ReviewThe archives of bone and joint surgery2021
Patient Satisfaction Following Primary Total Knee Arthroplasty: Contributing Factors.
Review in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Perceptions of robot-assisted arthroplasty among patients and the public : a scoping review.Bone & joint open · 2026Pooled it
- Functional alignment in robotic-assisted total knee arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Sensor-guided gap balance versus manual gap balance in primary total knee arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Factors contributing to 1-year dissatisfaction after total knee arthroplasty: a nomogram prediction model.Journal of orthopaedic surgery and research · 2022Trial
- Are kneeling stress radiography and the posterior sag sign associated with subjective flexion instability after posterior-stabilized total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2026Article
- Fast fix or false hope? Polyethylene exchange in unstable primary unconstrained total knee arthroplasty.Bone & joint open · 2026Article
- Article
- Outcomes of Metal Hypersensitivity in Knee Arthroplasty: A Systematic Review of the Literature.Arthroplasty today · 2026Article
- Cost-analysis of total knee arthroplasty with robot-assisted surgery versus conventional approach.Journal of robotic surgery · 2026Article
- Deep Learning-Based Full-Process Automatic CPAK Classification System and Its Application in the Analysis of Alignment Outcomes Before and After Knee Arthroplasty.Diagnostics (Basel, Switzerland) · 2026Article
- Medial femoral condyle restoration technique in total knee arthroplasty.Arthroplasty (London, England) · 2026Article
- Total knee Arthroplasty: Patient expectations and outcomes in a resource constrained setting.Pakistan journal of medical sciences · 2026Article
- Patient-reported outcomes after total knee replacement: Questionnaire and functional assessment study.Bioinformation · 2026Article
- Social Media Discussions About Robotic Total Knee Arthroplasty: Cross-Sectional Analysis.JMIR infodemiology · 2025Article
- Causative factors for varus tibial baseplate subsidence in primary total knee arthroplasty: A retrospective analysis.Journal of orthopaedics · 2025Article
- Factors contributing to instability after primary total knee arthroplasty: a twenty five Year retrospective cohort study.International orthopaedics · 2025Article
- Mobile-bearing versus Medial-pivot Designs in Total Knee Arthroplasty: A Meta-analysis.Knee surgery & related research · 2025Review
- "Neutral Satisfied" Patients Should Not Be Dichotomized to "Satisfied" or "Dissatisfied" in Patient-Reported Outcomes After Total Knee Arthroplasty.Journal of clinical medicine · 2025Article
- Revision of Well-Fixed Mechanically-Aligned Total Knee Arthroplasty Using Kinematic Alignment for the Restoration of Joint Line Obliquity: Report of a Surgical Technique.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Computed tomography radiomics in predicting patient satisfaction after robotic-assisted total knee arthroplasty.International journal of computer assisted radiology and surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The reported dissatisfaction rate after primary total knee arthroplasty (TKA) ranges between 15% and 25%. The purpose of this article is to perform a narrative review of the literature with the aim of answering the following question: What are the main factors contributing to patient dissatisfaction after TKA? A review of the literature was performed on patient satisfaction after TKA. The search engines used were MedLine (PubMed) and the Cochrane Library. The keywords used were "TKA" and "satisfaction". The main reported preoperative factors positively contributing to patient satisfaction were the following: fulfilment of preoperative expectations, preoperative complete joint space collapse, increasing patellar and lateral compartment osteophyte size, and TKA communication checklist. The principal preoperative factors negatively contributing to patient satisfaction included female sex, comorbidities, and Hispanic race. The chief perioperative factor positively contributing to patient satisfaction was cosmetic closure, whereas the fundamental perioperative factors negatively contributing to patient satisfaction included joint laxity, anterior tibial component slope, and greater femoral component valgus angle. The principal postoperative factors positively contributing to patient satisfaction were the following: ameliorated walking distance, improved range of motion, and improvements in pain. The most important postoperative factors negatively contributing to patient satisfaction included poor postoperative knee stability and soft-tissue balance, functional limitation, surgical complication and reoperation, staff or quality of care issues, and increased stiffness.
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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.