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Updated: May 20, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Patient-reported complications after elective joint replacement surgery: are they correct?

S Alazzawi1, N V Bardakos, S G Hadfield

  • 1University College Hospital, 235 Euston Road, London NW1 2BU, UK.

The Journal of Bone and Joint Surgery. British Volume
|July 31, 2012
PubMed
Summary

Patient-reported complications after joint replacement surgery are generally accurate, especially for infection and re-operation. However, reporting accuracy varies for specific issues like deep-vein thrombosis (DVT) and dislocation.

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Area of Science:

  • Orthopedic Surgery
  • Patient Outcomes Research
  • Health Informatics

Background:

  • Elective joint replacement surgery is common, with patient-reported outcomes crucial for monitoring post-operative care.
  • Accurate identification of complications is essential for timely intervention and improved patient management.

Purpose of the Study:

  • To assess the accuracy of patient-reported complications following elective hip and knee replacement surgery.
  • To identify specific complications with high and low reporting accuracy by patients.

Main Methods:

  • Cross-sectional study comparing patient-reported complications from questionnaires with medical records (GP, hospital) and telephone interviews.
  • Analysis of 402 post-discharge complications from 8546 elective joint replacement operations over three years.

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Main Results:

  • Overall, 79.4% of patient-reported complications were confirmed as accurate.
  • High accuracy was noted for infection (94.5%) and re-operation (100%).
  • Lower accuracy was observed for deep-vein thrombosis (DVT), pulmonary embolism, myocardial infarction, stroke (75-84.2%), and modest accuracy for dislocation, fractures, and nerve palsy (36-57.1%).
  • Knee surgery patients reported dislocation and DVT inaccurately more often.

Conclusions:

  • Patient-reported complications after joint replacement surgery demonstrate variable accuracy but can be a valuable component of outcome monitoring.
  • Further research into patient-reported outcome programs is warranted to refine data collection and improve accuracy for specific complications.