caa a22 4500 605457670 CHVBK 20210128100224.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00167-014-3251-7 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3251-7 Why two-thirds of patients accepted the second session in staged bilateral total knee arthroplasty: a prospective analysis of 111 patients [Elektronische Daten] [Hakan Sesen, Ismail Demirkale, Mert Karaduman, Celal Vural, Mustafa Okkaoglu, Murat Altay] Purpose: In staged bilateral total knee arthroplasty (TKA), regaining functional recovery and a painless joint with fulfilment of patients' expectations at the first stage is an integral part for a patient to progress to the second stage. As patient expectations drive postoperative satisfaction, the challenge is to match patient and surgeon expectations before surgery. Therefore, this study aimed to evaluate the postoperative patient expectations and clinical outcomes and to evaluate the rate of second stage in bilateral staged TKA. Methods: The study included 111 patients; 81 females and 30 males with a median age at surgery of 68years (range 59-85years) and 46 were older than 70years. Postoperative functional data included Knee Society Scores (KSS). Expectation data were collected according to the post-visit ‘Questionnaire of Patient Expectations of Healthcare'. Results: The overall refusal rate for the second stage was 36.9% (n=41). The patients older than 70years had a higher refusal rate compared to relatively younger patients (<70years old) (p=0.038). Younger age, postoperatively improved KSS, fulfilment of patient expectations of the healthcare process, treatment outcomes and whole expectations were the main determinants for patients accepting the second stage. The most important determinative factors for attendance were ‘Process of Healthcare' and subsequently ‘Treatment Outcomes' and total questionnaire scores (p<0.001). Conclusion: The postoperative perception of healthcare and the treating surgeon's knowledge and responsivity are the major concerns for patients considering second stage TKA. Level of evidence: III. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Bilateral gonarthrosis nationallicence Total knee arthroplasty nationallicence Staged nationallicence Patient expectations nationallicence Sesen Hakan Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Demirkale Ismail Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Karaduman Mert Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Vural Celal Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Okkaoglu Mustafa Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Altay Murat Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3585-3590 0942-2056 23:12<3585 2015 23 167 https://doi.org/10.1007/s00167-014-3251-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3251-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sesen Hakan Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 700 1- Demirkale Ismail Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 700 1- Karaduman Mert Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 700 1- Vural Celal Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 700 1- Okkaoglu Mustafa Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 700 1- Altay Murat Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3585-3590 0942-2056 23:12<3585 2015 23 167