{"title":"Difference in Postoperative Outcomes and Satisfaction Between Men and Women After Total Knee Arthroplasty.","authors":"Seung Hoon Lee, Jae Hoon Ryoo, Hee Dong Lee, Yun Seong Choi","doi":"10.3928/01477447-20250228-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study was conducted to determine the difference in clinical outcomes and satisfaction between men and women after total knee arthroplasty (TKA) and whether the relationship between postoperative outcomes and satisfaction differs between the 2 groups after TKA.</p><p><strong>Materials and methods: </strong>This retrospective study included 324 patients who underwent TKA. The participants were divided by sex as follows: male (n=130) and female (n=194). The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee Society Score (KSS), and satisfaction score and their correlation coefficients at 1 and 2 years after TKA were compared between the groups.</p><p><strong>Results: </strong>The satisfaction scores of the male and female patients were 27.1 and 22.7, respectively (<i>P</i><.001), 1 year after TKA and 29.7 and 29.2, respectively (<i>P</i>=.575), 2 years after TKA. No significant differences in the WOMAC score or KSS were observed between the 2 groups. The correlation coefficients between the satisfaction score and WOMAC score or KSS (function scores) were higher for women than for men 1 and 2 years after TKA (1-year WOMAC score: men, -0.682; women, -0.724; 1-year KSS function score: men, 0.500; women, 0.795) (2-year WOMAC score: men, -0.536; women, -0.778; 2-year KSS function score: men, 0.444; women, 0.702).</p><p><strong>Conclusion: </strong>The early postoperative satisfaction of female patients was lower than that of male patients but eventually improved to the satisfaction level of male patients, and the association between outcomes and satisfaction within 2 years after TKA was higher for female patients than for male patients. [<i>Orthopedics</i>. 2025;48(2):121-127.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 2","pages":"121-127"},"PeriodicalIF":1.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/01477447-20250228-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This study was conducted to determine the difference in clinical outcomes and satisfaction between men and women after total knee arthroplasty (TKA) and whether the relationship between postoperative outcomes and satisfaction differs between the 2 groups after TKA.
Materials and methods: This retrospective study included 324 patients who underwent TKA. The participants were divided by sex as follows: male (n=130) and female (n=194). The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee Society Score (KSS), and satisfaction score and their correlation coefficients at 1 and 2 years after TKA were compared between the groups.
Results: The satisfaction scores of the male and female patients were 27.1 and 22.7, respectively (P<.001), 1 year after TKA and 29.7 and 29.2, respectively (P=.575), 2 years after TKA. No significant differences in the WOMAC score or KSS were observed between the 2 groups. The correlation coefficients between the satisfaction score and WOMAC score or KSS (function scores) were higher for women than for men 1 and 2 years after TKA (1-year WOMAC score: men, -0.682; women, -0.724; 1-year KSS function score: men, 0.500; women, 0.795) (2-year WOMAC score: men, -0.536; women, -0.778; 2-year KSS function score: men, 0.444; women, 0.702).
Conclusion: The early postoperative satisfaction of female patients was lower than that of male patients but eventually improved to the satisfaction level of male patients, and the association between outcomes and satisfaction within 2 years after TKA was higher for female patients than for male patients. [Orthopedics. 2025;48(2):121-127.].
期刊介绍:
For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice.
The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.