PURPOSE To assess (1) patient expectations before total hip (THR) and knee (TKR) replacement; (2) which expectations are met and unmet 6 and 12 months post-surgery; (3) the role of unmet expectations in satisfaction. METHODS Questionnaires were mailed to consecutive patients following surgeon referral for primary THR or TKR. Patients listed their own expectations and also completed the Hospital for Special Surgery (HSS) Expectation Survey. We used content analysis to group expectations into themes. At 6 and 12 months post-surgery, patients were given a copy of their own list of individual expectations and reassessed each one as met or unmet. We also assessed fulfilled HSS expectations and satisfaction with surgery. RESULTS The sample of 556 patients (49% THR, 57% female) had a mean age of 64 years (SD10). The five most frequent expectation themes were pain relief, mobility, walking, physical activities, and daily activities. Of these, physical activities had the lowest percentage met 12 months post-surgery. 95% (THR) and 87% (TKR) were satisfied/very satisfied with their surgery 12 months post-surgery. Very satisfied patients had a significantly greater percentage of met expectations (96% THR; 92% TKR) than dissatisfied patients (42% THR; 12% TKR). Although most expectations listed by patients were included in the HSS surveys, some were not, particularly for TKR. From 6 to 12 months, there was a significant increase in patient satisfaction for self-care, daily activities, and met expectations for THR and pain relief, self-care, daily activities, and recreational activities for TKR. CONCLUSIONS Expectations should be explicitly addressed before surgery, including a discussion of realistic expectations, particularly for physical activities.

中文翻译：

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全髋关节和膝关节置换术后6和12个月，患者的期望和满意度。

目的评估（1）在全髋关节置换术和膝关节置换术之前患者的期望；（2）在手术后6个月和12个月内满足了哪些期望并且未得到满足；（3）未满足期望在满意度中的作用。方法在外科医生转诊原发性THR或TKR后，将问卷调查表邮寄给连续的患者。患者列出了自己的期望值，并且还完成了特殊外科医院（HSS）期望值调查。我们使用内容分析将期望分组为主题。在手术后的6个月和12个月，为患者提供一份他们自己的个人期望清单，并重新评估每个满足或未满足的期望。我们还评估了达到的HSS期望值和手术满意度。结果556例患者（THR为49％，女性为57％）的平均年龄为64岁（SD10）。五个最常见的期望主题是缓解疼痛，活动能力，步行，体育锻炼和日常活动。其中，体育活动在手术后12个月达到的最低百分比。术后12个月，对手术的满意度为95％（THR）和87％（TKR）。非常满意的患者比不满意的患者（42％THR； 12％TKR）具有更高的满足期望百分比（96％THR； 92％TKR）。尽管患者列出的大多数期望都包括在HSS调查中，但其中一些没有，特别是对于TKR。从6个月到12个月，患者对自我护理，日常活动的满意度显着提高，并且达到了THR和缓解疼痛，自我护理，日常活动和TKR娱乐活动的期望。