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One of the main concerns is the effect of interface gap and shimming on the elastic stress state at the hole due to skin joints involve significant stress concentration and composite parts present brittleness and limited stress relief ability.
This questionnaire includes 4 questions asking about satisfaction with the overall outcome, pain relief, ability to perform activities of daily living, and ability to participate in leisure activities.
The Satisfaction Scale for Joint Replacement Arthroplasty consists of 4 questions asking respondents to rate their satisfaction with hip replacement in terms of pain relief, ability to perform activities of daily living (ADLs), ability to partake in leisure activities, and overall satisfaction.
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Questions in the baseline survey regarding patients' preoperative expectations for TJR covered five main areas taken from Mancuso's instrument [ 21, 38]: pain relief, improved ability to perform daily activities, improved ability to walk, improved ability to interact with others, and improved psychological well-being.
Preintervention expectations for TJR ranged from 85 to 86% of patients with high expectations for pain relief and ability to walk to 70% with high expectations about interacting with others.
Patients treated with additional SCS reported better pain relief, functional ability and patient satisfaction.
Patients who had higher pain relief or ability to walk expectations improved more in HRQoL at 12 months.
The two areas where patients had the highest expectations were pain relief and ability to walk, which are traditional reasons for performing TJR.
Participants' treatment expectations included pain relief, the ability to remain active, to be treated as a person, and substantive treatment plan involvement.
Taking into account that after adjustments, the two expectations which were associated with change in WOMAC domains were those related to pain relief and ability to walk, we compared the MCID% for each WOMAC change score according to expectation categories.
So, patients who have higher pain relief or ability to walk expectations may have perceived less pain, less stiffness, and better functional and mental outcomes than patients with less expectations.
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