Total knee arthroplasty is a frequently performed procedure for the treatment of advanced gonarthrosis, significantly improving the quality of life of patients. However, approximately 20% of patients report persistent pain after surgery, with a negative impact on the functional recovery of the joint. This study aims to identify the presence of a possible risk factor associated with this complication through a retrospective analysis of patients operated at the Ospedale Riuniti Torrette di Ancona between March 2020 and March 2023. Patients were divided according to the presence of postoperative pain and various parameters were evaluated such as anxiety-depressive syndrome (SAD), metabolic disorders such as diabetes, hypercholesterolemia and hyper/hypothyroidism, osteoporosis, BMI, work activity and adherence to physiokinesitherapy (Fkt). The results indicate that the prevalence of persistent pain is 22%. Among the various risk factors analyzed, SAD and hypercholesterolemia emerged as possible contributors and a prevalence of the female gender was noted in the population of patients with pain, called "Bad Population". The characteristics of pain were also analyzed and it emerged that the prevalent types of pain are stabbing (40%) and constrictive (26.7%), the main localization is diffuse throughout the joint (53.3%) with a daily frequency of pain (73.3%). Although the study offers interesting insights, it did not allow us to identify a risk factor common to the entire Bad Population and the limited sample did not allow us to draw definitive conclusions, highlighting the need for further studies on larger samples.
L'artroplastica totale di ginocchio è un intervento eseguito frequentemente per il trattamento della gonartrosi avanzata, migliorando significativamente la qualità di vita dei pazienti. Tuttavia, circa il 20% dei pazienti riferisce dolore persistente dopo l'intervento, con un impatto negativo sul recupero funzionale dell'articolazione. Questo studio ha l'obiettivo di identificare la presenza di un possibile fattore di rischio associato a questa complicanza tramite un'analisi retrospettiva su pazienti operati presso l'Ospedale Riuniti Torrette di Ancona tra marzo 2020 e marzo 2023. i pazienti sono stati suddivisi in base alla presenza di dolore post-operatorio e sono stati valutati vari parametri come la sindrome ansioso-depressiva (SAD), dismetabolismi quali diabete, ipercolesterolemia e iper/ipotiroidismo, l'osteoporosi, il BMI, l'attività lavorativa e l'aderenza alla fisiochinesiterapia (Fkt). I risultati indicano che la prevalenza del dolore persistente si attesta al 22%. Ta i vari fattori di rischio analizzati, la SAD e l'ipercolesterolemia sono emersi come possibili contributori e si è notata una prevalenza del genere femminile nella popolazione dei pazienti con dolore, chiamata "Bad Population". Sono state analizzate anche le caratteristiche del dolore ed è emerso che le tipologie prevalenti di dolore sono il trafittivo (40%) e il costrittivo (26,7%), la localizzazione principale è quella diffusa a tutta l'articolazione (53,3%) con una frequenza del dolore quotidiana (73,3%). Sebbene lo studio offra spunti interessanti, non ha permesso di identificare un fattore di rischio comune a tutta la Bad Population e il campione limitato non ha consentito di trarre conclusioni definitive, evidenziando la necessità di ulteriori studi su campioni più ampi.
"Bad Population" e protesica di ginocchio: studio retrospettivo multicentrico
BIVI, FRANCESCO
2023/2024
Abstract
Total knee arthroplasty is a frequently performed procedure for the treatment of advanced gonarthrosis, significantly improving the quality of life of patients. However, approximately 20% of patients report persistent pain after surgery, with a negative impact on the functional recovery of the joint. This study aims to identify the presence of a possible risk factor associated with this complication through a retrospective analysis of patients operated at the Ospedale Riuniti Torrette di Ancona between March 2020 and March 2023. Patients were divided according to the presence of postoperative pain and various parameters were evaluated such as anxiety-depressive syndrome (SAD), metabolic disorders such as diabetes, hypercholesterolemia and hyper/hypothyroidism, osteoporosis, BMI, work activity and adherence to physiokinesitherapy (Fkt). The results indicate that the prevalence of persistent pain is 22%. Among the various risk factors analyzed, SAD and hypercholesterolemia emerged as possible contributors and a prevalence of the female gender was noted in the population of patients with pain, called "Bad Population". The characteristics of pain were also analyzed and it emerged that the prevalent types of pain are stabbing (40%) and constrictive (26.7%), the main localization is diffuse throughout the joint (53.3%) with a daily frequency of pain (73.3%). Although the study offers interesting insights, it did not allow us to identify a risk factor common to the entire Bad Population and the limited sample did not allow us to draw definitive conclusions, highlighting the need for further studies on larger samples.| File | Dimensione | Formato | |
|---|---|---|---|
|
TESI FRANCESCO BIVI.pdf
accesso aperto
Dimensione
1.26 MB
Formato
Adobe PDF
|
1.26 MB | Adobe PDF | Visualizza/Apri |
I documenti in UNITESI sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/20.500.12075/18827