Nuisance Symptoms in Total Joint Arthroplasty: Prevalence and Impact on Patient Satisfaction |
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| Affiliation: | 1. Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada;2. Hamilton Health Sciences Juravinski Hospital, Hamilton, Ontario, Canada;3. Hamilton Arthroplasty Group, Hamilton Health Sciences Juravinski Hospital, Hamilton, Ontario, Canada;1. Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH;2. Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY;1. Movement Physiology Research Laboratory, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Parktown, South Africa;2. Division of Orthopaedics, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Parktown, South Africa;3. School of Physiotherapy and Exercise Science, Curtin University, Bentley Campus, Perth, Australia;4. Occupational Therapy, Speech Therapy and Social Work, Curtin University, Bentley Campus, Perth, Australia;5. Department of Exercise Sciences, Faculty of Science, University of Auckland, Newmarket, Auckland, New Zealand |
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| Abstract: | BackgroundWhile hip and knee total joint arthroplasty (TJA) patients experience marked improvement in pain relief and function, many patients experience nuisance symptoms, which may cause discomfort and dissatisfaction.MethodsA prospective survey study to determine type and prevalence of hip/knee TJA nuisance symptoms and impact on patient satisfaction at 1 year postoperative was conducted. The survey determined occurrence of common nuisance symptoms (eg, localized pain, swelling, instability, stiffness) and impact on overall satisfaction rated on a 10-point visual analog scale (VAS). Survey responses were analyzed using descriptive statistics.ResultsThe sample comprised 545 TJA patients who completed the survey: 335 knees (61%) and 210 hips (39%). Among knees, the most commonly reported nuisance symptoms and associated impact on satisfaction included difficulty kneeling (78.2%; VAS, 4.3; SD, 3.3), limited ability to run/jump (71.6%; VAS, 3.3; SD, 3.3), and numbness around incision (46.3%; VAS, 3.8; SD, 3.3). Overall, 94% of knee patients experienced at least 1 nuisance symptom at 1 year, reporting mean satisfaction of 9/10 (SD, 1.7). Among hips, the most commonly reported nuisance symptoms and associated impact on satisfaction were limited ability to run/jump (68.6%; VAS, 3.4; SD, 3.4), thigh muscle pain (44.8%; VAS, 3; SD, 2.7), and limp when walking (37.6%; VAS, 4.1; SD, 3.2). Overall, 88% of hip patients experienced at least 1 self-reported nuisance symptom at 1 year, reporting mean satisfaction of 8.9/10 (SD, 1.7).ConclusionNuisance symptoms after hip/knee TJA are very common. Despite the high prevalence, impact on overall satisfaction is minimal and patient satisfaction remains high. Careful preoperative counseling regarding prevalence is prudent and will help establish realistic expectations following TJA. |
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| Keywords: | hip arthroplasty knee arthroplasty patient satisfaction nuisance symptoms primary |
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