Exploring the Determinants of Patient Satisfaction Following Total Knee Replacement Surgery: A Qualitative Study from a Single Surgical Team

Abstract

Background: Total knee replacement is an effective treatment for end-stage osteoarthritis; however, patient satisfaction varies despite similar surgical outcomes. Understanding the determinants of satisfaction is essential for improving patient-centered care.

Objective: To explore clinical, psychosocial, and cultural factors influencing patient satisfaction following TKR performed by the same surgical team.

Methods: A qualitative descriptive study was conducted at the Orthopedic Department of Medical Teaching Institute Lady Reading Hospital. Nineteen patients aged 55–70 years who underwent primary TKR were interviewed using a semi-structured format. Interviews explored experiences, expectations, communication, rehabilitation, cultural needs, and satisfaction. Audio-recorded interviews were transcribed verbatim and analyzed using inductive thematic analysis. Credibility was ensured through investigator triangulation, coding validation, audit trails, and reflexive memoing.

Results: All patients reported significant improvement in pain and mobility. Key determinants of satisfaction were effective communication and empathetic care (89%), strong family and community support (100%), respect for religious and cultural practices (95%), positive rehabilitation experience and physiotherapy engagement (84%). Common challenges were emotional distress, limited preoperative counselling about pain management, and insufficient psychological support. Despite these, 95% of patients expressed willingness to recommend total knee replacement to others.

Conclusion: High satisfaction following total knee replacement is associated with effective pain relief, professional care, strong family support, and culturally sensitive practices. Enhancing emotional support and preoperative education especially regarding pain and recovery expectations may further improve outcomes..