presented at the 2023 annual meeting of the American Association of Orthopaedic Surgeons (AAOS) in Las Vegas.

Dr. Chen and colleagues performed a multicenter, prospective study of 35 patients who underwent Girdlestone resection arthroplasty for any indication between 1995 and 2021. Researchers analyzed postoperative patient-reported outcomes scores from the prosthesis evaluation questionnaire (PEQ) and the patient-reported outcome measurement information system (PROMIS) global physical health and mental health surveys. Patients completed the surveys at an average of six years after surgery.

“Physical health is definitely impacted after [a] Girdlestone procedure, but mental health and social interactions are only moderately affected,” Dr. Chen concluded. “Clinicians can counsel patients appropriately when it comes to these procedures by saying that this will affect your mental health to some degree, but because it’s an ‘end-of-the-line’ treatment, then potentially, you don’t have to undergo more procedures.”

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