Abstrait

The influence of improvement in pain and function after total knee replacement in patients satisfaction.

Zenat Khired

Background: Total knee Replacement (TKR) is successful and reliable in relieving pain and improving joint function. Despite substantial advances in primary TKR, a lot of studies suggest only 82% to 89% of primary TKA patients are satisfied. Methods: The data of 80 patients who underwent primary TKR for late-stage osteoarthritis of the knee between 2010 to 2013 were obtained. The Oxford Knee Scores (OKS) were used to assess the patients before the surgery, and we used 6 questions to assess the patient’s satisfaction after the surgery. Results: Among 80 patients 75 patients (93.8%, P-value <0.001) were satisfied and 5 (6.3%) were unsatisfied in general. Regarding pain, the surgery has shown significant effects in decreasing pain for 73 out of the 80 subjects (91.3%, P-value<0.001). Also, there was a significant improvement in the patient ability to participate in leisure activities 49 out of 80 (61.3%, P-value <0.001), when scores were compared before and after the surgery. Conclusion: Patient satisfaction is an important outcome measure and should be assessed in addition to traditional outcome scores post TKR. In the present study, there is a strong correlation between improvement in pain and functional activity and patient satisfaction.