Total Knee Arthroplasty in Younger Patients Evaluated by Alternative Outcome Measures

Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up

“…In addition, a longer LOS is associated with an increased use of hospital resources [33]. Second, fast-track protocols could result in better cost-effectiveness because patients that have better function when discharged from hospital would require less pain medication, a lower number of physiotherapy treatments and a lower number of days spent in rehabilitation centres, and they would be able to return to work sooner [34, 35]. …”

Patients experience mixed results with respect to sexual quality and frequency after total knee arthroplasty: a systematic review

“…Furthermore, while only 7% (7/95) expected TKA to negatively impact their sexual activity, 32% (20/62) experienced a negative change at 12 months. This difference between preoperative expectations and postoperative reality was statistically significant (p<0.0001) 17. No differences were found between males and females.…”

“…Thirty-nine articles were identified as potentially containing data describing postoperative sexual function after TKA, and these texts were reviewed in full for eligibility. Ten of these studies met the inclusion/exclusion criteria, one of which was eliminated because it did not discuss subject matter relevant to this systematic review,13 and another because it presented the exact same patient data in a PhD thesis16 as a subsequent publication by the same author in a peer-reviewed journal 17. As a result, a total of eight papers were included for analysis, which are summarised in table 1.…”

“…As a result of this relative lack of information, educating patients and mediating expectations with respect to knee function after surgery is difficult. Previous studies have demonstrated a large disconnect between preoperative expectations with respect to sexual function and patient-reported postoperative results, with a greater number of patients experiencing decreases in sexual function than predicted 17. Because preoperative expectations play a significant role in postoperative satisfaction following TKA,13 mediating these expectations with accurate portrayals of postoperative sexual quality and frequency may play a role in improving satisfaction.…”

Factors Influencing the Choice of Hospital after Primary Total Hip and Knee Replacement Surgeries

“…Since the influence of nonparticipants could not be controlled and the net rate of return was 12.1% and 12.2%, respectively, potential response bias and its resulting limitations to the study results cannot be excluded [27]. Second, while the sample of patients from 43 hospitals does approximate the hospital structure of a region of Germany, the ability to generalize the results to other regions and countries still needs to be clarified [28]. Third, the present study cannot claim to be exhaustive, due to a number of intangible factors that can influence the choice of a hospital [29].…”