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Updated: Jan 28, 2026
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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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[Predictors for persistent pain and dissatisfaction after total knee arthroplasty]
Franz Reichel1, Moritz Innmann2, Tobias Gotterbarm3
1Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland. franz.reichel@med.uni-heidelberg.de.
Schmerz (Berlin, Germany)
|February 22, 2019
Summary
Persistent pain or dissatisfaction after total knee arthroplasty (TKA) is common. Patient-related factors, not surgical details, often cause these issues, highlighting the need for careful patient selection and education.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Patient Outcomes
Background:
- A significant number of patients experience persistent pain or dissatisfaction following total knee arthroplasty (TKA).
- This highlights a critical unmet need in optimizing TKA outcomes.
Purpose of the Study:
- To determine the frequency of persistent pain and dissatisfaction after TKA.
- To identify the known causes and predictors of these postoperative issues.
Main Methods:
- A narrative review of the current literature on postoperative pain and dissatisfaction after TKA was conducted.
- The study synthesized findings from existing research to provide a comprehensive overview.
Main Results:
- Postoperative problems are frequently linked to patient-related factors, inadequate patient education, and suboptimal patient selection, rather than surgical technique.
- Patient satisfaction is most strongly correlated with the degree of pain reduction achieved before surgery.
Conclusions:
- Successful TKA requires careful preoperative patient selection, including assessment of osteoarthritis severity, age (preferably >60), psychosocial resources, absence of opioid use, and realistic expectations.
- Postoperative persistent pain or dissatisfaction warrants investigation for prosthesis-related issues; if none are found, interdisciplinary therapy referral is recommended.
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