ArticleInternational orthopaedics2013
Pre-operative arthritis severity as a predictor for total knee arthroplasty patients' satisfaction.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- CT-based 3D bone shape modes are associated with clinically meaningful functional improvement after total knee arthroplasty.Osteoarthritis and cartilage open · 2026Article
- Influence of bone marrow lesions in the intercondylar eminence of tibia on postoperative outcomes after medial unicompartmental knee arthroplasty -a pilot study.BMC musculoskeletal disorders · 2026Article
- Proximal Fibular Osteotomy in the Management of Medial Compartment Osteoarthritis of the Knee: A Prospective Study.Cureus · 2025Article
- Predictors of post-operative decline in knee flexion after cruciate-retaining total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- Does hand dominance influence clinical outcomes and implant survival in shoulder arthroplasty?Journal of orthopaedics · 2025Article
- Proximal Fibular Osteotomy for Knee Osteoarthritis: Short-Term Pain Relief or Long-Term Progression Prevention.Journal of pharmacy & bioallied sciences · 2025Article
- Arthroscopic Debridement and Proximal Fibular Osteotomy in the management of knee Osteoarthritis: A Descriptive Longtudinal Study.JNMA; journal of the Nepal Medical Association · 2024Article
- Factors to improve odds of success following medial opening-wedge high tibial osteotomy: a machine learning analysis.BMC musculoskeletal disorders · 2024Article
- Predictive Models for Clinical Outcomes in Total Knee Arthroplasty: A Systematic Analysis.Arthroplasty today · 2021Article
- Reliability of three radiographic classification systems for knee osteoarthritis among observers of different experience levels.Skeletal radiology · 2021Article
- Validation of a Patient Questionnaire Assessing Patient Satisfaction With Orthopedic Outpatient Clinic Consultation.Journal of patient experience · 2021Article
- Proximal Fibular Osteotomy for Medial Compartment Knee Osteoarthritis: Is It Worth?Indian journal of orthopaedics · 2020Article
- Proximal Fibular Osteotomy in the Management of Osteoarthritis of Medial Compartment of Knee Joint.Cureus · 2020Article
- AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain.Pain medicine (Malden, Mass.) · 2020Article
- Total joint replacement improves pain, functional quality of life, and health utilities in patients with late-stage knee and hip osteoarthritis for up to 5 years.Clinical rheumatology · 2020Article
- Single-item satisfaction scores mask large variations in pain, function and joint awareness in patients following total joint arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Patients' experiences of discontentment one year after total knee arthroplasty- a qualitative study.BMC musculoskeletal disorders · 2020Article
- Predicting clinical outcomes after total knee arthroplasty from preoperative radiographic factors of the knee osteoarthritis.BMC musculoskeletal disorders · 2020Article
- Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis.The Lancet. Rheumatology · 2019Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeStudies have shown that up to 25% of TKA patients are dissatisfied with the implanted knee, even if registry data shows ten-year revision rates below 5%. It has been the question of our study, if it would be possible to identify those patients at risk for dissatisfaction pre-operatively.
methodsThe data of 1,121 consecutive TKA patients with a follow-up between one and six years have been analysed retrospectively. Demographic, radiologic and perioperative variables have been recorded and all patients were asked by questionnaire for satisfaction with the implanted knee. Logistic regression models have been used to identify significant risk factors.
resultsThe data of 996 patients (89%) were complete, 849 (85.2%) reported satisfaction and 147 (14.8%) dissatisfaction. Patients' satisfaction was independent of the time after operation (p = 0.285). The only factor which influenced patients' satisfaction was the osteoarthritic severity. In comparison to severe arthritis Kellgren Lawrence IV°, the risk for dissatisfaction was 2.556-fold elevated for arthritis grade III° (p < 0.001) and 2.956-fold higher for grade II° (p = 0.001).
conclusionsPatients suffering from mild or moderate osteoarthritis are at risk for dissatisfaction after TKA. The TKA indication in those patients should therefore be critically proven. Furthermore, to adjust patients' expectations, the elevated dissatisfaction risk in case of mild or moderate osteoarthritis should be included into patients' pre-operative information.
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