PDF(Pubmed)
Abstract：
UNASSIGNED: This study aims to investigate the psychological status of patients with Hepple V osteochondral lesions of the talus (OLT) and evaluate the effect of autologous osteoperiosteal transplantation (AOPT) on their psychological well-being.
UNASSIGNED: Fifty patients with Hepple V OLT who underwent AOPT at the Comprehensive Foot and Ankle Surgery Ward of Xi\'an Honghui Hospital from November 2021 to May 2023 were included in this study. The patients were divided into two groups based on the presence or absence of preoperative symptoms of anxiety/depression. Group A comprised patients with preoperative symptoms, while Group B included patients without such symptoms. Preoperative and final follow-up assessments included the Hospital Anxiety and Depression Scale for evaluating anxiety and depression, the visual analogue scale for pain assessment, and the American Orthopaedic Foot and Ankle Society scores for assessing ankle and hindfoot function.
UNASSIGNED: Among the 50 Hepple V OLT patients who obtained complete follow-up, twenty-four had preoperative symptoms of anxiety/depression, with an incidence rate of up to 48%. Patients in Groups A and B showed significant improvement in all evaluation indexes after AOPT compared to the preoperative period, but the overall prognosis of Group A was poorer than that of Group B.
UNASSIGNED: AOPT can effectively improve patients\' pain, functional activities, and psychological status, and there is a significant correlation between patients\' preoperative psychological status and prognosis.
UNASSIGNED: Fifty patients with Hepple V OLT who underwent AOPT at the Comprehensive Foot and Ankle Surgery Ward of Xi\'an Honghui Hospital from November 2021 to May 2023 were included in this study. The patients were divided into two groups based on the presence or absence of preoperative symptoms of anxiety/depression. Group A comprised patients with preoperative symptoms, while Group B included patients without such symptoms. Preoperative and final follow-up assessments included the Hospital Anxiety and Depression Scale for evaluating anxiety and depression, the visual analogue scale for pain assessment, and the American Orthopaedic Foot and Ankle Society scores for assessing ankle and hindfoot function.
UNASSIGNED: Among the 50 Hepple V OLT patients who obtained complete follow-up, twenty-four had preoperative symptoms of anxiety/depression, with an incidence rate of up to 48%. Patients in Groups A and B showed significant improvement in all evaluation indexes after AOPT compared to the preoperative period, but the overall prognosis of Group A was poorer than that of Group B.
UNASSIGNED: AOPT can effectively improve patients\' pain, functional activities, and psychological status, and there is a significant correlation between patients\' preoperative psychological status and prognosis.
摘要：
■本研究旨在调查距骨HepleV骨软骨损伤（OLT）患者的心理状况，并评估自体骨膜移植（AOPT）对其心理健康的影响。
■本研究纳入了2021年11月至2023年5月在西安宏辉医院综合足踝外科病房接受AOPT治疗的50例HeppleVOLT患者。根据术前是否存在焦虑/抑郁症状，将患者分为两组。A组包括有术前症状的患者，而B组包括没有此类症状的患者。术前和最终随访评估包括医院焦虑和抑郁量表，用于评估焦虑和抑郁，疼痛评估的视觉模拟量表，和美国矫形外科足踝协会评分用于评估踝关节和后足功能。
■在获得完整随访的50例HeppleVOLT患者中，24人有焦虑/抑郁症的术前症状，发病率高达48%。A组和B组患者AOPT后各项评价指标较术前均有明显改善,但A组的总体预后比B组差。
■AOPT能有效改善患者的疼痛，功能活动，和心理状态，患者术前心理状态与预后有显著相关性。
■本研究纳入了2021年11月至2023年5月在西安宏辉医院综合足踝外科病房接受AOPT治疗的50例HeppleVOLT患者。根据术前是否存在焦虑/抑郁症状，将患者分为两组。A组包括有术前症状的患者，而B组包括没有此类症状的患者。术前和最终随访评估包括医院焦虑和抑郁量表，用于评估焦虑和抑郁，疼痛评估的视觉模拟量表，和美国矫形外科足踝协会评分用于评估踝关节和后足功能。
■在获得完整随访的50例HeppleVOLT患者中，24人有焦虑/抑郁症的术前症状，发病率高达48%。A组和B组患者AOPT后各项评价指标较术前均有明显改善,但A组的总体预后比B组差。
■AOPT能有效改善患者的疼痛，功能活动，和心理状态，患者术前心理状态与预后有显著相关性。
