Description
Purpose
We aimed to determine the influence of psychological factors prior to surgery on clinical outcome’s evolution in fresh osteochondral allograft (FOCA) transplantation of the knee. The hypothesis was that patients with pathological preoperative scores on psychological factors would show worse functional outcomes evolution after FOCA transplantation of the knee.
Methods
We prospectively collected data from patients undergoing FOCA transplantation for osteochondral lesions of the knee. All patients were followed-up for 30 months. Psychological factors of anxiety, depression, kinesiophobia and catastrophizing were assessed by means of self-administered HADS, TSK and PCS questionnaires one week prior to surgery. Clinical outcomes were evaluated preoperatively and at 3, 6, 9, 12, 15 and 30 months postoperatively using the Kujala score, the Western Ontario Meniscal Evaluation Tool (WOMET) score, the International Knee Documentation Committee (IKDC) score and the Tegner Activity Scale.
Results
41 cases were included. In the postoperative clinical outcome’s evolution, no differences were observed between preoperative pathological and non-pathological scores (p>0.005) regarding anxiety, depression, kinesiophobia and catastrophizing factors.
Conclusions
After a minimum follow-up of two years, no differences were observed in clinical outcome’s evolution between patients with and patients without preoperative pathological scores, thus rejecting our main hypothesis.
