Leading causes of patient dissatisfaction after primary TKA, THA

Persistent pain and functional limitation are the two leading for patient dissatisfaction after primary joint replacement, according to a study in The Journal of Arthroplasty.

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The study authors assessed 551 primary total hip and knee arthroplasty patients with a minimum of one-year follow-up who responded to a satisfaction survey.

The most common reasons for dissatisfaction after total hip arthroplasty were:

  • Persistent pain — 41 percent
  • Functional limitation — 35 percent
  • Surgical complication/reoperation — 12 percent
  • Staff or quality of care issues — 6 percent
  • Slow recovery — 6 percent

The most common reasons for dissatisfaction after total knee arthroplasty were:

  • Persistent pain — 41 percent
  • Functional limitation — 26 percent
  • Surgical complication/reoperation — 17 percent
  • Staff or quality of care issues — 11 percent
  • Unmet expectations — 4 percent

“Potential for incomplete pain relief or full functional recovery should be discussed during preoperative counseling,” the study authors concluded.  

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