Mental health moderately affected after Girdlestone resection arthroplasty
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Key takeaways:
- Girdlestone resection arthroplasty negatively affected physical health and moderately affected mental health.
- The procedure is an “end-of-the-line” treatment and may prevent further surgery.
LAS VEGAS — Presented results showed patients who underwent Girdlestone resection arthroplasty had poor physical outcome scores, with only a moderate effect on mental health and social interaction.
“We all know that mental health is something that is so important and so vital to our well-being, nowadays. We used to just look at physical health,” Antonia F. Chen, MD, told Healio.
Chen and colleagues from Duke University performed a multicenter, prospective study of 35 patients who underwent Girdlestone resection arthroplasty for any indication between 1995 and 2021. The results were presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
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 6 years after surgery.
Chen and colleagues found median PEQ scores were 0 for ambulation, 6 for frustration, 9 for perceived response and 7.5 for social burden. Median PROMIS scores were 11.91 for physical health (T-score of 39.7) and 14 for mental health (T-score of 46.1). According to the study abstract, T-scores were 10.3 points and 3.9 points below the averages for the general U.S. population, respectively.
“Physical health is definitely impacted after [a] Girdlestone procedure, but mental health and social interactions are only moderately affected,” 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 a treatment and still is an ‘end-of-the-line’ treatment then potentially, you don't have to undergo more procedures,” she added.
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Wixted C, et al. Poster 16. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 7-11, 2023; Las Vegas.
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