Fulfilment of preoperative expectations and postoperative patient satisfaction after total knee replacement. A prospective analysis of 200 patients

Deakin, A.H.; Smith, Marie Anne; Wallace, D; Smith, Elizabeth; Sarungi, Martin

doi:10.1016/j.knee.2019.07.018

Cited by 36 publications

(36 citation statements)

References 33 publications

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“…Patients’ preoperative expectations in relation to postoperative satisfaction have also been studied [ 6 , 8 , 25 – 28 ], showing that fulfillment of patients’ expectations predicted postoperative patient satisfaction after TKA surgery. In a qualitative study, we found that patients’ expectations were still the major contributing factor affecting patient contentment one year after surgery [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Total knee arthroplasty (TKA) has proven to be successful in improving pain and function among patients with knee arthritis [1][2][3][4][5]. Unfortunately, there are still patients who are not satisfied after TKA [6][7][8][9][10]. The number of such dissatisfied patients is expected to increase because of an increasing number of patients undergoing TKA [1,11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Although patients' expectations are the main factor contributing to patient satisfaction after TKA [6,8,16,[25][26][27][28], the role of psychological factors has been paid more attention in recent years [13,14,24,26,[29][30][31][32][33][34][35]. One study found higher levels of 90-day readmission, dissatisfaction, and burden for healthcare providers among patients with depression [33].…”

Section: Introductionmentioning

confidence: 99%

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Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Mahdi

Nyman

Wretenberg

2020

Arch Orthop Trauma Surg

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Introduction Total knee arthroplasty (TKA) is effective in alleviating pain and improving function in patients with knee arthritis. Psychological factors are known to affect patient satisfaction after TKA. It is important to determine the effectiveness of TKA in patients with presurgical anxiety and/or depression to avoid excluding them from surgery. Materials and methods A prospective cohort study was conducted on all patients who underwent TKA during 2016–2018. Patients were divided into four groups: with anxiety, without anxiety, with depression, and without depression. Outcome measures comprised both generic and knee-specific instruments. Each patient group was compared regarding changes in outcome measures one year after surgery. Between-group comparison was also performed. Results Of the 458 patients with complete data, 15.3% and 9.6% had experienced presurgical anxiety and depression, respectively. All patient groups displayed statistical (P < 0.001) and clinical improvement in all outcome measures. Patients with presurgical anxiety and/or depression generally displayed less improvement, though the only significant mean differences concerned the Knee Injury and Osteoarthritis Outcome Score (KOOS)-sport score in the non-anxiety and non-depression groups (P = 0.006 and 0.03, respectively), a higher proportion of clinically improved KOOS pain in the non-anxiety group (P = 0.03), and the general health state in the anxiety and depression groups (P = 0.004 and 0.04, respectively). Conclusions All patients improved in outcome measures 1 year after TKA, regardless of presurgical psychological state. Patients with presurgical anxiety and/or depression benefit greatly from surgery and should not be discriminated against based on presurgical psychological distress, though this fact should not eliminate the preoperative psychological assessment of patients. Level of evidence II.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Mahdi

Nyman

Wretenberg

2020

Arch Orthop Trauma Surg

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“…Our functional assessment involves deep flexion activity like kneeling and squatting which is a reflection of patellofemoral kinematics of the knee prosthesis [21][22][23] and are indicators of patient satisfaction. 24,25 However, we have not taken into account other factors like muscle control and limb stability which contribute to such activity.…”

Section: Discussionmentioning

confidence: 99%

Has the modern design of Attune total knee replacement improved outcome in patients with isolated patellofemoral arthritis?

Ashraf

Iqbal

Senevirathana

et al. 2020

J Orthop Surg (Hong Kong)

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Introduction and Aim: Modern knee replacements aim to improve patient function in arthritis affecting different compartments of the knee. This study evaluates the Patient Reported Outcome Measure (PROM) and functional outcome of a modern total knee replacement (Attune, DePuy) in patients with isolated patellofemoral arthritis. Methods: A total of 50 consecutive patients with isolated unilateral patellofemoral arthritis having had Attune total knee replacements at a single institution between 2010 and 2016 were prospectively studied. Five patients who developed symptoms on the opposite side during the study and two patients lost to follow-up were excluded. One patient needed early revision for loosening, leaving a total of 42 patients to be followed up over a period of 4 years. The Oxford Knee score (OKS) and Knee Injury and Osteoarthritis Outcome Score (KOOS) recorded pre-operatively and at follow-up was compared. A Functional assessment at around 8 months after operation was undertaken. Results: At average follow-up of 24 months the mean OKS score improved by 15 points and the KOOS score improved by 20 points. Final KOOS sub-score for Pain was 80, Symptom 80, and ADL 82, Sports & Recreation 32 and QOL 60. Functional assessment at mean 8 months showed that a significant number of patients were able to Kneel (50%); Sit cross legged (23%); sit on their heel (23%) and were able do a single leg dip test (86%). Conclusion: This unique study of a modern design total knee replacement (Attune) in patients with isolated unilateral patellofemoral arthritis shows good PROM scores at 2 years and good functional assessment results at 8 months. The PROM scores are marginally better than the published results with Attune’s predecessor, in a similar cohort of patients, but falls short of the published results of patellofemoral replacement implants. Large randomised comparative studies between traditional and the modern implant design is recommended to answer the question if design modification has influenced clinical outcome in patients with patellofemoral arthritis.

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“…Persons with TKR are characterized by a slight increase in function [6], with a decrease in knee joint extension strength, knee joint movement, functional performance, and complaints of activity of daily living performance [7,8]. Although TKR surgery is generally effective in terms of pain reduction and correcting joint alignment, patients do not always achieve a return to full function and may be left with limitations in mobility and other activities of daily living [9]. To assess the effect of TKR, a variety of analysis programs have been introduced [10], and many components including pain [11], function [1,12], range of motion [13], muscle strength [14,15], stability, deformity [16], and joint contracture [17] are digitized to evaluate before and after TKR [18].…”

Section: Introductionmentioning

confidence: 99%

Quality of life of persons after total knee replacement surgery

Leem

Lee

Chung

et al. 2019

PTRS

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The objective of this study was to investigate the differences in the quality of life between two groups of patients who received or did not receive total knee replacement (TKR) surgery after being diagnosed with knee osteoarthritis (OA), and to investigate changes in the quality of life for persons who had TKR surgery. Design: Cross-sectional study. Methods: The subjects were randomized into a surgery group (n=70) and a non-surgery group (n=65). Subjects were selected from individuals diagnosed with knee OA from Himchan Hospital in Seoul, South Korea. Their sex, age, weight, height, body mass index, unilateral or bilateral, and quality of life were evaluated. Changes in the quality of life was measured using the Short Form-36 Health Survey (SF-36). Seventy out of 135 patients had TKR surgery, and their quality of life was evaluated at 6 months and 12 months after the surgery. Results: SF-36 scores were significantly improved at 6 months and 12 months after the surgery compared to the scores before the surgery (p<0.05). Also, the comparison between 6 and 12 months after surgery showed that the Vitality and Social Function scores in the SF-36 were significantly increased (p<0.05). Conclusions: The findings of this study showed that TKR surgery has a positive effect on the quality of life for persons with knee OA as a therapeutic intervention.

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Fulfilment of preoperative expectations and postoperative patient satisfaction after total knee replacement. A prospective analysis of 200 patients

Cited by 36 publications

References 33 publications

Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Has the modern design of Attune total knee replacement improved outcome in patients with isolated patellofemoral arthritis?

Quality of life of persons after total knee replacement surgery

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