Abstract
Despite the widely accepted advantages of total knee arthroplasty surgery, not all patients are completely satisfied. This was initially reported with studies from the Swedish Registry and indicates room for improvement in our craft. But who says this is a “growing concern”? First of all are the third party payers and government agencies who would like to curtail expenditures and retain funds. Next are manufacturers promoting new, and one would hope, improved products and finally surgeons similarly promoting new techniques.
But who are the minority of dissatisfied patients and why are they unhappy? There is no reduction in demand for arthroplasty surgery by patients worldwide.
