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Patient Expectations and Satisfaction After Medial Opening Wedge High Tibial Osteotomy
- Source :
- The Journal of arthroplasty. 35(12)
- Publication Year :
- 2020
-
Abstract
- The objective of this study is to assess preoperative patient expectations of medial opening wedge high tibial osteotomy (MOWHTO) and related postoperative fulfillment, to increase understanding of associated factors of postoperative satisfaction.One hundred fifteen patients who underwent MOWHTO were enrolled. Patients' expectations were measured using the Hospital for Special Surgery-Knee Replacement Expectations Survey. Fulfillment of expectations and satisfaction was evaluated using the Hospital for Special Surgery Knee Replacement Fulfillment of Expectations Survey and a 5-point Likert scale at 2 years, postoperatively. The discrepancies between preoperative expectation and postoperative fulfillment score were also assessed. Preoperative and postoperative patient-reported outcomes were evaluated using Western Ontario and McMaster Universities Arthritis Index (WOMAC) score. Univariate and multivariate analyses were performed to model predictions for satisfaction.The most expected items were "pain relief," "walking ability," and "perform daily activities." The top 3 items with the biggest discrepancies between expectation and fulfillment scores were "kneeling," "squatting," and "pain relief." Ninety patients (78.3%) were satisfied and 25 (21.7%) were dissatisfied at 2 years postoperative. Multivariate logistic regressions showed that patient expectations did not affect satisfaction. Small discrepancies between expectation and fulfillment scores (odds ratio [OR] 105.304, 95% confidence interval 20.974-528.714, P.001), high postoperative fulfillment scores (OR 1.198, 95% CI 1.110-1.293, P.001), and low postoperative Western Ontario and McMaster Universities Arthritis Index total scores (OR 0.932, 95% CI 0.894-0.971, P.001) were significantly associated with patient satisfaction.The small discrepancy between preoperative expectations and postoperative fulfillment of expectations was a major contributor to patients' satisfaction following MOWHTO.
- Subjects :
- medicine.medical_specialty
Multivariate analysis
WOMAC
Knee Joint
Personal Satisfaction
Logistic regression
03 medical and health sciences
0302 clinical medicine
High tibial osteotomy
Medicine
Humans
Orthopedics and Sports Medicine
Ontario
030222 orthopedics
Motivation
business.industry
Kneeling
Odds ratio
Osteoarthritis, Knee
Confidence interval
Osteotomy
Treatment Outcome
Patient Satisfaction
Physical therapy
Squatting position
business
Subjects
Details
- ISSN :
- 15328406
- Volume :
- 35
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- The Journal of arthroplasty
- Accession number :
- edsair.doi.dedup.....d09b995a61e8d506bb28238a55a73273