Depression, PTSD After Orthopedic Trauma Is Very Real | Orthopedics This Week

Depression, PTSD After Orthopedic Trauma Is Very Real

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New work from the University of Maryland School of Medicine, Royal College of Surgeons in Ireland, and McMaster University, Ontario, Canada, has found that nearly one-third of patients suffer from depression and more than one-quarter of patients suffer from post-traumatic stress disorder (PTSD) after an acute orthopedic injury. The study, published in the January 2017 edition of the Journal of Orthopaedic Trauma, included 27 studies and 7,109 subjects.

Gerard P. Slobogean, M.D., M.P.H., is with the R. Adam Cowley Shock Trauma Center at the University of Maryland School of Medicine. Dr. Slobogean told OTW, “As an orthopaedic surgeon who practices at a busy trauma center, I have seen many patients struggle with the psychological impact of their injury and recovery. However, as a clinician-scientist, I discovered a paucity of research in this area to guide my clinical practice.”

“Support for the psychological distress of orthopaedic trauma patients is often overshadowed by a focus on the effective management of the patient’s fracture. I believe there is space in our field for a more holistic approach to identify and treat psychological distress in our patient population. This will not only have a positive effect on the mental health of our patients but will also likely have a positive impact on their fracture recovery. I believe our meta-analysis will help guide future research in this important domain.”


5 thoughts on “Depression, PTSD After Orthopedic Trauma Is Very Real

  1. I am reaching out to you for help. I have been to orthopedics so many times, and it is discouraging to the point I am at wits end. Both of my knees are in ruin and both have been through surgery previously. I recently went to an orthopedic to get an MRI to which he stated I needed partial knee replacement for my one knee. Well, they kept mucking up my surgery appointment, and I work 50 hours a week as a contractor, and I have a rescue farm, I need my knees. This is just a cluster and I am totally at wits end, cuz I love my sports and I love my animals and now I walk like I have a watermelon between my legs. The psychological and physiological impact is enormous. I just need to get my body fixed and need someone who will do it and give me a “real” date, so I can make proper accommodations. Can you help?

    1. Knee replacements are good for stopping most of the pain and fixing improper tilt of the knee joint. But there is a downside, the only sports you can do is tennis, golf, biking and walking. You can’t even get your teeth cleaned without being on antibiotics for fear of an infection traveling down to your knee. I had TKR in 2014 @ 55 and can walk on it all day(slight limp) but climbing anything(including stairs) really aggravates the knee (swelling & stiffness) and it is very hard to get down and stay on my knees for any length of time. It is not as good as before, but it can help with certain issues.

      Research your doctor!!!!!!!!!!! How many of these does he do a year?
      It is a painful surgery and it is 6-8 months before all the pain is gone, you can function on it an a couple of weeks.
      Remember, there is no going back after your surgery, so you will probably baby it so you don’t have to ever go through it again.

      Good Luck

  2. Wow, so glad I saw this article. I broke my T12 vertebra in an accident and it was a very painful nightmare. That was years ago and I fully recovered. I used to think of it as a good story. After a recent medical scare it triggered something mentally and I occasionally flash back to the back injury and the intense unrelenting pain i had. Before the recent medical scare I had maybe only really cried only twice in my whole life. Since then I have cried hundreds of times. This orthopedic trauma thing is horribly real. I cant even think of that story anymore much less tell it. Good luck all.

  3. I recently had my right knee replaced, surgery number 5 on same knee. I’m struggling both pain and emotional difficulties. I hurt all the time and I’m afraid all the time I’m going to have to have another surgery.

    My knee is always numb but I feel pain when ever I walk, stand up or sit down. My knee clunks and sometimes I can’t even slide my leg on the bed without pain.

    I’m 43 years old and in the Army (Active Duty) and I’m afraid I’m going to get kicked out. I need help but don’t know what to do. Talking to the Army about this makes me stress even more. Please help

  4. I googled ptsd after traumatic fall and couldn’t believe I’m not crazy. I fell walking my dog recently.. forward, hard, and broke my collarbone and two ribs. The pain was the worst thing I’ve experienced in my entire life. I lost my voice screaming. No amount of morphine could relieve it. Now, I’m terrified of walking. I have flashbacks and nightmares, and it’s not going away. Im so afraid this is going to haunt me for the rest of my life…

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