Comparison of patient quality of life scores and satisfaction after common orthopedic surgical interventions

Abstract

Patient quality of life scores are commonly used to assess patient-reported satisfaction following orthopedic interventions. Our main aim was to review the satisfaction scores of four common orthopedic interventions in our tertiary institution, primary hallux valgus (HV) corrective surgery, primary single-level transforaminal lumbar interbody fusion (TLIF), primary unilateral total knee arthroplasty (TKA) and primary total hip arthroplasty (THA). We retrospectively reviewed prospectively collected data on patients who underwent four different types of orthopedic surgeries using the SF-36 score and two questions adopted from North American Spine Society Questionnaire. The database of a tertiary hospital between January 2007 and December 2009 was reviewed. There were 3488, 374, 184 and 73 patients who underwent TKA, THA, TLIF and HV surgery, respectively. Patients who underwent primary TLIF, TKA and THA had significant degree of improvement in all aspects of SF-36 scores at 6 months and 2 years of follow-up (p < 0.001). Postoperatively at 2 years, the most satisfied postoperative patients were those who underwent THA (91.9 %), followed by TKA (90.5 %), TLIF (86.1 %) and HV (77.4 %). This study shows a significant degree of postoperative improvement in terms of SF-36 scores for common orthopedic interventions in particular to primary TKA, THA and TLIF at 6 months and 2 years of follow-up. With a significant degree of improvement in SF-36 scores postoperatively, this also translated into patient satisfaction and meeting their expectations of surgery.

Patients’ Expectations Impact Their Satisfaction following Total Hip or Knee Arthroplasty

“…However, we showed that the degree of satisfaction (partial and complete expectation fulfilment) reached after THA was greater than after TKA (94% vs 85%), whereas dissatisfaction was more often expressed after TKA than THA (15% vs 6%). This observation is consistent with the results of most previous studies [25, 26] but not all of them [27]. The main determinant of satisfaction was the level of preoperative expectations.…”

The influence of the number of screws and additional surgical procedures on outcome in hallux valgus treatment

“…Hallux valgus deformity (HV) is a very common disease, affecting about every fourth individual up to 65 years and around every third individual later on in life [ 1 ]. Patient satisfaction after HV surgery (77.4%) is lower than that in other typical orthopaedic procedures, such as total hip arthroplasty (91.9%) [ 2 ]. Thus, the search for the optimal surgical technique and causes for unsatisfactory outcomes remains of current interest.…”

A review of UHMWPE wear-induced osteolysis: the role for early detection of the immune response

“…Total joint arthroplasty (TJA) is often considered one of the success stories of modern medicine, as it provides reliable long-term improvement in patient function, pain, and quality of life. 1–8 Aseptic loosening (AL) by periprosthetic osteolysis is the leading cause of failure after TJA 4–6 , 9 , 10 with reported incidence rates ranging from 10% to 70%. 4 , 5 , 11 , 12 The incidence of TJA is increasing, with over four million primary total hip/knee arthroplasties (THA, TKA) projected annually by 2030 in the United States and revision rates expected to double even earlier.…”