{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T23:01:58Z","timestamp":1784847718130,"version":"3.55.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite the overall success and widespread utilization of total knee arthroplasty (TKA), studies on inpatient TKA show that an average of 10% of patients are unsatisfied with their outcomes. Patient satisfaction with modern outpatient TKA care pathways in the ambulatory surgery center (ASC) is not well studied. We therefore asked the following questions: (1) What is the prevalence of patient satisfaction and dissatisfaction following outpatient TKA in an ASC? (2) How do preoperative and postoperative patient-reported outcome measures, pain scores, and preparedness for surgery compare between satisfied and nonsatisfied patients? (3) Do radiographic factors such as Kellgren\u2013Lawrence grade, posterior tibial slope, tibiofemoral angle, or postoperative flexion of the femoral component differ between satisfied and nonsatisfied patients? We retrospectively reviewed 678 patients undergoing primary unilateral TKA from 2022 to 2023 at a single ASC. Demographics, baseline function, surgical variables, complications, patient-reported outcomes, and patient satisfaction were recorded. Analysis of the difference between the satisfied and nonsatisfied groups was performed. Based on our criteria, 92.5% (n\u2009=\u2009627) of patients were either \u201csatisfied\u201d or \u201cvery satisfied,\u201d whereas 7.5% (n\u2009=\u200951) of patients were \u201cneutral,\u201d \u201cdissatisfied,\u201d or \u201cvery dissatisfied.\u201d Body mass index, age, sex, and preoperative Knee Injury and Osteoarthritis Outcome Score for Joint Replacement were not associated with postoperative dissatisfaction. Low Veterans Rand 12\u2013Item Health Survey Mental Component Summary (VR-12 MCS), and lower preoperative \u201cpreparedness for surgery\u201d scores were associated with nonsatisfaction. Patient satisfaction following TKA in an ASC was 92.5% in our cohort. Pain relief, functional improvement, patient expectations, and psychosocial factors were associated with satisfaction. Addressing these factors with perioperative care pathways that include enhanced pain management, personalized patient education, and attention to psychosocial and cultural factors may further improve satisfaction rates.<\/jats:p>","DOI":"10.1055\/a-2796-8229","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:07:18Z","timestamp":1771286838000},"page":"534-539","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Same-Day Discharge Total Knee Arthroplasty in a Specialized Ambulatory Surgery Center: Satisfied and Safe"],"prefix":"10.1055","volume":"39","author":[{"given":"Joseph M.","family":"Schwab","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bradbury","sequence":"additional","affiliation":[{"name":"Total Joint Specialists, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1491-1847","authenticated-orcid":false,"given":"Mary Jane","family":"McConnell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Ghegan","sequence":"additional","affiliation":[{"name":"Total Joint Specialists, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mason","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Total Joint Specialists, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9538-7602","authenticated-orcid":false,"given":"Alex","family":"Bradham","sequence":"additional","affiliation":[{"name":"Total Joint Specialists, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Guild","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Northside Hospital\u2014Forsyth, Cumming, Georgia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"R B Bourne","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.arth.2022.10.011","article-title":"Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature","volume":"38","author":"M J DeFrance","year":"2023","journal-title":"J Arthroplasty"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1016\/j.arth.2019.01.075","article-title":"Patient dissatisfaction after primary total joint arthroplasty: the patient perspective","volume":"34","author":"M J Halawi","year":"2019","journal-title":"J Arthroplasty"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"S245","DOI":"10.1016\/j.arth.2023.04.040","article-title":"Coronal and sagittal component position in contemporary total knee arthroplasty: targeting native alignment optimizes clinical outcomes","volume":"38","author":"H Farooq","year":"2023","journal-title":"J Arthroplasty"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.1016\/j.arth.2018.02.002","article-title":"Outpatient-focused joint arthroplasty is the future: the Midwest Center for Joint Replacement Experience","volume":"33","author":"M E Berend","year":"2018","journal-title":"J Arthroplasty"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.pain.2010.11.023","article-title":"Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants","volume":"152","author":"V Wylde","year":"2011","journal-title":"Pain"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/01.blo.0000238825.63648.1e","article-title":"The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty","volume":"452","author":"P C Noble","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"S150","DOI":"10.1016\/j.arth.2022.08.039","article-title":"Preoperative patient-reported outcome measure thresholds should not be used for indicating total knee arthroplasty","volume":"38","author":"R M Sutton","year":"2023","journal-title":"J Arthroplasty"},{"issue":"431","key":"ref10","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/01.blo.0000150130.03519.fb","article-title":"Does total knee replacement restore normal knee function?","author":"P C Noble","year":"2005","journal-title":"Clin Orthop Relat Res"},{"issue":"416","key":"ref12","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1097\/01.blo.0000092983.12414.e9","article-title":"Predicting total knee replacement pain: a prospective, observational study","author":"V A Brander","year":"2003","journal-title":"Clin Orthop Relat Res"},{"issue":"17","key":"ref13","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.2106\/JBJS.18.01096","article-title":"Association between femoral component sagittal positioning and anterior knee pain in total knee arthroplasty: a 10-year case-control follow-up study of a cruciate-retaining single-radius design","volume":"101","author":"C EH Scott","year":"2019","journal-title":"J Bone Joint Surg Am"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"S242","DOI":"10.1016\/j.arth.2021.02.063","article-title":"Machine learning algorithms identify optimal sagittal component position in total knee arthroplasty","volume":"36","author":"H Farooq","year":"2021","journal-title":"J Arthroplasty"},{"issue":"07","key":"ref15","doi-asserted-by":"crossref","first-page":"2322","DOI":"10.1016\/j.arth.2018.02.056","article-title":"No difference in outcomes 12 and 24 months after lower extremity total joint arthroplasty: a systematic review and meta-analysis","volume":"33","author":"P N Ramkumar","year":"2018","journal-title":"J Arthroplasty"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"S716","DOI":"10.1016\/j.arth.2022.02.016","article-title":"The AAHKS Clinical Research Award: are minimum two-year patient-reported outcome measures necessary for accurate assessment of patient outcomes after primary total knee arthroplasty?","volume":"37","author":"A Seetharam","year":"2022","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2796-8229.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T22:32:20Z","timestamp":1784845940000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2796-8229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":14,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,7,23]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2796-8229","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]}}}