The unhappy patient after total knee arthroplasty

Thursday 25 April 2024, 10:30 am
PhD student
M.E.M. te Molder MSc.
prof. dr. M. de Kleuver, dr. C.H.M. van den Ende
dr. P.J.C. Heesterbeek, dr. J.H.M. Smolders

Total knee arthroplasty (TKA) has been widely-established as a successful procedure for advanced symptomatic osteoarthritis (OA). Despite overall clinical improvement, 10 to 20% of patients report that they are dissatisfied due to insufficient pain relief and limitations in physical functioning. Currently, there appears to be no international consensus regarding a uniform/shared vocabulary for defining the phenomenon of poor response to TKA, resulting in uncertainty about the number of patients that experience a poor outcome. One of the reasons contributing to this lack of a uniform vocabulary might be explained by differences in perspectives on poor outcome after TKA by patients and knee specialists. Therefore, both patients’ and knee specialists’ perspectives on poor response to TKA were qualitatively and quantitatively studied in this thesis. The prioritization of adverse consequences of TKA by patients with a TKA and knee specialists shows that pain, physical functioning and satisfaction should be included in a definition for defining poor response to TKA.     

Malou te Molder (1991) obtained Master’s degree in health sciences with a specialization in epidemiology at Maastricht University. In 2015 she started as a research nurse and junior researcher in the orthopedics department of the Sint Maartenskliniek after which she expanded her activities into her own PhD trajectory in 2018. Currently, she is working as a quality officer in a healthcare institution.