title: Assuring the happy total knee replacement patient.
abstract: Total knee replacement (TKR) is one of the most common operations in orthopaedic surgery worldwide. Despite its scientific reputation as mainly successful, only 81% to 89% of patients are satisfied with the final result. Our understanding of this discordance between patient and surgeon satisfaction is limited. In our experience, focus on five major factors can improve patient satisfaction rates: correct patient selection, setting of appropriate expectations, avoiding preventable complications, knowledge of the finer points of the operation, and the use of both pre- and post-operative pathways. Awareness of the existence, as well as the identification of predictors of patient-surgeon discordance should potentially help with enhancing patient outcomes.
authors.affiliation: Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Drexler
authors.forename: T
authors.initials: T
authors.lastname: Dwyer
authors.forename: R
authors.initials: R
authors.lastname: Chakravertty
authors.forename: A
authors.initials: A
authors.lastname: Farno
authors.forename: D
authors.initials: D
authors.lastname: Backstein
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000523:psychology*; D002983:Clinical Competence; D006801:Humans; D061214:Patient Safety; D017060:Patient Satisfaction; D018579:Patient Selection; D010817:Physician-Patient Relations; D011183:Postoperative Complications / Q000517:prevention & control
keywords: Total knee replacement; patient outcomes; patient satisfaction