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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

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Assuring the happy total knee replacement patient.

M Drexler¹, T Dwyer, R Chakravertty

¹Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.

The Bone & Joint Journal

|November 5, 2013

Summary

Improving total knee replacement (TKR) outcomes requires addressing patient-surgeon satisfaction gaps. Focusing on patient selection, expectations, complication avoidance, surgical technique, and pre/post-operative care can enhance patient satisfaction after TKR.

Keywords:

Total knee replacement patient outcomes patient satisfaction

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Published on: September 7, 2022

Area of Science:

Orthopaedic Surgery
Patient Outcomes Research

Background:

Total knee replacement (TKR) is a common procedure with high success rates.
However, patient satisfaction after TKR ranges from 81% to 89%, indicating a significant discordance between patient and surgeon expectations.
The factors contributing to this satisfaction gap are not fully understood.

Purpose of the Study:

To identify key factors influencing patient satisfaction after total knee replacement.
To explore the predictors of patient-surgeon discordance in TKR outcomes.
To provide a framework for improving patient satisfaction in TKR.

Main Methods:

Review of clinical experience and established best practices in orthopaedic surgery.
Analysis of factors influencing patient outcomes and satisfaction post-TKR.
Identification of critical elements in patient selection, expectation management, surgical technique, and perioperative care.

Main Results:

Five major factors can significantly improve patient satisfaction rates following TKR.
These factors include: correct patient selection, setting appropriate expectations, avoiding preventable complications, mastering surgical nuances, and implementing comprehensive pre- and post-operative pathways.
Understanding and addressing patient-surgeon discordance is crucial.

Conclusions:

Enhancing patient satisfaction after TKR necessitates a multifaceted approach.
Focusing on the identified five factors can bridge the gap between patient and surgeon expectations.
Awareness of discordance predictors can lead to improved patient outcomes and overall satisfaction with TKR.