Evidence map›Paper›PMID 19844772›Full record

ArticleClinical orthopaedics and related research2010

Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?

Robert B Bourne, Bert M Chesworth, Aileen M Davis, Nizar N Mahomed, Kory D J Charron

15 registry-linked trialsAbstract read
In one paragraph

Article in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 15 registered trials, which are not on this map. Cited by 1,125 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,125citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT01899417 completednot on this mapstarted 2013, after this paper: background citation

Analysis of Procedure-related Costs and Proposed Benefits of the ConforMIS iTotal® Cruciate Retaining Knee Replacement System Versus Standard Total Knee

TypeobservationalSponsorRestor3DRan2013 to 2014Enrolled235ConditionsOsteoarthritis,KneeArmsConforMIS iTotal® Knee Replacement
NCT03008967 completednot on this mapstarted 2016, after this paper: background citation

A Prospective Cohort Study of Patients Undergoing Total Knee and Hip Arthroplasty at a Regional Hospital in Denmark

Typeobservational_patient_registrySponsorBornholms RegionskommuneRan2016 to 2018Enrolled110ConditionsArthroplasty, Replacement, Knee, Arthroplasty, Replacement, HipArmsArthroplasty and postoperative rehabilitation.
NCT03146819 terminatednot on this mapstarted 2016, after this paper: background citation

A Single Time-Point Study to Evaluate the ConforMIS iTotal® (PS) Knee Replacement System Versus Off-the-Shelf Knee Replacement Systems

TypeobservationalSponsorRestor3DRan2016 to 2017Enrolled31ConditionsOsteoarthritis, KneeArmsiTotal PS Knee Replacement System, Off-the-Shelf Knee Replacement System
NCT03152162 terminatednot on this mapstarted 2017, after this paper: background citation

A Prospective Study to Evaluate the ConforMIS iTotal® (PS) Knee Replacement System

TypeobservationalSponsorRestor3DRan2017 to 2022Enrolled102ConditionsOsteoarthritis, KneeArmsiTotal PS KRS
NCT03152357 completednot on this mapstarted 2017, after this paper: background citation

A Retrospective Study to Evaluate the ConforMIS iUni, iDuo & iTotal® CR (Cruciate Retaining) Knee Replacement Systems

TypeobservationalSponsorRestor3DRan2017 to 2019Enrolled950ConditionsOsteoarthritis, Knee, Knee OsteoarthritisArmsConforMIS iUni, iDuo, or iTotal (CR)
NCT03227120 nacompletednot on this mapstarted 2017, after this paper: background citation

The Effects of Prehabilitative Exercise on Functional Recovery Following Total Knee Arthroplasty

TypeinterventionalSponsorCarilion ClinicRan2017 to 2020Enrolled60ConditionsArthroplasty, Osteoarthritis, KneeArmsPrehabilitation exercise
NCT03339557 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Functional Outcome of Total Knee Replacement. Randomized Clinical Controlled Trial of Novel and Conventional Implants

TypeinterventionalSponsorCoxa, Hospital for Joint ReplacementRan2015 to 2021Enrolled240ConditionsOsteoarthritis, Knee, Arthroplasty, Total Knee ReplacementArmsNexGen, Persona, PFC
NCT03474510 phase4withdrawnnot on this mapstarted 2018, after this paper: background citation

Effective Pain Management During Shoulder Replacement Surgery With Either Continuous Ropivacaine Interscalene Nerve Block or Local Infiltration With EXPAREL After Single Shot Injection Ropivacaine Interscalene Nerve Block

TypeinterventionalSponsorTriHealth Inc.Ran2018 to 2019Enrolled0ConditionsPain, Postoperative, Shoulder OsteoarthritisArmslocal infiltration of liposomal bupivacaine, continuous infusion of ropivacaine interscalene nerve block
NCT04244929 nacompletednot on this mapstarted 2019, after this paper: background citation

Clinical Evaluation of the Total Knee Prosthesis Persona Medial Congruent® With Preservation or Sacrifice of the Posterior Cruciate Ligament: a Multicentric Perspective Study

TypeinterventionalSponsorIstituto Ortopedico RizzoliRan2019 to 2021Enrolled7ConditionsProsthesis SurvivalArmsTotal knee arthroplasty, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament retaining, Persona Medial Congruent Knee Prosthesis implantation with Posterior Cruciate Ligament sacrifice
NCT06179641 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Analgesic Efficacy of IPACK Versus Selective Tibial Nerve Block in Patients Undergoing Total Knee Arthroplasty Under Spinal Anesthesia With an Adductor Canal Block: a Randomized Controlled Double-blinded Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2024 to 2025Enrolled100ConditionsAnalgesia, Arthropathy of Knee, Postoperative PainArmsSelective tibial nerve block, IPACK block
NCT06267482 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Challenging The TKA Standard Of Care: Patient Specific Surgical Targets As Enabled By The Rosa

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2024 to 2025Enrolled90ConditionsKnee OsteoarthritisArmsROSA PSA Parapatellar Approach, ROSA PSA Subvastus Approach
NCT06691633 phase4completednot on this mapstarted 2024, after this paper: background citation

Postoperative Pain and Analgesic Requirements After Preoperative Methadone for Primary Total Knee Arthroplasty, a Prospective, Randomized Study

TypeinterventionalSponsorUniversity of LouisvilleRan2024 to 2024Enrolled150ConditionsOsteoarthritis (OA) of the KneeArmsPreoperative Methadone, Preoperative Oxycodone
NCT06701474 recruitingnot on this mapstarted 2024, after this paper: background citation

Association Between Phase Angle and Functional Recovery After Total Knee Arthroplasty

TypeobservationalSponsorYonsei UniversityRan2024 to 2025Enrolled200ConditionsKnee Osteoarthritis
NCT06726993 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Restricted Kinematic Alignment Versus Unrestricted Kinematic Alignment in Primary Total Knee Arthroplasty:- Randomized Controlled Trial

TypeinterventionalSponsorAssiut UniversityRan2025 to 2027Enrolled80ConditionsOsteoarthritis (OA) of the Knee, Total Knee AnthroplastyArmsTotal knee arthroplasty
NCT07102563 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Biological Link Between Mental Health Status and Outcomes Following Total Knee and Hip Replacement.

TypeobservationalSponsorRobert Jones and Agnes Hunt Orthopaedic and District NHS TrustRan2025 to 2028Enrolled56ConditionsTotal Knee Arthroplasty
3 · Its place in the literature

Who cites it

1,125 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Improved surgical accuracy in total knee arthroplasty using the ROSA® knee system: A randomised-controlled unblinded trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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  11. Efficacy of Active Exercises to Improve Range of Motion in Knee Joint After Total Knee Arthroplasty. A Randomized Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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  18. Preserving Patient-Specific Knee Motion: A Randomized Clinical Trial of Unicompartmental and Total Knee Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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  20. Trial

1,065 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Robert B BourneUniversity Hospital, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, ON N6A 5A5, Canada. robert.bourne@lhsc.on.ca
Bert M Chesworth
Aileen M Davis
Nizar N Mahomed
Kory D J Charron

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledDespite 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 (10.7x greater risk), a low 1-year WOMAC (2.5x greater risk), preoperative pain at rest (2.4x greater risk) and a postoperative complication requiring hospital readmission (1.9x greater risk). LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

Indexed as

Activities of Daily LivingAdultAgedAged, 80 and overArthroplasty, Replacement, KneeCross-Sectional StudiesDisability EvaluationFemaleHealth Status IndicatorsHumansKnee JointMaleMiddle AgedOntarioPainPatient Satisfaction

Identifiers

PMID19844772
PMCPMC2795819

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.