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Total knee arthroplasty, what to expect? A survey of the members of the Dutch Knee Society on long-term recovery after total knee arthroplasty

Total knee arthroplasty, what to expect? A survey of the members of the Dutch Knee Society on long-term recovery after total knee arthroplasty

Tolk JJ, van der Steen MC, Janssen RPA, Reijman M.
J Knee Surg. 2017 Jul;30(6):612-616. doi: 10.1055/s-0036-1593868. Epub 2016 Nov 23.

Abstract

Introduction

The rate of satisfaction after total knee arthroplasty (TKA) is consistently reported around 80%, leaving 1 in 5 patients unsatisfied to some extent. Fulfillment of expectations is reported as the strongest predictor of treatment satisfaction. In this study we aimed to evaluate what Dutch orthopedic surgeons assume are realistic expectations for recovery 1 year after TKA.

Methods

We invited the members of the Dutch Knee Society to fill out a web-based questionnaire. For expectation measurement the validated Dutch version of the Hospital for Special Surgery (HSS) knee replacement expectations survey was used.

Results

150 invitations were successfully sent. 84 orthopedic surgeons responded (56%). The overall HSS knee replacement expectation score was 66.0 (SD 14.0) on a 0-100 scale. Most improvement was predicted for the items “pain relief” and “walking short distances”. Expectations related to patients’ ability to kneel or squat after TKA were scored poorly. 

Conclusion

To the opinion of the members of the Dutch Knee Society, after TKA improvement can be expected in domains of pain, function, activities and psychological wellbeing. Return to normal is not likely to occur, especially in demanding physical activities.


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RPA Janssen, MD PhD 
Orthopaedic Surgeon
Orthopaedic Associates Eindhoven Greater Area
Orthopedic Center Máxima
Máxima Medical Center (MMC)

Visiting adress MMC Eindhoven:
Ds. Th. Fliednerstraat 1
Ingang Zuid
5631 BM  Eindhoven
The Netherlands 
(outpatient clinic and surgery)

Visiting adress MMC Veldhoven:
De Run 4600
5504 DB  Veldhoven
The Netherlands
(Outpatient clinic)

Mail adress:
Postbus 90052
5600 PD  Eindhoven
The Netherlands

Tel. 0031 (0)40 88 88 600
(Call center Orthopedie)

Fax: 0031 (0)40 88 85 938
www.rpajanssen.com 

Links:
Orthopaedic Associates Eindhoven Greater Area
Máxima Medical Center
Orthopaedic Center Máxima
 

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