Erschienen in:
01.01.2010 | Symposium: Papers Presented at the Annual Meetings of the Knee Society
Patient Satisfaction after Total Knee Arthroplasty: Who is Satisfied and Who is Not?
verfasst von:
Robert B. Bourne, MD, FRCSC, Bert M. Chesworth, PhD, Aileen M. Davis, PhD, Nizar N. Mahomed, MD, MPH, FRCSC, Kory D. J. Charron, Dipl. MET
Erschienen in:
Clinical Orthopaedics and Related Research®
|
Ausgabe 1/2010
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Abstract
Despite substantial advances in primary TKA, numerous studies using historic TKA implants suggest only 82% to 89% of primary TKA patients are satisfied. We reexamined this issue to determine if contemporary TKA implants might be associated with improved patient satisfaction. We performed a cross-sectional study of patient satisfaction after 1703 primary TKAs performed in the province of Ontario. Our data confirmed that approximately one in five (19%) primary TKA patients were not satisfied with the outcome. Satisfaction with pain relief varied from 72–86% and with function from 70–84% for specific activities of daily living. The strongest predictors of patient dissatisfaction after primary TKA were expectations not met (10.7× greater risk), a low 1-year WOMAC (2.5× greater risk), preoperative pain at rest (2.4× greater risk) and a postoperative complication requiring hospital readmission (1.9× greater risk).
Level of Evidence: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.