Bilateral Staged Primary Total Knee Arthroplasty: Are Patients Less Pleased with their Second Side?
DOI:
https://doi.org/10.17140/ORTOJ-4-114Keywords:
Bilateral total knee replacement, Bilateral staged total knee arthroplasty (TKA), Patient satisfactionAbstract
Background
The available literature on the reported patient satisfaction following bilateral staged primary total knee arthroplasty (TKA) is limited. The purpose of our study is to compare patient-reported satisfaction following bilateral non-simultaneous TKA performed
in a single unit.
Methods
We retrospectively analyzed our regional database, the Trent and Wales Arthroplasty Audit Group (TWAAG). Patients who
had bilateral staged TKA in the University Hospitals of Leicester, UK, between 1990 and 2007 and had completed a 12-month
post-operative questionnaire were included in the study.
Results
One thousand one patients were included in the study. 824 patients (82.3%) reported being satisfied with both of their primary
TKAs. 91% and 88% reported being satisfied with their TKA respectively for the first and second sides. A chi-squared test revealed that the difference in satisfaction rates between the first and second side TKA was statistically significant. 86 patients were
pleased with their first side but not pleased/unsure with the second side. On the other hand, 55 patients were pleased with their
second side but not pleased/unsure with the first side. This difference was also statistically significant.
Conclusion
In our study, more patients were pleased following their first side compared to their second side TKA.
References
Anderson JG, Wixson RL, Tsai D, Stulberg SD, Chang RW. Func-tional outcome and patient satisfaction in total knee patients over the age of 75. J Arthroplasty. 1996; 11(7): 831-840. doi: 10.1016/ S0883-5403(96)80183-5
Baker PN, van der Meulen JH, Lewsey J, Gregg PJ, Nation-al Joint Registry for England and Wales. The role of pain and function in determining patient satisfaction after total knee replacement. J Bone Joint Surg Br. 2007; 89(7): 893-900. doi: 10.1302/0301-620X.89B7.19091
Baker PN, Rushton S, Jameson SS, Reed M, Gregg P, Deehan DJ. Patient satisfaction with total knee replacement cannot be pre-dicted from pre-operative variables alone: A cohort study from the national joint registry for England and Wales. Bone Joint J. 2013; 95- B(10): 1359-1365. doi: 10.1302/0301-620X.95B10.32281
Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Char-ron KD. Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clin Orthop Relat Res. 2010; 468(1): 57-63. doi: 10.1007/s11999-009-1119-9
Brokelman RB, van Loon CJ, Rijnberg WJ. Patient versus sur-geon satisfaction after total hip arthroplasty. J Bone Joint Surg Br. 2003; 85(4): 495-498. doi: 10.1302/0301-620X.85B4.13411
Drexler M, Dwyer T, Chakravertty R, Farno A, Backstein D. As-suring the happy total knee replacement patient. Bone Joint J. 2013; 95-B (11 Suppl A): 120-123. doi: 10.1302/0301-620X.95B11.32949
Hamilton DF, Lane JV, Gaston P, et al. What determines patient satisfaction with surgery? A prospective cohort study of 4709 pa-tients following total joint replacement. BMJ Open. 2013; 3(4). doi: 10.1136/bmjopen-2012-002525
Kim TK, Kwon SK, Kang YG, Chang CB, Seong SC. Func-tional disabilities and satisfaction after total knee arthroplasty in female Asian patients. J Arthroplasty. 2010; 25(3): 458-464.e1-2. doi: 10.1016/j.arth.2009.01.018
Lingard EA, Sledge CB, Learmonth ID, Kinemax Outcomes Group. Patient expectations regarding total knee arthroplasty: Differences among the United States, United Kingdom, and Aus-tralia. J Bone Joint Surg Am. 2006; 88(6): 1201-1207. doi: 10.2106/ JBJS.E.00147
Mancuso CA, Jout J, Salvati EA, Sculco TP. Fulfillment of pa-tients' expectations for total hip arthroplasty. J Bone Joint Surg Am. 2009; 91(9): 2073-2078. doi: 10.2106/JBJS.H.01802
Nilsdotter AK, Toksvig-Larsen S, Roos EM. Knee arthroplasty: Are patients' expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. Acta Orthop. 2009; 80(1): 55-61. doi: 10.1080/17453670902805007
Noble PC, Conditt MA, Cook KF, Mathis KB. The John insall award: Patient expectations affect satisfaction with total knee ar-throplasty. Clin Orthop Relat Res. 2006; 452: 35-43. doi: 10.1097/01. blo.0000238825.63648.1e
Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L. Patient satisfaction after knee arthroplasty: A report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand. 2000; 71(3): 262-267. doi: 10.1080/000164700317411852
Roberts VI, Esler CN, Harper WM. A 15-year follow-up study of 4606 primary total knee replacements. J Bone Joint Surg Br. 2007; 89(11): 1452-1456. doi: 10.1302/0301-620X.89B11.19783
Scott CE, Howie CR, MacDonald D, Biant LC. Predicting dis-satisfaction following total knee replacement: A prospective study of 1217 patients. J Bone Joint Surg Br. 2010; 92(9): 1253-1258. doi: 10.1302/0301-620X.92B9.24394
Hepinstall MS, Rutledge JR, Bornstein LJ, Mazumdar M, We-strich GH. Factors that impact expectations before total knee arthroplasty. J Arthroplasty. 2011; 26(6): 870-876. doi: 10.1016/j. arth.2010.09.010
Leedham B, Meyerowitz BE, Muirhead J, Frist WH. Positive expectations predict health after heart transplantation. Health Psy-chol. 1995; 14(1): 74-79. 4 Suzangar M, et al
Lizaur-Utrilla A, Serna-Berna R, Vizcaya-Moreno MF, Mar-tinez-Mendez D, Marco-Gomez L, Lopez-Prats FA. Compari-son of functional outcomes between the first and second knee in staged bilateral total knee arthroplasty with diverse intervals be-tween stages. J Arthroplasty. 2018; 33(9): 2863-2867. doi: 10.1016/j. arth.2018.04.033
Qutob M, Winemaker M, Petruccelli D, De Beer J. Staged bilat-eral total knee arthroplasty: Does history dictate the future? J Ar-throplasty. 2013; 28(7): 1148-1151. doi: 10.1016/j.arth.2013.01.022
Scott CE, Bugler KE, Clement ND, Macdonald D, How-ie CR, Biant LC. Patient expectations of arthroplasty of three hip and knee. J Bone Joint Surg Br. 2012; 94(7): 974-981. doi: 10.1302/0301-620X.94B7.28219
National Joint Registry. National Joint Registry for England and Wales. 10th Annual Report. Website: http://www.njrcentre.org. uk/njrcentre/portals/0/documents/england/reports/10th_an-nual_report/njr%2010th%20annual%20report%202013%20b. pdf. 2013.
Beattie N, Maempel JF, Roberts S, et al. Surgery performed by supervised registrars does not adversely affect medium-term func-tional outcomes after total knee replacement. Ann R Coll Surg Engl. 2018; 100(1): 57-62. doi: 10.1308/rcsann.2017.0164
Burnett RS, Haydon CM, Rorabeck CH, Bourne RB. Patella resurfacing versus nonresurfacing in total knee arthroplasty: Results of a randomized controlled clinical trial at a minimum of 10 years' followup. Clin Orthop Relat Res. 2004; (428): 12-25.
Feng B, Weng X, Lin J, et al. Long term follow up of clinical outcome between patellar resurfacing and nonresurfacing in to-tal knee arthroplasty: Chinese experience. Chin Med J (Engl). 2014; 127(22): 3845-3851.
Nizard RS, Biau D, Porcher R, et al. A meta-analysis of patellar replacement in total knee arthroplasty. Clinic Orth Relat Res. 2005; 432: 196-203.
Li S, Chen Y, Su W, Zhao J, He S, Luo X. Systematic review of patellar resurfacing in total knee arthroplasty. Int Orthop. 2011; 35(3): 305-316.
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