The Effects of Pre-Surgical Education on Patient Expectations in Total Knee Arthroplasties


As patients prepare for total-knee arthroplasty surgery, they have many expectations related to their long-term recovery and function. This research examined whether the use of a pre-surgical patient education class with an additional long-term expectation module addressing recovery during the first 12 months after surgery was more effective in modifying participant’s pre-surgical expectations than participants receiving the standard pre-surgical education class alone. Prior to the class each participant completed one disease-specific instrument, a general-health survey, and a total-knee replacement expectation survey. After the class, each participant once again completed the total-knee replacement survey. Included in the study were 42 participants who were enrolled in a pre-surgical education course that was randomized. The participants in the control group received the standard pre-surgical education addressing pre-surgical topics. The participants in the intervention group received the standard pre-surgical education plus an additional module that specifically addressed long-term recovery and function up to 12 months post surgery. The primary outcome of the data revealed that participants’ who received the standard pre-surgical education with the additional module and who had an educational level higher than highschool, had expectations that were able to be modified to coincide with the surgeons’ expectations.

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Furney, S. and Montez, N. (2015) The Effects of Pre-Surgical Education on Patient Expectations in Total Knee Arthroplasties. Open Journal of Preventive Medicine, 5, 449-455. doi: 10.4236/ojpm.2015.512050.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Kurtz, M.S., Ong, K., Lau, E., Mowat, F. and Halpern, M. (2007) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005-2030. The Journal of Bone and Joint Surgery, 89, 780-785.
[2] Lingard, E., Sledge, C. and Learmonth, I. (2006) Patient Expectations Regarding Total Knee Arthroplasty: Differences among the United States, United Kingdom, and Australia. The Journal of Bone and Joint Surgery, 88, 1201-1207.
[3] Jeffries, M.A., Donica, M., Baker, L.W., Stevenson, M.E., Annan, A.C. and Humphrey, M.B. (2014) Genome-Wide DNA Methylation Study Identifies Significant Changes in Osteoarthritic Cartilage. Arthritis Rheumatology, 66, 2804- 2815.
[4] Felson, D.T. (2006) Clinical Practice. Osteoarthritis of the Knee. New England Journal of Medicine, 354, 841-848.
[5] Sharma, A.R., Jagga, S., Lee, S. and Nam, J. (2013) Interplay between Cartilage and Subchondral Bone Contributing to Pathogenesis of Osteoarthritis. International Journal of Molecular Sciences, 14, 19805-19830.
[6] Dahlen, L., Zimmerman, L. and Barron, C. (2006) Pain Perception and Its Relationship to Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthopaedic Nursing, 25, 264-270.
[7] Soohoo, N., Sharifi, H., Kominski, G. and Lieberman, J. (2006) Cost Effectiveness Analysis of Unicompartmental Knee Arthroplasty as an Alternative to Total Knee Arthroplasty for Unicompartmental Osteoarthritis. The Journal of Bone and Joint Surgery, 88, 1975-1982.
[8] Ullrich, P.F. and Vaccaro, A.R. (2002) Patient Education on the Internet: Opportunities and Pitfalls. Spine, 27, 185-188.
[9] Bellamy, N. (2008) Western Ontario and McMasters University Index 3.1 User’s Guide IX.
[10] McHorney, C.A., Ware, J.E. and Raczek, A.E. (1993) The MOS 36-Item Short Form Health Survey (SF-36) II Psychometric and Clinical Tests of Validity in Measuring Physical and Mental Constructs. Medical Care, 31, 247-263.
[11] Stansfeld, S.A., Roberts, R. and Foot, S.P. (1997) Assessing the Validity of the SF-36 General Health Survey. Quality of Life Research, 6, 217-224.
[12] Tellini, A., Ciccone, V., Blonna, D., Rossi, R, Marmotti, A. and Castoldi, F. (2007) Quality of Life Evaluation in Patients Affected by Osteoarthritis Secondary to Congenital Hip Dysplasia after Total Hip Replacement. Journal of Orthpaedic Traumatology, 9, 155-158.
[13] Ware, J.E. and Sherbourne, C.D. (1992) The MOS 36-Item Short-Form Health Survey (SF-36). Medical Care, 30, 473-483.
[14] Mancuso, C.A., Sculco, T., Wickiewics, T., Jones, E., Robbins, L., Warren, R. and Williams-Russo, P. (2001) Patients’ Expectations of Knee Surgery. Journal of Bone and Joint Surgery, 83, 1005-1012.
[15] Suda, A., Seeger, J., Bitsch, R., Clarus, M. and Drueger, M. (2010) Are Patient Expectations of Hip and Knee Arthroplasties Fulfilled? Orthopedics, 33, 76-80.
[16] Knowles, M.S., Holton, E.F. and Swanson, R.A. (2005) The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. Elsevier, Burlington.
[17] Kolb, D.A. (1984) Experimental Learning: Experience as the Source of Learning and Development. Prentice-Hall, Englewood Cliffs.
[18] Kolb, D.A., Boyatzis, R.E. and Mainemilis, C. (2000) Experimental Learning Theory: Previous Research and New Directions. In: Sternberg, R.J. and Zhang, L.F., Eds., Perspectives on Cognitive Learning, and Thinking Styles, New Jersey.
[19] Dewey, J. (1938) Experience and Education. Kappa Delta Pi, West Lafayette.

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