Patient perspective survey of total hip vs total knee arthroplasty surgery.

Abstract

A 42-item survey was developed and administered to determine patient perception of and satisfaction with total hip arthroplasty (THA) vs total knee arthroplasty (TKA). A total of 153 patients who had both primary THA and TKA for osteoarthritis with 1-year follow-up were identified. Survey response rate was 72%. Patients were more satisfied with THA meeting expectations for improvement in function and quality of life (P < .05), whereas pain relief expectations were equivalent. Most patients (70.9%) reported that TKA required more physiotherapy. One-year Oxford score and improvement in Oxford score from preoperative to 1 year were superior for THAs (P = .000). Despite equivalent pain relief, THAs trend toward higher satisfaction compared with TKAs. THA is more likely to "feel normal" with greater improvement in Oxford score. Recovery from TKA requires more physiotherapy and a longer time to achieve a satisfactory recovery status. Patients should be counseled accordingly.

• Authors: Justin de Beer, Danielle Petruccelli, Anthony Adili, Liz Piccirillo, David Wismer, Mitch Winemaker
• Journal: The Journal of arthroplasty (J Arthroplasty) Vol. 27 Issue 6 Pg. 865-9.e1-5 (Jun 2012) ISSN: 1532-8406 [Electronic] United States
• PMID: 22333864 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright © 2012 Elsevier Inc. All rights reserved.

Topics

• Aged
• Arthroplasty, Replacement, Hip (psychology, rehabilitation)
• Arthroplasty, Replacement, Knee (psychology, rehabilitation)
• Female
• Follow-Up Studies
• Health Surveys
• Humans
• Male
• Middle Aged
• Osteoarthritis, Hip (surgery)
• Osteoarthritis, Knee (surgery)
• Pain Measurement
• Patient Satisfaction
• Physical Therapy Modalities
• Prospective Studies
• Quality of Life
• Surveys and Questionnaires
• Treatment Outcome