Early discharge following total knee replacement – a trial of patient satisfaction and outcomes using an orthopaedic outreach team

2000 ◽  
Vol 4 (3) ◽  
pp. 121-126 ◽  
Author(s):  
Sue Palmer Hill ◽  
Julian Flynn ◽  
Edward J.P. Crawford
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Early Discharge ◽  
Outreach Team ◽  
Total Knee

scholarly journals Patient Satisfaction After Total Knee Replacement: A Systematic Review

2018 ◽  
Vol 14 (2) ◽  
pp. 192-201 ◽  
Author(s):  
Cynthia A. Kahlenberg ◽  
Benedict U. Nwachukwu ◽  
Alexander S. McLawhorn ◽  
Michael B. Cross ◽  
Charles N. Cornell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee

Fulfilment of preoperative expectations and postoperative patient satisfaction after total knee replacement. A prospective analysis of 200 patients

The Knee ◽  
2019 ◽  
Vol 26 (6) ◽  
pp. 1403-1412 ◽  
Author(s):  
Angela H. Deakin ◽  
Marie Anne Smith ◽  
David T. Wallace ◽  
Elizabeth J. Smith ◽  
Martin Sarungi
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Prospective Analysis ◽  
Postoperative Patient ◽  
Total Knee ◽  
Preoperative Expectations

scholarly journals Bariatric Orthopaedics: Impact of Obesity on Total Knee Replacement

2020 ◽  
Author(s):  
Ahsan Butt ◽  
Muhammad Zain-ur-Rehman ◽  
Adeel Nawab ◽  
Ahmad Hafeez ◽  
Ali Amjad
Keyword(s):  
Body Mass Index ◽  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Body Mass ◽  
Knee Replacement ◽  
Osteoarthritis Of The Knee ◽  
Significant Difference ◽  
Total Knee ◽  
The Impact

Abstract Introduction: Total knee replacement is a reliable operation for reducing pain and improving function in severe osteoarthritis of the knee. As incidence of obesity is increasing worldwide, there is a debate about the role of Body Mass Index (BMI) in selection of patients requiring total knee replacement. The aim of the study was to evaluate the impact of body mass index on total knee replacement in terms of post-operative improvement in knee range of motion, patient satisfaction and complications.Material and methods: Out of 175 patients who suffered from advance knee osteoarthritis and were candidates for primary total knee replacement from January 2016 to March 2018, 155 patients fit the inclusion criteria. Group 1 included 66 patients who were overweight and class 1 obese while group 2 included 89 patients who were class 2 and 3 obese according to WHO Body Mass Index classification. All patients underwent total knee replacement according to the hospital guidelines. Pre and post-operative range of motion, patient satisfaction and complications were assessed and documented. Results: There was no statistically significant difference in improvements in post-operative knee range of motion between the two groups up to 2 years of follow up. [Mann-Whitney U test p= 0.069]. Similarly, Mann-Whitney U test showed that there is no significant difference between patient satisfaction levels (SF-12 scores) of the two groups (p= 0.09). Conclusion: There is no significant impact of obesity on outcomes after total knee replacement and BMI should not be used as a factor in selecting patients who qualify for total knee replacement.Level of Evidence: Level III

scholarly journals The role of pain and function in determining patient satisfaction after total knee replacement

2007 ◽  
Vol 89-B (7) ◽  
pp. 893-900 ◽  
Author(s):  
P. N. Baker ◽  
J. H. van der Meulen ◽  
J. Lewsey ◽  
P. J. Gregg
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee ◽  
And Function

Patient satisfaction after total knee replacement

2014 ◽  
Vol 96-B (10) ◽  
pp. 1285-1286 ◽  
Author(s):  
M. J. Dunbar ◽  
F. S. Haddad
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee

Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone

2013 ◽  
Vol 95-B (10) ◽  
pp. 1359-1365 ◽  
Author(s):  
P. N. Baker ◽  
S. Rushton ◽  
S. S. Jameson ◽  
M. Reed ◽  
P. Gregg ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Total Knee

scholarly journals A Selective arthroplasty algorithm contributes to clinical outcome and patient satisfaction in patients with osteoarthritis of the knee

2020 ◽  
Vol 8 (5_suppl4) ◽  
pp. 2325967120S0032
Author(s):  
Johannes Holz ◽  
Stefan Schneider ◽  
Nils Hansen-Algenstaedt ◽  
Rene Kaiser ◽  
Ansgar Ilg
Keyword(s):  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Patient Reported Outcomes ◽  
Oxford Knee Score ◽  
Consecutive Series ◽  
Single Center ◽  
Patient Reported ◽  
Total Knee ◽  
The Mean

Aims and Objectives: The purpose was to evaluate the clinical outcomes and patient satisfaction of patients with knee osteoarthritis treated within a selective arthroplasty algorithm, using focal metal implants (FMI), unicompartmental (UKA), patellofemoral (PFA), bicompartimental (BKA) and total knee arthroplasty (TKA) in a single center. Materials and Methods: This is a prospective study analyzing a consecutive series of 613 patients treated by two surgeons in a single center. In 283 men and 330 women either partial or total knee replacement were performed. Their mean age at surgery was 63±6,85 years and mean BMI 29,55±5,00 kg/m2. 357 UKA, 178 TKA, 30 PFA, 23 BKA and 25 FMI were performed. Implants were cemented or cementless (UKA) and made of cobalt chrome in partial knee and zirconium oxide in total knee replacement. Demographics and patient reported outcomes (VAS, KOOS, Oxford Knee Score (OKS) and Knee Society Score (KSS Expectations and satisfaction)) were collected preoperatively and 3,6 and 12 months postoperatively. A total of 442 of 457 eligible patients (Compliance = 96,7%) have thus far completed the 12 months follow-up time point. Results: All mean KOOS, OKS, KSS and VAS scores improved significantly 1 year after surgery (p<0.05). Mean preoperative aggregated KOOS improved from 49.8±13,3 to 74,8±16.9 in UKA, from 43,9±13,3 to 65,2±12,4 in PFA, from 46.6±13,1 to 73,8±14,4 in TKA, from 45,2±11,2 to 73,0±9,8 in BKA and 40.9 ± 23.0 to 63.2 in FMI (p<0.05). Mean preoperative aggregated OKS improved from 25,3±7,6 to 38,7±8,4 in UKA, from 22,9±7,6 to 33,3±8,6 in PFA, from 23.3±7.3 to 37,5±7.7 in TKA, from 22,0±7,5 to 39,0±4.0 in BKA and from 22.9 ± 10.0 to 33.4 ± 11.3 in FMI (p<0.05). The mean pain level VAS decreased from pre-treatment to 12 months after surgery in UKA from 5.6 to 1.6, in PFA from 6.2 to 2.8, in TKA from 6.2 to 1.7, in BKA from 6.8 to 1.6 and VAS 5.5 to 2.4. The Mean KSS Expectation/Satisfaction improved at 1 y FU in UKA in expectation 13.7 ± 1.6 and mean KSS satisfaction: 31.1 ± 8.4, in FMI in expectation: 13.5 ± 1.6 and mean KSS satisfaction 26.0 ± 11.4 , in TKA: expectation 13.5 ± 1.8 and mean KSS satisfaction 30.0 ± 7.1, in PFA: expectation 13.7 ± 1.7 and mean KSS satisfaction 26.4 ± 9.2 and BKA: expectation 13.6 ± 1.9 and mean KSS satisfaction 31.2 ± 4.2. Two patients (0.4%) underwent revision (at 3 month for inlay dislocation (UKA) and at 12 Month for desease progression (FMI)). Conclusion: This study shows excellent clinical results and patient satisfaction of patients treated within a selective arthroplasty algorithm. Adherence to strict indications for partial as well as for total knee replacement will lead to a comparable significant improvement of patient reported outcomes, patient satisfaction and a low revision rate one year postoperatively.

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