Brinkhof, S., Froeling, M., Janssen, R.P.A., Ito K., Klomp D.W.J. Can sodium MRI be used as a method for...
RPA Janssen MD PhD is memeber of...
RPA Janssen MD PhD will oresent a keynote lecture at the Advanced Knee Course of the Dutch Arthroscopy...
Remain up to date with all the latest knee facts via Facebook, Twitter and other social networks
Tolk JJ, van der Steen MC, Janssen RPA, Reijman M.
J Knee Surg. 2017 Jul;30(6):612-616. doi: 10.1055/s-0036-1593868. Epub 2016 Nov 23.
Abstract
Introduction
The rate of satisfaction after total knee arthroplasty (TKA) is consistently reported around 80%, leaving 1 in 5 patients unsatisfied to some extent. Fulfillment of expectations is reported as the strongest predictor of treatment satisfaction. In this study we aimed to evaluate what Dutch orthopedic surgeons assume are realistic expectations for recovery 1 year after TKA.
Methods
We invited the members of the Dutch Knee Society to fill out a web-based questionnaire. For expectation measurement the validated Dutch version of the Hospital for Special Surgery (HSS) knee replacement expectations survey was used.
Results
150 invitations were successfully sent. 84 orthopedic surgeons responded (56%). The overall HSS knee replacement expectation score was 66.0 (SD 14.0) on a 0-100 scale. Most improvement was predicted for the items “pain relief” and “walking short distances”. Expectations related to patients’ ability to kneel or squat after TKA were scored poorly.
Conclusion
To the opinion of the members of the Dutch Knee Society, after TKA improvement can be expected in domains of pain, function, activities and psychological wellbeing. Return to normal is not likely to occur, especially in demanding physical activities.