Patient Expectations and Satisfaction After Medial Opening Wedge High Tibial Osteotomy.

The Journal of Arthroplasty
Man Soo KimYong In

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 sa...Continue Reading

Citations

Jan 25, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Man Soo KimYong In
Sep 30, 2021·Plastic and Reconstructive Surgery. Global Open·Miranda J RogersNikolas H Kazmers

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