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Causes and predictors of patient's dissatisfaction after uncomplicated total knee arthroplasty

Cited 77 time in Web of Science Cited 90 time in Scopus
Authors
Kim, Tae Kyun; Chang, Chong Bum; Kang, Yeon Gwi; Kim, Sung Ju; Seong, Sang Cheol
Issue Date
2008-06-07
Publisher
Elsevier
Citation
J Arthroplasty. 2009 ;24(2):263-71.
Keywords
AgedAged, 80 and over*Arthroplasty, Replacement, KneeFemaleHumansInterviews as TopicKnee Joint/radiography/*surgeryLogistic ModelsMaleMiddle AgedOsteoarthritis, Knee/physiopathology/*surgeryPain Measurement*Patient SatisfactionPredictive Value of TestsRange of Motion, Articular/physiologyRetrospective StudiesTreatment Outcome
Abstract
We aimed to identify the causes and predictors of patient's dissatisfaction after total knee arthroplasty (TKA). Patient's satisfaction was evaluated in 438 TKAs. Causes of patient dissatisfaction were identified using patient interview, physical examinations, laboratory and radiographic tests, and relevant medical consultations. Investigation of 33 dissatisfied knees identified knee-related symptoms in 16 knees (48.5%) and the symptoms unrelated to the replaced knee in 17 knees (51.5%). Multivariate logistic regression analysis revealed that worse preoperative Western Ontario McMaster University Osteoarthritis Index scale pain score and postoperative decrease in range of motion were significantly associated with postoperative dissatisfaction (odds ratio, 7.6 and 2.1, respectively). This study demonstrates that residual symptoms or dysfunctions not directly associated with the replaced knee could be a frequent cause of postoperative dissatisfaction after TKA in osteoarthritic patients.
ISSN
1532-8406 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18534422

http://hdl.handle.net/10371/63616
DOI
https://doi.org/10.1016/j.arth.2007.11.005
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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