Patient satisfaction and quality of life at least 10 years after total hip or knee arthroplasty
2016
Total hip and knee arthroplasty (THA and TKA respectively) are reliable and successful interventions in terms of relieving pain and improving joint function. Paucity exists on long- term data concerning patient satisfaction and patient related outcome measures (PROMs) after THA or TKA. We aimed to evaluate the long-term patient satisfaction and PROMs at least ten years after THA and TKA.A cohort of THA and TKA patients from a randomized clinical trial was used. At least ten years after primary arthroplasty, patient satisfaction was evaluated by means of three questions: would you still consider surgery knowing now what a THA/TKA surgery consisted of? Would you recommend the surgery to friend or relatives? How satisfied are you at this moment with the THA/TKA. Oxford Hip/Knee score, EQ5D score and RAND36 scores were recorded.A total of 123 patients were available for analysis. Respectively 78% and 64% of the THA/TKA patients would reconsider to undergo the same surgery again, 94% and 76% of them recommended the surgery to a friend or relative and mean score of satisfaction was 83.1 and 80.8 of the THA/TKA patients. The scores indicated that both THA and TKA patients are very satisfied at more than 10 years of follow-up. Comparable function and quality of life scores at a minimum 10-year follow-up after initial surgery were found in both groups.In conclusion, we demonstrated that at a minimum of 10-year follow-up both THA and TKA patients are very satisfied, although THA patients being more satisfied compared to TKA patients.
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