Page 63 - The value of total hip and knee arthroplasties for patients

Unfulfilled expectations after total hip and knee arthroplasty surgery: there’s a need for better preoperative patient information and education
Differences in Preoperative Expectations in PatientsWith andWithout Complete Follow-Up
A comparison of the preoperative expectations of patients with and without complete follow-up showed that overall, in both the THA and TKA groups, the patients with complete follow-up had higher expectations, illustrated by higher frequencies of patients answering “back to normal” for most of the items and fewer missing values than patients with only preoperative scores (results not shown).
Preoperative Expectations and Postoperative Outcomes in Patients With 4 Complete Follow-Up
Table 2 shows preoperative expectations in THA and TKA patients with complete
follow-up. In THA and TKA, >60% of patients expected to get back to normal or
have much improvement in 19 of 20 and 12 of 19 items, respectively.The items with the largest proportion (>60%) of patients expecting to get back to normal in the group of THA patients concerned “not in need of stick, crutch or walker” and “be able to independently put on shoes and socks.”The item with the largest proportion (>5%) of patients expecting to only “slightly improve” (lowest expectation) was “improvement in walking ability: long distances (more than 1.5 km).” The largest proportions of patients undergoingTKA who indicated they expected that aspects would get back to normal (>50%) concerned “not in need of stick, crutch or walker” and“daily activities in and around the house.”The items with the largest proportion (>5%) of patients expecting to only “slightly improve” (lowest expectation) were “improvement in walking ability: long distances (more than 1.5 km),” “be able to kneel down,” and “be able to squat.”
Fulfillment of Expectations
Table 2 shows the frequencies of unfulfilled, fulfilled, and exceeded expectations of improvement for each of the HSS items. Both in the THA and TKA groups, the outcome expectations for most items were fulfilled or exceeded by the large majority of patients.
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