الفهرس | Only 14 pages are availabe for public view |
Abstract TKR is undoubtedly an effective procedure for reducing knee pain and physical limitations in some patients, although physical function is not restored to the level of the general population. from the literature, it is evident that there exists a substantial subsection of the TKR population who experience little or no benefit from the operation. Often the poor outcome of these patients is hidden among the reporting of mean pain and function scores.[170] PURPOSE OF THE STUDY was, first, to assess satisfaction of our patients after primary total knee arthroplasty (TKA) after 1 year of follow-up. Second, a list of pre- and pre-operative factors with potential effects on patient satisfaction was analyzed. The third objective was to identify conditions under which a result of replacement could be considered definite with a little probability of further unexpected development. A more detailed knowledge of unsatisfied patients may provide valuable information for use in pre-operative evaluation, indication for surgery, as well as in the surgery itself. The main results of the study revealed that: In our study, Percentage of Patient satisfaction 1 year after primary TKA was72.9% A statistically significant between patient age and postoperative patientsatisfaction among studied group (p value= 0.011*). Biological age, ratherthan chronological age, has a greater role in functional recovery after TKA.A statistically highly significant between patient BMI and post-operativepatient satisfaction among studied group (p value= 0.001**). Higher BMIgroup was associated with less improvement in satisfaction scores.No significant difference between male and females in satisfaction. Summary 121 Statistically difference in relation between social class of the patient and postoperative satisfaction. Patient with moderate social class is satisfied more than patient with low class. Patients who were dissatisfied after TKR there WOMAC score was lower than satisfied group. The most common postoperative cause of dissatisfaction between studied groups according to WOMAC was postoperative pain. A significantly higher percentage of patients with low comorbidities among satisfied patients in contrast to patients with increased comorbidities (p value= <0.001**). Grade of surgeon who performed the surgical intervention didn’t affect the satisfaction grade of patients. |