Orthopedic Surgeries: Review of Physicological Effect Pre and Post-Surgical Treatments

Abstract

Patient satisfaction with a treatment is an important outcome measure and isassociated with increased adherence to that treatment. The role of psychologicalfactors with regard to successful surgical outcomes has been highlightedpreviously. This is an orthopedic literature for the psychological traits that arerelevant to surgical outcomes as well as an overview of options for psychologicallyoptimizing a patient for surgery and ways to address problems encountered inthe postoperative period in pandemic or non-pandemic before. A literature reviewwas conducted in the electronic database PubMed using keyword “Psychological”,and “Orthopedic Surgeries”. All type of studies were included for this study, suchas controlled trials, systematic reviews, literature reviews, and pilot studiespublished between 2015 and 2021. Articles which not written in English wereexcluded from the study. This search resulted in 6 papers. All of the papersdisscuss about physicological effect on pre and post-surgical treatment.Satisfaction with surgery was closely associated with physical function andanxiety before surgery. Our analysis provides low levels of evidence supportingthe use of psychological interventions, particularly with regard to anxiety andmental components of quality of life. Pre-operative anxiety, depression and lowself-efficacy are consistently associated with worse physiological surgicaloutcomes and quality of life. However, there is currently insufficient evidence tobe sure that pre-operative psychological interventions are of benefit, or whichinterventions are most effective.