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Does Early-Period Patient Dissatisfaction Turn Into Satisfaction Over Time After Total Knee Replacement?
Özdemir, Mahmut; Yaradilmis, Yüksel Ugur; Özdemir, Firat Emin; Targal, Ahmet Safa; Öztürk, Özkan; Altay, Murat.
Affiliation
  • Özdemir M; Department of Orthopaedics and Traumatology, VM Medical Park Hospital, Ankara, Turkey.
  • Yaradilmis YU; Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Health Practice and Research Center, Ankara, Turkey.
  • Özdemir FE; Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Health Practice and Research Center, Ankara, Turkey.
  • Targal AS; Department of Orthopaedics and Traumatology, Adiyaman Besni State Hospital, Ankara, Turkey.
  • Öztürk Ö; Department of Orthopaedics and Traumatology, Amasya University, Amasya, Turkey.
  • Altay M; Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Health Practice and Research Center, Ankara, Turkey.
Med Sci Monit ; 28: e936792, 2022 Jul 17.
Article in En | MEDLINE | ID: mdl-35842752
ABSTRACT
BACKGROUND Total knee arthroplasty (TKA) is frequently used in the treatment of end-stage gonarthrosis, and the patient satisfaction rate varies. This study aimed to reveal the change in mid-term patient satisfaction results and functional scores of patients with low early postoperative satisfaction scores. MATERIAL AND METHODS We included 163 patients who underwent total knee prosthesis between September 2017 and February 2018. Among these patients, early (6 months) and mid-term (24 months) satisfaction and functional results of 34 patients with low satisfaction scores (Likert evaluations 1, 2, and 3) were evaluated. We assessed early-term functional results and satisfaction rates, mid-term analysis of patients who were not satisfied in the early period, and the relationship between functional scores and satisfaction. RESULTS The Likert score was 4 or 5 in 124 (80%) of 158 patients, and early dissatisfaction was detected in 34 patients (20%). In the early-period dissatisfied group, satisfaction scores 6 months after surgery were 1.9±1.1 (1-3) and 4.2±1 (3-5) 24 months after surgery. A statistically significant difference was observed between the dissatisfied group's early and mid-term KSS and KS values. A correlation was observed between satisfaction scores and KS and KSS scores (P<0.05). CONCLUSIONS Patients who do not have mechanical problems with total knee arthroplasty but are not satisfied with the surgery in the early period can be satisfied over time after regular follow-up, appropriate communication and information, and effective rehabilitation.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthroplasty, Replacement, Knee / Osteoarthritis, Knee / Knee Prosthesis Type of study: Observational_studies Limits: Humans Language: En Journal: Med Sci Monit Journal subject: MEDICINA Year: 2022 Document type: Article Affiliation country: Turkey

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthroplasty, Replacement, Knee / Osteoarthritis, Knee / Knee Prosthesis Type of study: Observational_studies Limits: Humans Language: En Journal: Med Sci Monit Journal subject: MEDICINA Year: 2022 Document type: Article Affiliation country: Turkey