Outcomes of total knee replacement: a qualitative study.
OBJECTIVE
To investigate patients' experiences of outcome from a total knee replacement (TKR).


METHODS
In-depth interviews were conducted with 25 patients 3 months before TKR, with 10 interviewed again 6 months after surgery. Patients were purposively sampled to include a range of demographic characteristics. Interviews were audiotaped and transcribed. Methods of constant comparison were used to analyse the data.


RESULTS
Individuals struggled to make sense of their outcome and often described it in contradictory terms. When asked directly, most reported a good outcome, but further discussion revealed concern and discomfort with continuing pain and mobility difficulties. These apparently contradictory accounts were consistent with the presentation of public and private views, were dependent on the context of patients' lives, and represented an adaptation to their changed health state.


CONCLUSIONS
Individuals reported their outcome from TKR as good despite the continued experience of pain and immobility. Although TKR has been shown to be a highly effective procedure using quantitative methods, they may need to be qualified by these qualitative findings.
Woolhead
G M
GM
Department of Social Medicine, Canynge Hall, University of Bristol, Bristol, BS8 2PR, UK. Gillian.Woolhead@bristol.ac.uk
Donovan
J L
JL
Dieppe
P A
PA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000534:rehabilitation / Q000601:surgery*; D017060:Patient Satisfaction; D016896:Treatment Outcome