Modern Perceptions and Expectations Regarding Total Knee Arthroplasty

Meneghini, R. Michael; Russo, Glenn S.; Lieberman, Jay R.

doi:10.1055/s-0033-1348408

Cited by 13 publications

(6 citation statements)

References 6 publications

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“…Similar to previous research, this study found that the reasons that people have difficulty kneeling are multifactorial and include pain or discomfort/numbness in the replaced knee; a fear of damaging the prosthesis; advice from healthcare professionals, family or friends not to kneel; and other co-morbidities [11 16-18 28]. Pre-operative expectations about kneeling ability were varied, likely reflecting the diverse sources that inform patients' expectations [29]. Notably, some patients had not expected to be able to kneel after surgery, based on advice from healthcare professionals.…”

Section: Discussionsupporting

confidence: 73%

An exploratory study of the long-term impact of difficulty kneeling after total knee replacement

Fletcher

Moore

Blom

et al. 2017

Disability and Rehabilitation

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This study provides an initial insight into how difficulty kneeling after knee replacement impacts upon patientsand the need for better healthcare provision. Implications for rehabilitation Rehabilitation professionals should be aware that many patients experience difficulty with kneeling after total knee replacement and that this has a long-term impact upon patients. There is a need for rehabilitation after knee replacement to address kneeling difficulties. It is suggested that this rehabilitation should be delivered early in the postoperative recovery phase and designed to address the multifactorial reasons that patients find kneeling problematic.

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Section: Discussionsupporting

confidence: 73%

An exploratory study of the long-term impact of difficulty kneeling after total knee replacement

Fletcher

Moore

Blom

et al. 2017

Disability and Rehabilitation

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“…It is also reassuring that where physical function expectations were accurate; no change in expectations was noted for the intervention. Given that the majority of patients view pain relief as one of the most important reasons to have TKA surgery [ 18 ], clarifying expectations regarding post-TKA pain may lead to more informed decision making, which may help to reduce gender disparity in TKA utilization.…”

Section: Discussionmentioning

confidence: 99%

Reducing gender disparities in post-total knee arthroplasty expectations through a decision aid

Volkmann

Fitzgerald

2015

BMC Musculoskelet Disord

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BackgroundGender disparities in total knee arthroplasty utilization may be due to differences in perceptions and expectations about total knee arthroplasty outcomes. This study evaluates the impact of a decision aid on perceptions about total knee arthroplasty and decision-making parameters among patients with knee osteoarthritis.MethodsPatients with moderate to severe knee osteoarthritis viewed a video about knee osteoarthritis treatments options, including total knee arthroplasty, and received a personalized arthritis report. An adapted version of the Western Ontario and McMaster Universities Osteoarthritis Index was used to assess pain and physical function expectations following total knee arthroplasty before/after the intervention. These scores were compared to an age- and gender-adjusted means for a cohort of patients who had undergone total knee arthroplasty. Decision readiness and conflict were also measured.ResultsAt baseline, both men and women had poorer expectations about post-operative pain and physical outcomes compared with observed outcomes of the comparator group. Following the intervention, women’s mean age-adjusted expectations about post- total knee arthroplasty pain outcomes improved (Pre: 27.0; Post: 21.8 [p =0.08; 95% CI −0.7, 11.0]) and were closer to observed post-TKA outcomes; whereas men did not have a significant change in their pain expectations (Pre: 21.3; Post: 19.6 [p = 0.6; 95% CI −5.8, 9.4]). Women also demonstrated a significant improvement in decision readiness; whereas men did not. Both genders had less decision conflict after the intervention.ConclusionsBoth women and men with osteoarthritis had poor estimates of total knee arthroplasty outcomes. Women responded to the intervention with more accurate total knee arthroplasty outcome expectations and greater decision readiness. Improving patient knowledge of total knee arthroplasty through a decision aid may improve medical decision-making and reduce gender disparities in total knee arthroplasty utilization.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-015-0473-x) contains supplementary material, which is available to authorized users.

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“…Pre-operative expectations about kneeling ability were varied, likely reflecting the diverse sources that inform patients' expectations [29]. Notably, some patients had not expected to be able to kneel after surgery, based on advice from healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Persistent pain after knee replacement: do factors associated with pain vary with degree of patient dissatisfaction?

Howells

Murray

Wylde

et al. 2016

Osteoarthritis and Cartilage

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Link to publication record in Explore Bristol Research PDF-document This is the author accepted manuscript (AAM). The final published version (version of record) is available online via ELSEVIER at http://www.sciencedirect.com/science/article/pii/S1063458416301996 . Please refer to any applicable terms of use of the publisher. University of Bristol -Explore Bristol Research General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. ABSTRACT PurposeTo explore the long-term impact of difficulty with kneeling and how healthcare services could be improved to help patients kneel after total knee replacement. MethodsTelephone interviews were conducted with 56 patients who had extreme difficulty kneeling at 7-10 years after knee replacement. Patients were asked about reasons for difficulty kneeling, how it impacted upon their lives, and experiences of healthcare services. Responses were recorded on a standardised proforma and a descriptive content analysis performed. ResultsMost people had difficulty kneeling because of pain or discomfort in the replaced knee. Many patients described this limitation affected their daily lives, including housework, gardening, religious practices, leisure activities and getting up after a fall. Patients often adapted to these limitations by finding alternatives to kneeling, assistance from others or home adaptations.Many patients had accepted that they could not kneel, however some still expressed frustrated. Few patients had consulted with healthcare professionals about kneeling difficulties, and unmet needs included the provision of information about kneeling and postoperative physiotherapy. InterpretationThis study provides an initial insight into how difficulty kneeling after knee replacement impacts upon patientsand the need for better healthcare provision.

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Modern Perceptions and Expectations Regarding Total Knee Arthroplasty

Cited by 13 publications

References 6 publications

An exploratory study of the long-term impact of difficulty kneeling after total knee replacement

An exploratory study of the long-term impact of difficulty kneeling after total knee replacement

Reducing gender disparities in post-total knee arthroplasty expectations through a decision aid

Persistent pain after knee replacement: do factors associated with pain vary with degree of patient dissatisfaction?

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