ArticleClinical orthopaedics and related research2013
Is pain and dissatisfaction after TKA related to early-grade preoperative osteoarthritis?
Article in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Perioperative multiple low-dose Dexamethasones improves postoperative clinical outcomes after Total knee arthroplasty.BMC musculoskeletal disorders · 2018Trial
- A comparative analysis of ChatGPT and Google in providing quality and clinical relevance of responses to patients' frequently asked questions on robotic-assisted total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- What Are the Game Changers in Total Knee Arthroplasty? A Narrative Review.Journal of personalized medicine · 2025Review
- Less improvement in knee function and higher rates of dissatisfaction in the short-term following total knee arthroplasty in people with mild radiographic arthritis.Archives of orthopaedic and trauma surgery · 2023Article
- Medial unicondylar knee arthroplasty should be reserved for patients with complete joint space collapse.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Osteoarthritic Severity in Unresurfaced Patellae Does Not Adversely Affect Patient-reported Outcomes in Contemporary Primary TKA.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Characterizing patients' expectations in hip and knee osteoarthritis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Do dissatisfied patients have unrealistic expectations? A systematic review and best-evidence synthesis in knee and hip arthroplasty patients.EFORT open reviews · 2020Review
- Patient satisfaction after total knee arthroplasty is better in patients with pre-operative complete joint space collapse.International orthopaedics · 2019Article
- Simultaneous ipsilateral knee arthroscopy and unicondylar knee arthroplasty is effective for bicompartmental symptoms.Journal of orthopaedics · 2017Article
- Outcome of total hip arthroplasty, but not of total knee arthroplasty, is related to the preoperative radiographic severity of osteoarthritis (Acta Orthop 2016; 87(1): 67-71.).Acta orthopaedica · 2016Article
- Patient Satisfaction after Total Knee Arthroplasty.Knee surgery & related research · 2016Review
- Persistent post-surgical pain and neuropathic pain after total knee replacement.World journal of orthopedics · 2015Article
- Functional Impairment Is a Risk Factor for Knee Replacement in the Multicenter Osteoarthritis Study.Clinical orthopaedics and related research · 2015Observational
- Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study.Clinical orthopaedics and related research · 2014Article
- Pre-operative arthritis severity as a predictor for total knee arthroplasty patients' satisfaction.International orthopaedics · 2013Article
- Effects of comprehensive rehabilitation training in combination with multi-mode analgesia on body function recovery after tumor-type knee replacement.Pakistan journal of medical sciencesArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is growing evidence to suggest many patients experience pain and dissatisfaction after TKA. The relationship between preoperative osteoarthritis (OA) severity and postoperative pain and dissatisfaction after TKA has not been established. QUESTIONS/PURPOSES: We explored the relationship between early-grade preoperative OA with pain and dissatisfaction after TKA by (1) determining the incidence of early-grade preoperative OA in painful TKAs with no other identifiable abnormality; and (2) comparing this incidence with the incidence of early-grade OA in three other cohorts of patients undergoing TKA.
methodsWe evaluated all (n = 49) painful TKAs in a 1-year period that had no evidence of loosening, instability, malalignment, infection, or extensor mechanism dysfunction and classified the degree of preoperative OA according to the scale of Kellgren and Lawrence. For comparison, we identified three other cohorts of TKAs from the same center and classified their preoperative grade of OA: Group B (n = 100) was a consecutive series of primary TKAs performed for OA during the same year; Group C (n = 80) were asymptomatic TKAs from 1 to 4 years postoperatively; and Group D (n = 80) were TKAs with some degree of pain at 1 to 4 years postoperatively.
resultsPatients in Group A had a higher incidence of early-grade OA is preoperatively (49%) compared with any of the comparison groups: Group B, 5%; Group C, 6%; and Group D, 10%.
conclusionsA high percentage of patients referred for unexplained pain after TKA had early-grade osteoarthritis preoperatively. Patients undergoing TKA for less than Grade 3 or 4 OA should be informed that they may be at higher risk for persistent pain and dissatisfaction.
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