AI Article Synopsis

  • The study aimed to understand individuals' perspectives on recovery after total knee replacement (TKR) and identify key recovery areas they deemed important.
  • Semi-structured interviews were conducted with 12 participants at various stages of their TKR journey, using thematic analysis to uncover common themes including pain, function, and fears related to surgery.
  • Findings emphasized the significance of pain management and mobility as central concerns for TKR patients, suggesting that these aspects should be considered in both clinical practice and future research designs.

Article Abstract

Objectives: To explore people's views of recovery from total knee replacement (TKR) and which recovery domains they felt were important.

Design: Semi-structured interviews exploring the views of individuals about to undergo or who have undergone TKR. A constant-comparative approach with thematic analysis was used to identify themes. The process of sampling, collecting data and analysis were continuous and iterative throughout the study, with interviews ceasing once thematic saturation was achieved.

Setting: Tertiary care centre.

Participants: A purposive sample was used to account for variables including pre, early or late postoperative status.

Results: 12 participants were interviewed, 4 who were preoperative, 4 early postoperative and 4 late postoperative. Themes of pain, function, fear of complications, awareness of the artificial knee joint and return to work were identified. Subthemes of balancing acute and chronic pain were identified.

Conclusions: The results of this interview-based study identify pain and function, in particular mobility, that were universally important to those undergoing TKR. Surgeons should consider exploring these domains when taking informed consent to enhance shared decision-making. Researchers should consider these recovery domains when designing interventional studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086519PMC
http://dx.doi.org/10.1136/bmjopen-2023-080795DOI Listing

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