Maximizing Patient Satisfaction and Functional Results After Total Knee Arthroplasty

Kenneth A Greene; Steven F Harwin

doi:10.1055/s-0031-1275389

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2011; 24(1): 019-024
DOI: 10.1055/s-0031-1275389

SPECIAL FOCUS SECTION

Maximizing Patient Satisfaction and Functional Results After Total Knee Arthroplasty

Kenneth A. Greene¹ , Steven F. Harwin² ^, ³

¹Department of Orthopaedic Surgery, Northeast Ohio Universities College of Medicine and Pharmacy, Cleveland Clinic, Cleveland, Ohio
²Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York
³Department of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, New York

Abstract

ABSTRACT

The purpose of this article is to review the issues regarding preoperative patient expectations for total knee arthroplasty and whether or not these are fulfilled after surgery. The demographics of the typical total knee arthroplasty patient are changing, and the expectations regarding the outcome of the surgery have been changing as well. Patients are younger, heavier, more active, and often come to the surgeon's office with information provided via the Internet that may be inaccurate and/or misleading. Many expect and assume that the operation will return the knee to “normal.” Traditional outcomes measures used by orthopedic surgeons to determine the quality of the results achieved are inadequate and do not take into account the higher expectations of current patients. Various strategies have been developed to improve satisfaction after the surgery. These include preoperative patient education, less invasive surgical approaches, advances in prosthetic design, multimodal pain management, and aggressive postoperative rehabilitation. Using these strategies will make preoperative expectations more realistic and improve postoperative satisfaction.

KEYWORDS

Total knee - outcomes - satisfaction - expectations - range of motion

Full Text

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Kenneth A GreeneM.D.

Professor of Orthopaedic Surgery, Northeast Ohio Universities College of Medicine and Pharmacy, Cleveland Clinic

9500 Euclid Avenue A/41, Cleveland, OH 44195

Email: greenek2@ccf.org