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Related Experiment Videos

Patient satisfaction, function and return to work after knee arthroplasty.

L P Jorn1, R Johnsson, S Toksvig-Larsen

  • 1Department of Orthopedics, Lund University Hospital, Sweden.

Acta Orthopaedica Scandinavica
|November 24, 1999
PubMed
Summary
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Preoperative sick leave exceeding 180 days before knee replacement surgery significantly increases the risk of long-term disability and reduced patient satisfaction. Minimizing preoperative sick leave is crucial for better outcomes after knee prosthetic operations.

Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Health Economics

Background:

  • Knee arthroplasty is a common procedure for managing severe knee osteoarthritis.
  • Predicting patient outcomes, including return to work and satisfaction, is essential for managing patient expectations and healthcare resources.

Purpose of the Study:

  • To identify preoperative factors that predict patient satisfaction, functional status, and working capacity after primary knee prosthetic surgery.
  • To analyze the impact of preoperative sick-leave duration on postoperative outcomes.

Main Methods:

  • A cohort of 162 patients under 60 years old undergoing primary knee prosthetic surgery in 1993 was studied.
  • Preoperative and postoperative working status (sick-leave) and patient-reported outcomes using the Nottingham Health Profile (NHP) were assessed.

Related Experiment Videos

  • Data on disability pension were obtained from the Social Insurance Office.

    • Main Results:

    • A positive association was found between the duration of pre- and postoperative sick-leave for patients who returned to work.
    • Preoperative sick-leave exceeding 180 days significantly increased the risk of postoperative disability pension.
    • Patients with less than 180 days of preoperative sick-leave reported better functional status and higher overall satisfaction post-surgery.

    Conclusions:

    • Prolonged preoperative sick-leave is a significant predictor of long postoperative sick-leave and disability pension after knee replacement.
    • Minimizing preoperative sick-leave duration can improve functional outcomes and patient satisfaction following knee arthroplasty.
    • Preoperative work status is a critical factor influencing the overall success and quality of life after knee prosthetic surgery.