{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:49:53Z","timestamp":1775090993343,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T00:00:00Z","timestamp":1368489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>We hypothesise that patients with a worse post\u2010operative generic physical health, and those with a subclinical improvement, will have a greater rate of dissatisfaction with their total knee arthroplasty (TKA) despite improvement in their knee function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospectively complied data for 2,330 primary TKA were used. Patient demographics, comorbidity, and pre\u2010 and post\u2010operative (1 year) Oxford knee scores (OKS) and Short Form (SF\u2010) 12 scores were collected. Patient satisfaction was also assessed 1 year post\u2010operatively. The satisfaction rate of patients with a poor post\u2010operative SF\u201012\u00a0physical component summary (PCS score) (\u226440 points) and those with a subclinical improvement (&lt;4 points) in the score were compared to those with a score of more than 40 and a clinically significant improvement, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More than half of the patients (<jats:italic>n<\/jats:italic> = 1,220) had a poor post\u2010operative SF\u201012\u00a0PCS, and a third (<jats:italic>n<\/jats:italic> = 722) had a subclinical improvement in their general physical health after TKA. These patients were more likely to be older in age, suffer with concomitant back pain, and pain in other joints, and have a significantly worse pre\u2010operative mental well\u2010being score (SF\u201012) and OKS (all <jats:italic>p<\/jats:italic> &lt; 0.04 on regression analysis). Both groups had a clinically significant improvement in their OKS post\u2010operatively (<jats:italic>p<\/jats:italic> &lt; 0.001), but it was 10 and 8 points less, respectively, than those patients with a SF\u201012\u00a0PCS of more than 40, and a clinical significant improvement in their PCS score (<jats:italic>p<\/jats:italic> &lt; 0.001). Logistic regression analysis demonstrated that patients who had a poor post\u2010operative SF\u201012\u00a0PCS (odds ratio 7.9, <jats:italic>p<\/jats:italic> &lt; 0.001) and those with a subclinical improvement in their general physical health (odds ratio 5.1, <jats:italic>p<\/jats:italic> &lt; 0.001) after TKA were significantly less likely to be satisfied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite benefitting from a significant improvement in their OKS after TKA, patients with a poor post\u2010operative SF\u201012\u00a0PCS and those with a subclinical improvement in their general physical well\u2010being are significantly less likely to be satisfied at 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Retrospective comparative study, Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-013-2523-y","type":"journal-article","created":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T03:02:29Z","timestamp":1368414149000},"page":"2638-2646","source":"Crossref","is-referenced-by-count":76,"title":["Patient satisfaction after total knee arthroplasty is affected by their general physical well\u2010being"],"prefix":"10.1002","volume":"21","author":[{"given":"N. 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