To explore changes in depressive symptoms among geriatric patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) at defined postoperative time points: 3 days, 7 days, 4 weeks, and 3 months.
Key Findings:
Preoperative depressive symptoms are linked to poorer clinical outcomes post-surgery.
The study aims to measure postoperative decreases in depressive symptoms using the Geriatric Depression Scale (GDS-15).
Geriatric patients often present with multiple comorbidities that increase vulnerability to depression.
Early recognition of depressive symptoms is crucial for timely intervention.
Interpretation:
The study highlights the importance of recognizing and addressing depressive symptoms in geriatric patients undergoing THA and TKA to improve postoperative outcomes.
Limitations:
The pilot nature of the study limits generalizability due to small sample sizes and the absence of an a priori sample size calculation.
Exclusion of patients with inadequate cognitive ability may affect the representativeness of the findings.
Conclusion:
This study addresses a critical gap in understanding depressive symptom trajectories in elderly patients undergoing joint replacement surgery, emphasizing the need for targeted interventions and further studies focusing on this population.
Operative-time–adjusted findings favored the ipsilateral technique, while absolute fluoroscopy time and radiation exposure remained similar between approaches.
