ArticleClinical orthopaedics and related research2006
The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty.
Article in Clinical orthopaedics and related research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 10 registered trials, which are not on this map. Cited by 402 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of an Educational Audiovisual Videodisc on Patients' Pre-operative Expectations With Total Knee Replacement: a Randomized Study
Analysis of Procedure-related Costs and Proposed Benefits of the ConforMIS iTotal® Cruciate Retaining Knee Replacement System Versus Standard Total Knee
A Single Time-Point Study to Evaluate the ConforMIS iTotal® (PS) Knee Replacement System Versus Off-the-Shelf Knee Replacement Systems
A Prospective Study to Evaluate the ConforMIS iTotal® (PS) Knee Replacement System
A Retrospective Study to Evaluate the ConforMIS iUni, iDuo & iTotal® CR (Cruciate Retaining) Knee Replacement Systems
A Prospective, Randomised, Controlled Study of the Outcomes and Cost Effectiveness of Triathlon CR Knee Replacement System: Traditional Technique Versus Alternative Alignment Method.
Post-operative Comparison Between Standard Gradient Compression Dressing vs. Non-Compressive Bioactive Garment on Pain, Swelling and Range of Motion Following Total Knee Arthroplasty
Challenging The TKA Standard Of Care: Patient Specific Surgical Targets As Enabled By The Rosa
Can Preoperative Information Via Virtual Reality Affect Patient's Anxiety? A Randomized Controlled Trial and Patient Interviews
COSTI: COntralateral CorticoSTeroid Injection in Total Knee Arthroplasty - A Triple Blinded, Randomized Controlled Trial Pilot Study
Who cites it
402 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of Single-Radius with Multiple-Radius Femur in Total Knee Arthroplasty: A Meta-Analysis of Prospective Randomized Controlled Trials.Orthopaedic surgery · 2022Pooled it
- MAKO CT-based robotic arm-assisted system is a reliable procedure for total knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Six-degree-of-freedom knee motion during treadmill walking in mechanically and kinematically aligned TKA.Scientific reports · 2026Trial
- Functional alignment is associated with increased incidence of pre-balance, reduced soft-tissue release, and post-operative pain compared to mechanical alignment in patients undergoing simultaneous bilateral robotic-assisted TKA.Journal of robotic surgery · 2023Trial
- Numbness Following Total Knee Arthroplasty: Role of Incision Length And Position - A Randomized Study.Clinics in orthopedic surgery · 2023Trial
- A new methodology for patient education in total knee arthroplasty: a randomized controlled trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Trial
- Cosmetic outcomes and patient satisfaction compared between staples and subcuticular suture technique for wound closure after primary total knee arthroplasty: a randomized controlled trial.Archives of orthopaedic and trauma surgery · 2020Trial
- Preparing for an orthopedic consultation using an eHealth tool: a randomized controlled trial in patients with hip and knee osteoarthritis.BMC medical informatics and decision making · 2020Trial
- Article
- Expectations before periacetabular osteotomy and relation to post-operative outcomes and satisfaction.Journal of hip preservation surgery · 2026Article
- The Coronal Plane Alignment of the Knee Classification May be Unreliable With Advanced Knee Arthritis.Arthroplasty today · 2026Article
- Chronic Pain and Stiffness After Total Knee Arthroplasty: A Comprehensive, Phenotype-Based Review of Mechanisms, Diagnosis and Management.Journal of clinical medicine · 2026Review
- Efficacy of functional alignment in total knee arthroplasty in restoring in vivo cruciate ligament forces and knee kinematics compared with mechanical alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Risk factors for manipulation under anesthesia after total knee arthroplasty and subsequent revision arthroplasty: a Finnish register-based study of 154,883 patients.Acta orthopaedica · 2026Article
- Robotic-Assisted Kinematically Aligned Total Knee Arthroplasty Demonstrated Early Rehabilitation and Select Mental Health-Related Quality of Life Improvements Compared to Conventional MA-TKA.Journal of clinical medicine · 2026Article
- Patient Expectations for Patient-reported Outcomes After Total Knee Arthroplasty Surpass Actual Outcomes and Correlate With Dissatisfaction.Arthroplasty today · 2026Article
- Stratified Recovery Curves for Patient-Reported Outcomes After Primary Total Knee Arthroplasty.Arthroplasty today · 2026Article
- What aspects of pain and functional outcomes contribute to patient satisfaction 1 year after surgery within total hip and total knee arthroplasty populations? A registry-based cohort study.Acta orthopaedica · 2026Article
- EEG-Based Cortical Alterations in Patients Following Total Hip and Knee Arthroplasty Due to Osteoarthritis: Pre- and Post-Operative Assessment.Brain and behavior · 2026Article
342 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Satisfaction with the outcome of total knee arthroplasty is highly variable, with a small but significant percentage of patients reporting dissatisfaction with the procedure. The purpose of this study was to determine which factors contribute to patient satisfaction with total knee replacement (TKR), and their relative importance. At a minimum of 1 year post unilateral primary TKR, 253 patients completed a self-administered, validated "Knee Function Questionnaire," which examined each patient's participation in a broad range of activities involving the knee, their level of satisfaction, and the extent to which TKR had fulfilled their expectations. The association between function, expectation and satisfaction was examined using univariate and multivariate logistic regression. Seventy-five percent of patients were either "satisfied" or "very satisfied" with their knee replacement, while 14% were "dissatisfied" or "very dissatisfied." Satisfaction correlated significantly (p < 0.001) with age less than 60, absence of residual symptoms, fulfillment of expectations, and absence of functional impairment. Satisfaction with TKR is primarily determined by patients' expectations, and not their absolute level of function. Real improvements in the outcome of TKA must address prevention of residual pain, stiffness and swelling, and each patient's preoperative concept of the likely outcome of these procedures.
Indexed as
Identifiers
16967035What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.