Patients’ Satisfaction About Total Knee Replacement Surgery in Saudi Arabia

Background: Total knee arthroplasty (TKA), also known as total knee replacement (TKR), is an increasingly common surgical procedure, especially in the elderly population. Its primary benefits include pain relief and improved mobility for advanced-stage osteoarthritis patients. The procedure’s success rate is high, with only 4% to 7% of patients reporting dissatisfaction. Total knee replacements in the US surpassed 700,000 in 2012, and this number was predicted to reach 3.5 million by 2030. Studies reported high satisfaction rates, with one highlighting a 96% satisfaction rate in patients with severe arthritis. Given the growing number of TKAs performed worldwide, assessing patient satisfaction and understanding potential outcomes became critical. Objectives: This study aimed to evaluate patient satisfaction with total knee arthroplasty (TKA) in Saudi Arabia, its impact on daily life, and to identify preoperative and postoperative predictors of satisfaction. Methodology: A study was conducted in Saudi Arabia from 2023 to 2024 on 228 individuals of both genders who had undergone total knee arthroplasty. The data were gathered by researchers and analyzed using Statistical Package for the Social Sciences (SPSS) software version 25 for Windows (Chicago, IL, USA). Results: This study examined satisfaction following total knee replacement among 228 Saudi Arabian patients (mean age 57.9 years, 59.2% female), with prevalent comorbidities (diabetes 42.9%, hypertension 37.7%). Single knee replacement predominated (87.3%), and 35.1% held bachelor’s degrees. Overall, 79.8% reported high satisfaction, 86.4% improved functionality, 94.7% reduced pain, and 88.6% willingness to recommend. Post-surgery, 70.6% rated their health “Excellent/Very Good,” while emotional limitations affected 13.6%. Most (84.2%) were highly satisfied, correlating strongly with quality-of-life improvements. Significant satisfaction predictors included region, education, marital status, surgery date, height, weight, and gender. These findings underscored the procedure’s effectiveness and influential demographic factors. Conclusion: Our study illustrated high levels of patient satisfaction associated with total knee replacement surgery in Saudi Arabia, aligning with existing literature on the effectiveness of TKA in improving quality of life and functional outcomes. The intertwining relationship between demographic factors and satisfaction levels highlighted the importance of personalized care strategies that consider individual patient contexts.