Patient and intraoperative factors influencing satisfaction two to five years after primary total knee arthroplasty

The purpose of this study was to compare patient demographics and factors recorded at the time of surgery between patients that were either satisfied or dissatisfied with their TKA at mid-term follow-up. From our prospective outcomes database, 989 primary TKAs with complete preoperative and intraoperative data were identified. At mean follow-up of 3.5 years, 94/989 TKAs (9.5%) were not satisfied with their TKA. African American patients were 3.0 times more likely to be dissatisfied than Caucasians (95% CI = 1.5-6.0, P = .003). Patients with less severe degenerative changes were 2.1 times more likely to be dissatisfied (95% CI = 1.3-3.2, P = .001).