Related Experiment Video
Updated: Jun 3, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Changes in Sleep Quality After Total Knee Arthroplasty: A Systematic Review
1Sevim Akbal is an assistant professor at Trakya University, Edirne/Kesan, Turkey, and Meltem Yildirim is a professor of nursing at the University of Vic-Central University of Catalonia, Vic, Catalonia, Spain. This study was presented at the 9th National-1st International Orthopedics and Traumatology Nursing Congress; October 23-26, 2019; Antalya, Turkey. Contact author: Sevim Akbal, sen.sevim13@gmail.com . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Post-total knee arthroplasty (TKA) patients often experience sleep disturbances and pain. Sleep quality typically improves, and pain decreases within three months after TKA surgery.
Area of Science:
- Orthopedics
- Sleep Medicine
- Rehabilitation Science
Background:
- Total knee arthroplasty (TKA) aims to improve osteoarthritis patients' quality of life.
- Postoperative recovery is frequently hindered by sleep disturbances and pain.
Approach:
- A systematic review adhering to PRISMA guidelines was performed.
- Databases searched included PubMed, Google Scholar, ScopeMed, and Science Direct.
- Seven studies published between 2011-2022 on sleep and TKA were analyzed.
Key Points:
- Sleep disturbance is common in early TKA recovery, potentially linked to pain.
- Sleep quality generally improves, and pain intensity decreases by three months post-TKA.
- The relationship between sleep and pain post-TKA is not consistently reported across studies.
Conclusions:
- Health professionals must recognize TKA's impact on patient sleep quality.
- Assessing and managing sleep disturbances and pain are crucial for comprehensive TKA patient care.
- Enhancing recovery outcomes requires integrated management of sleep and pain following TKA.

