ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Fulfillment of expectations influence patient satisfaction 5 years after total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 52 citations in OpenAlex.
- Facilitators and barriers to the use of a personalised digital decision aid in total knee replacement consultations: insights from patients and orthopaedic surgeons - an interview study.BMC health services research · 2025Trial
- Preoperative education on realistic expectations improves the satisfaction of patients with central sensitization after total knee arthroplasty: a randomized-controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Optimism and pessimism are antithetically associated with post-operative knee function in patients' undergoing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Similar outcomes in computer-assisted and conventional total knee arthroplasty: ten-year results of a prospective randomized study.BMC musculoskeletal disorders · 2021Trial
- Trial
- Combining preoperative expectations and postoperative met expectations to predict patient-reported outcomes after knee surgery.Journal of orthopaedics · 2025Article
- High satisfaction and functional improvement following robotic-assisted total knee arthroplasty: A Latin American cohort study.Journal of experimental orthopaedics · 2025Article
- Expectation fulfillment is associated with good outcomes and patient satisfaction after knee arthroplasty: a prospective study in a multi-ethnic Asian population.Scientific reports · 2025Article
- Post-traumatic growth trajectories and influencing factors in patients undergoing hip and knee arthroplasty: a prospective longitudinal study.Frontiers in psychiatry · 2025Article
- Effects of total knee arthroplasty on symptoms, function and activity over 5 years in knee osteoarthritis: A propensity-score matched study.Journal of experimental orthopaedics · 2025Article
- Fulfillment of expectations and patient satisfaction following surgical treatment of complex proximal tibial fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Return to Skiing After Proximal Tibial Fracture: Postoperative Reality and Initial Expectations.Journal of clinical medicine · 2024Article
- The achievement of pre-operative expectations in patients undergoing knee arthroplasty: a cohort study evaluating unique patient goals.Journal of patient-reported outcomes · 2024Article
- Lateral subvastus approach to total knee arthroplasty: A novel surgical technique and retrospective review of 931 consecutive cases.Journal of orthopaedics · 2024Article
- Musculoskeletal Rehabilitation: New Perspectives in Postoperative Care Following Total Knee Arthroplasty Using an External Motion Sensor and a Smartphone Application for Remote Monitoring.Journal of clinical medicine · 2023Article
- Comparison of traditional PS versus kinematically designs in primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Sex differences in perceived expectations of the outcome of total hip and knee arthroplasties and their fulfillment: an observational cohort study.Rheumatology international · 2023Observational
- The INDICATE Knee expectations survey detects general patient treatment goals for total knee arthroplasty and the influence of demographic factors on patients expectations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Traditional Chinese Acupressure Massage of the Quadriceps Femoris Can Relieve Flexion Pain after Undergoing Total Knee Arthroplasty.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeConstant efforts have been made to improve prosthesis design in total knee arthroplasty (TKA), but a significant number of patients remain dissatisfied postoperatively. Besides poor improvement in pain or function, poor fulfillment of patients expectations were identified as contributing factors. Purpose of the study was to assess fulfillment of patients' expectations and satisfaction with TKA 5 years after surgery.
methodsA total of 103 patients from a prospective randomised study of a high-flexion or standard TKA implant were investigated 5 years after surgery and patient-reported outcomes (PRO), fulfillment of expectations and satisfaction with the result of the surgery were obtained.
resultsThere were no differences in PROs, fulfillment of expectations and satisfaction between both implant designs. In total, the patients had high expectations preoperatively, mainly related to pain relief and functional abilities. A total of 89.4% of these expectations were fulfilled. No re-interventions (p < 0.001) and male gender (p = 0.017) were the most important predictors of higher fulfillment of expectations. Satisfaction scored highly at 8.2 out of 10 and most patients (93.2%) would undergo the surgery again. Higher Knee Score (p = 0.012) and fulfillment of expectations (p = 0.002) were correlated with higher satisfaction.
conclusionFive years after surgery fulfillment of expectations and satisfaction were high regardless of implant design and did significantly influence patient satisfaction. Surgeons should be aware of the importance of patients' expectations and their influence on satisfaction after TKA. Therefore, the probability of fulfillment should be discussed during shared decision making for TKA. LEVEL OF EVIDENCE: I.
Indexed as
Identifiers
What 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.