The Impact of Preoperative Anxiety on the Incidence of Arthrogenic Muscle Inhibition After Anterior Cruciate Ligament Reconstruction.
High preoperative anxiety was linked to arthrogenic muscle inhibition in 80% of patients.
The Impact of Preoperative Anxiety on the Incidence of Arthrogenic Muscle Inhibition After Anterior Cruciate Ligament Reconstruction.
A patient's psychological state plays an important role in the functional outcome of anterior cruciate ligament (anterior cruciate ligament) reconstruction.
The goal of this study was to evaluate the impact of preoperative anxiety on the incidence of arthrogenic muscle inhibition at 21 days after anterior cruciate ligament reconstruction.
A prospective cohort study was performed on 143 patients who underwent anterior cruciate ligament reconstruction between May and June 2024 at a sports surgery center.
high anxiety before surgery made muscle inhibition after surgery more likely
The groups were comparable, except for the preoperative International Knee Documentation Committee score (55.9 ± 18.2 vs 65.7 ± 15.8, respectively; P = .007).
Patients with an Surgical Fear Questionnaire score ≥27 had a 3.17-fold higher risk (95% CI, 1.33-7.81; P = .010) of developing arthrogenic muscle inhibition on D21.
Receiver operating characteristic curve analysis showed an area under the curve of 0.77 (95% CI, 0.65-0.88).
The distribution of arthrogenic muscle inhibition grades on D21 showed that severe forms (grade 2b) were more frequent in the high anxiety group than in the low anxiety group (58.2% vs 37.8%, respectively).
This prospective study showed that preoperative anxiety was associated with early arthrogenic muscle inhibition after anterior cruciate ligament reconstruction. However, preoperative anxiety had no effect on the need for arthrolysis.
Clinically, these findings suggest that the preoperative identification of anxious patients using the Surgical Fear Questionnaire may help guide targeted perioperative interventions and rehabilitation strategies to reduce the risk of arthrogenic muscle inhibition and improve early functional recovery.