Psychological impact of peri-implant fractures: A cross-sectional study

##plugins.themes.academic_pro.article.sidebar##

Published Oct 8, 2024
https://doi.org/10.62438/tunismed.v102i10.5068
Download
pdf
Vol. 102 No. 10 (2024): Tunis Med oct 2024

##plugins.themes.academic_pro.article.main##

Brahim Demnati
Laboratory of Chemistry, Biochemistry, Nutrition, Environment and Health, FMPC, Hassan II University Casablanca, Morocco
Zakaria Chabihi
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh. Laboratory of Clinical and Epidemiological Research in Bone and Joint Pathology, Marrakesh, Morocco.
El mehdi Boumediane
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh, Morocco.
Siham Dkhissi
Laboratory of Clinical and Epidemiological Research in Bone and Joint Pathology, Marrakesh, Morocco
Fahd Idarrha
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh, Morocco.
Yassine Fath Elkhir
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh, Morocco.
Mohamed Amine Benhima
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh, Morocco.
Imad Abkari
Trauma and Orthopedics Department B, Mohammed VI University Hospital, Marrakesh, Morocco.
Mohamed Rafai
Laboratory of Chemistry, Biochemistry, Nutrition, Environment and Health, FMPC, Hassan II University Casablanca. Trauma and Orthopedics Department, Pavilion 32, Ibn Rochd University Hospital, Casablanca, Morocco
Samir Ibn moussa
Laboratory of Chemistry, Biochemistry, Nutrition, Environment and Health, FMPC, Hassan II University Casablanca, Morocco
Mohamed Rahmi
Laboratory of Chemistry, Biochemistry, Nutrition, Environment and Health, FMPC, Hassan II University Casablanca. Trauma and Orthopedics Department, Pavilion 32, Ibn Rochd University Hospital, Casablanca, Morocco

Abstract

Introduction: Peri-implant fractures (PIFs) are uncommon yet critical complications following orthopedic surgery. These complications can significantly impact a patient's psychological well-being and overall quality of life. 


Aim: This study aimed to investigate the psychological effects of PIFs.                                                    


Methods: This was a cross-sectional study that involved 136 patients who underwent surgery for PIFs between 2018 and 2022. We utilized various validated scales and questionnaires such as Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Impact of Event Scale-Revised (IES-R), 36-Item Short Form Survey (SF-36), and Brief COPE Inventory (BCI) to assess their psychological state.                                                                                                                


Result: The results revealed that patients with PIFs experienced higher levels of anxiety, depression, stress, and post-traumatic stress compared to the general population. Additionally, they reported lower physical and mental health. Factors such as the number of surgeries, treatment delay, post-operative pain levels, and complications significantly influenced their psychological outcomes. Notably, acceptance, positive reframing, and seeking emotional support were the most common coping mechanisms employed by these patients. Conversely, denial, substance use, and self-blame were the least employed strategies.                                                                                          


Conclusion: This study suggests that psychological interventions could significantly benefit patients with PIFs, potentially reducing their distress and improving their quality of life.

Keywords:

Peri-implant fractures, peri-implant, psychological distress, quality of life, coping strategies, post-traumatic stress disorder

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

  1. Bidolegui F, Pereira S, Munera MA, Garabano G, Pesciallo CA, Pires RE, et al. Peri-implant femoral fractures: Challenges, outcomes, and proposal of a treatment algorithm. Chin J Traumatol. 2023 Jul;26(4):211–6.
  2. Poroh M, Puha B, Gheorghevici TS, Jemna C, Forna N, Sirbu P, et al. A Retrospective analysis of peri-implant fractures: insights from a large volume clinical Study. Int Orthop. 2023 Nov;47(11):2859–68.
  3. Konow T, Baetz J, Melsheimer O, Grimberg A, Morlock M. Factors influencing periprosthetic femoral fracture risk. Bone Joint J. 2021 Apr;103-B(4):650–8.
  4. Wulbrand C, Müller F, Füchtmeier B, Hanke A. Therapy aspects of peri-implant femoral fractures-a retrospective analysis of 64 patients. Eur J Trauma Emerg Surg. 2024 Mar 26;
  5. Iking J, Fischhuber K, Stolberg-Stolberg J, Raschke MJ, Katthagen JC, Köppe J. Quality of Life and Pain after Proximal Humeral Fractures in the Elderly: A Systematic Review. Medicina (Kaunas). 2023 Sep 27;59(10):1728.
  6. Chen K, Hynes KK, Dirschl D, Wolf JM, Strelzow JA. Depression, anxiety, and post-traumatic stress disorder following upper versus lower extremity fractures. Injury. 2024 Mar 1;55(3):111242.
  7. Sivertsen HE, Helvik AS, Gjøra L, Haugan G. Psychometric validation of the Hospital Anxiety and Depression Scale (HADS) in community-dwelling older adults. BMC Psychiatry. 2023 Dec 5;23(1):903.
  8. Harris KM, Gaffey AE, Schwartz JE, Krantz DS, Burg MM. The Perceived Stress Scale as a Measure of Stress: Decomposing Score Variance in Longitudinal Behavioral Medicine Studies. Ann Behav Med. 2023 Sep 13;57(10):846–54.
  9. Beck JG, Grant DM, Read JP, Clapp JD, Coffey SF, Miller LM, et al. The Impact of Event Scale –Revised: Psychometric properties in a sample of motor vehicle accident survivors. J Anxiety Disord. 2008;22(2):187–98.
  10. Bongelli R, Fermani A, Canestrari C, Riccioni I, Muzi M, Bertolazzi A, et al. Italian validation of the situational Brief Cope Scale (I-Brief Cope). PLoS One. 2022;17(12):e0278486.
  11. Sukchokpanich P, Anusitviwat C, Jarusriwanna A, Kitcharanant N, Unnanuntana A. Quality of Life and Depression Status of Caregivers of Patients with Femoral Neck or Intertrochanteric Femoral Fractures during the First Year after Fracture Treatment. Orthop Surg. 2023 Jul;15(7):1854–61.
  12. Schemitsch C, Nauth A. Psychological factors and recovery from trauma. Injury. 2020 May;51 Suppl 2:S64–6.
  13. Wiseman T, Foster K, Curtis K. Mental health following traumatic physical injury: An integrative literature review. Injury. 2013 Nov 1;44(11):1383–90.
  14. Bryant RA, O’Donnell ML, Creamer M, McFarlane AC, Clark CR, Silove D. The psychiatric sequelae of traumatic injury. Am J Psychiatry. 2010 Mar;167(3):312–20.
  15. Short NA, Boffa JW, Wissemann K, Schmidt NB. Insomnia symptoms predict the development of post-traumatic stress symptoms following an experimental trauma. J Sleep Res. 2020 Feb;29(1):e12909.
  16. Sullivan E, Shelley J, Rainey E, Bennett M, Prajapati P, Powers MB, et al. The association between posttraumatic stress symptoms, depression, and length of hospital stay following traumatic injury. Gen Hosp Psychiatry. 2017 May;46:49–54.
  17. Hogg B, Gardoki-Souto I, Valiente-Gómez A, Rosa AR, Fortea L, Radua J, et al. Psychological trauma as a transdiagnostic risk factor for mental disorder: an umbrella meta-analysis. Eur Arch Psychiatry Clin Neurosci. 2023 Mar;273(2):397–410.
  18. Laucis NC, Hays RD, Bhattacharyya T. Scoring the SF-36 in Orthopaedics: A Brief Guide. J Bone Joint Surg Am. 2015 Oct 7;97(19):1628–34.
  19. Kaske S, Lefering R, Trentzsch H, Driessen A, Bouillon B, Maegele M, et al. Quality of life two years after severe trauma: a single-centre evaluation. Injury. 2014 Oct;45 Suppl 3:S100-105.
  20. Barańska A, Religioni U, Kłak A, Merks P, Bogdan M, Firlej E, et al. Coping Strategies Preferred by Patients Treated for Osteoporosis and Analysis of the Difficulties Resulting from the Disease. Int J Environ Res Public Health. 2022 May 6;19(9):5677.
  21. Sammut R, Azzopardi C, Camilleri L. Spiritual coping strategies and quality of life in older adults who have sustained a hip fracture: A cross-sectional survey. Nurs Open. 2021 Mar;8(2):572–81.
  22. Büssing A, Ostermann T, Neugebauer EA, Heusser P. Adaptive coping strategies in patients with chronic pain conditions and their interpretation of disease. BMC Public Health. 2010 Aug 20;10:507.
  23. Thompson NJ, Fiorillo D, Rothbaum BO, Ressler KJ, Michopoulos V. Coping Strategies as Mediators in Relation to Resilience and Posttraumatic Stress Disorder. J Affect Disord. 2018 Jan 1;225:153–9.
  24. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008 Aug;40(3):879–91.
  25. Pinto A, Faiz O, Davis R, Almoudaris A, Vincent C. Surgical complications and their impact on patients’ psychosocial well-being: a systematic review and meta-analysis. BMJ Open. 2016 Feb 16;6(2):e007224.
  26. Fredericks S, Guruge S, Sidani S, Wan T. Postoperative Patient Education: A Systematic Review. Clin Nurs Res. 2010 May;19(2):144–64.
  27. Mohta M, Sethi AK, Tyagi A, Mohta A. Psychological care in trauma patients. Injury. 2003 Jan;34(1):17–25.