IJOCP | Volume 2015| Issue – 2015| Article ID – 2015:36
Conference: Poona Orthopaedic Society Annual Conference POSAC-2015,      India [Click for Full details]  

Authors: Ishan Shevate, Pratul Jain, Parag Sancheti, Ashok Shyam

Authors Affiliations: Sancheti Institute of Orthopaedics and Rehabilitation, Pune

Address of correspondence: Ashok Shyam, Sancheti Institute, Pune. email: drashokshyam@gmail.com


Abstract                                                                                                                 

Introduction:The outcome measures differ for clinician and patients, making patient satisfaction as an important outcome measure. Patient satisfaction can be assessed by assessing clinical parameters and patient reported outcome tools. We believe that factors like activities of daily living play important role in determining the patient satisfaction. Patient satisfaction after total knee replacement depends on factors like range of motion, stability and pain relief.This study would be able assess the patient satisfaction in terms of activities which are required in day-to-day activities.

Aims of study:To analyse the patient satisfaction after TKA and assess the reasons of dissatisfaction among the patients.

Methods:We studied 920 eligible patients who underwent primary TKA from June 2009 to March 2013. We excluded patients with revision arthroplasties and those with an old intra-articular fracture. Patient satisfaction was assessed with a satisfaction questionnaire. Responses of expectations were graded on a 5-point Likert scale. Unsatisfied patients were analyzed for pain, stiffness and difficulty in performing daily activities by studying their WOMAC scores. All preoperative and postoperative measurements were done using standardized data collection forms.

Results:Overall satisfaction revealed that 77.71 % (n=375+340) of patients claimed that they were satisfied or very satisfied, 9.78 % (n=90) were dissatisfied while 12.5 % (n=115) were neutral. Majority of unsatisfied patients were those who had difficulty in performing routine activities of daily living (ADL). 90 percent patients had pain mainly while climbing up and down the stairs while only 15-20 percent patients had pain while walking on flat Surface, sitting or lying on bed, or in standing positions. Around 10-12 percent patient had stiffness i.e. lower ranges of motion than they had expected.

Conclusions: There are multiple reasons which cause dissatisfaction among the patients being operated for TKA, most important of which are related to pain, stiffness and difficulty in performing daily activities. Patients and surgeons are ultimately seeking the same goal, predictable satisfaction following total knee arthroplasty.

How to Cite this Abstract
  Shevate I,  Jain P, Sancheti P,  Shyam A. Patient Satisfaction after Total Knee Arthroplasty. International Journal of Conference Proceedings  2015;(2015):36