Published online Dec 19, 2023. doi: 10.5498/wjp.v13.i12.1016
Peer-review started: August 30, 2023
First decision: September 13, 2023
Revised: October 25, 2023
Accepted: November 8, 2023
Article in press: November 8, 2023
Published online: December 19, 2023
Osteonecrosis of the femoral head (ONFH) is a complex and multifactorial disease, which can seriously affect the quality of life of patients at the advanced stage. Although conventional total hip arthroplasty (THA) is effective in relieving symptoms, the procedure is invasive, resulting in a long recovery period for patients. Minimally invasive THA (MITHA) has begun to be used clinically with the development of minimally invasive techniques.
There is a lack of studies comparing MITHA with conventional THA, especially its effects on postoperative pain, recovery, and psychological distress in patients with ONFH.
This study aims to compare the effects of MITHA vs conventional THA in patients with ONFH and to further explore risk factors for postoperative negative emotions (NEs).
The two surgical methods were comparatively analyzed, and the emotional state of the patients before and after surgery was investigated and analyzed using the regression model.
Patients undergoing MITHA had shorter operation time, less intraoperative bleeding and smaller incision length. Both groups of patients developed anxiety and depression before surgery, but some of them experienced emotional relief after treatment. Sex, postoperative pain score, and treatment cost were identified as risk factors affecting postoperative NEs of ONFH patients.
MITHA is obvious advantageous over conventional THA in the treatment of ONFH, with short operation time and less bleeding. Sex, postoperative pain score, and treatment cost are risk factors that affect patients' postoperative mood. Targeted psychological counseling can effectively relieve the pressure of patients.
A larger sample size and a long-term patient follow-up are needed to further determine the long-term effects of MITHA, as well as the depth and durability of the psychological impact on patients. Meanwhile, we need to better understand and deal with patients' postoperative psychological problems to improve the overall effectiveness of treatment.