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Sources of information on knee replacement

Most people we interviewed wanted information about partial knee replacement surgery when they found out they were eligible for it, including what would happen during the operation and how long it would take to recover. They knew little about knee replacement, though some had heard about the experiences of family, friends or neighbours. People found out more about the surgery and recovery from health professionals they saw at the hospital, the internet, and other people who’d had this type of operation before.
 
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Jennifer got all the information she needed from health professionals. Her mum, brother and some friends had also had knee surgery before.

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Age at interview: 64
Sex: Female
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Had any of the family or friends had it [partial knee replacement surgery] before? You mentioned your mum had…?

No, it was just my mum and my brother; a friend of my husband's, he used to play rugby with him, he had his knees replaced so I knew him. Oh and also, yeah another friend of mine, he'd had his done when he was 65 when he retired, so he told me a lot so I had a lot of information from other people as well.

What sort of information did they tell you, was it helpful?

Well yes, I mean my friend said to me, "If they tell you in the hospital to get out and walk, only do it if you can feel your feet," because he witnessed somebody who was told to get out and walk with the crutches and his leg was still dead and he fell to the floor. So that was one thing that I thought, 'If my foot's dead I mustn’t get out.' So that was one thing that was helpful, but I think probably that was the only thing.

And when they did the operations, did they explain about osteoarthritis in the knee?

Yes, they said it was osteoarthritis but other than that....

Have you been interested at all in finding out more about osteoarthritis or you feel now that you're, you know, back walking and everything it's, you know, everything's fine? 

That’s right I do yes, yes. 

Were there any questions at all that you felt that, you know, you'd like more information about or anything at all that you thought oh it would be interesting to know more about? 

Not really, no. I think that what I was told covered it and I think, because I recovered so well, I think I put it to the back of my mind. Maybe if I hadn’t, I might have perhaps wanted a few more answers. 
The surgeon told people more about the surgery, including the risks and benefits. Many remembered being told that they would probably need a partial knee replacement but, if total knee replacement was necessary, the surgeon would know this only after looking inside the knee during the operation. They felt prepared for this and the possible complications of the operation. Everyone we interviewed had a partial knee replacement apart from Kevin:
 

Kevin found out after surgery that he’d had a total knee replacement. The cartilage was completely worn. Doctors did ‘a good job’ and it’s made a difference.

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Age at interview: 72
Sex: Male
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I saw Mr. [consultant’s name] back in February. And he said 90% of the people will feel a lot better when they’ve had the operation. “Between you and me,” he said, “We’ll decide between us what we do”. You know, but I thought oh no. “You know I'll have a look,” he said, “I’ll probably replace the outside cartilage,” he said, “I won’t really know till they actually do the operation.”

And afterwards I found out that they’d replaced the whole knee. They said the other cartilage was absolutely worn, the knee was almost shot away, you know. So they replaced both cartilages and put a new kneecap in. I felt it after a few weeks at home and thought well that kneecap doesn’t feel like my own, you know. 

It’s good though. It’s good, you know. But it was a good job Mr [consultant’s name] done, you know. And his friends, well I saw his friend when I went back, his partner. He said he did, they did the operation in about two hours.

Two hours.

And I was quite pleased. But it’s certainly made a, it’s certainly made a difference.
 

A doctor explains that the pros and cons of partial and total knee replacement surgery are discussed with patients before the operation.

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Your surgeon will have a good idea of whether or not it’s possible to attempt a partial knee replacement at the time of going into theatre. And he will have discussed this with you in terms of a plan for the surgical procedure. In approximately 10 per cent of cases where you’ve planned to do partial knee replacement, there may be the case that you need to change at the time of surgery to total knee replacement. And that is a consideration. So when you go into surgery your surgeon will have talked to you about partial knee replacement and total knee replacement as a potential outcome.

In hospitals who offer partial knee replacement, a discussion about that type of surgery will occur when there are parts of the knee which are damaged but parts of the knee which are still functioning normally. So in an effort to preserve those parts of the knee which are not damaged, partial knee replacement becomes an option. And that includes not only retaining the normal ligaments in the knee but also some of the normal cartilage surfaces in the knee. And in those circumstances, partial knee replacement offers some advantage over total knee replacement. There are some disadvantages, and you need to understand both. 

Partial knee replacement on the whole will allow you to recover faster. We think it allows you better function in terms of will you be able to achieve the type of activities you want to after surgery. And that some of the risks involved in joint replacement are less when compared to total knee replacement. In particular, the important risks of infection, blood clot and medical complications such as heart problems and stroke.

This must be weighed against some of the potential disadvantages of partial knee replacement. And in the population as a whole, if you look in the UK, it’s true to say that partial knee replacements are revised or fail at a slightly higher rate than total knee replacements. However, if your surgery is performed in a centre who does a lot of partial knee replacements, and that’s certainly the case in our centre here in Oxford, then the risks of the two techniques in terms of how long an implant lasts are evened out. So I think a patient needs to have a good understanding of the pros and cons of both approaches.
Those we interviewed praised the verbal information they were given and the opportunity to ask questions. They also wanted to know how long the operation would take and what would happen before and after it.
 

A doctor explains what partial knee replacement involves and shows what the implants look like.

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Partial knee replacement involves taking away the damaged part of the knee and replacing that with some metal and plastic components. And the best way to demonstrate that would be to look at a model. 

So this is a model of an Oxford partial knee replacement. And we can see that the metal and plastic components are replacing this inside part of the knee where the damage is. But unlike a total knee replacement, we’re going to preserve the ligaments and this normal part of the knee on the outside, which is functioning normally and doesn’t really need to be replaced. And so the essence of partial knee replacement is replacing the parts of the knee that are damaged and preserving the parts of the knee which are functioning well.

The key parts of the procedure are the implantation of this metal component on the femur and a metal component or plate, base plate, on the tibia. And in between there’s a small plastic component called the bearing. And this is, in essence, what a partial knee replacement is.
This video explains what happens on the day of surgery.



Jennifer said she had lots of good information from the surgeon, who told her that she had arthritis and what the operation would involve. She was given an information booklet and looked at it many times before surgery and during recovery. Most people were given written information such as leaflets or a booklet and some said they didn’t need any more information. Several read the leaflets carefully at different times, while others, like Peter, said he had had only a quick look but other members of the family had read them properly.
 
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David got information from doctors, nurses, the physiotherapist and pharmacist. The pre-operative assessment was ‘very good’ and everything was explained.

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Age at interview: 57
Sex: Male
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We talked to the surgeon. He went through it and then I signed a form to say that if when they get in there, there is a problem and I need the full knee, then it’s okay to go ahead. They told me about what the recovery time might be, depending on how it goes. And that was quite good. I spoke to the physio and they explained all the systems. So you have the operation in the morning and you’ll be up in the afternoon, just to get you upright. And then the following day they’ll get you on the stairs and things like that...

So you saw an anaesthetist, the consultant, nurses, physio. How did you feel about the healthcare and the information that they gave you? 

Very good. They were very, they explained everything. Like the pharmacist confirmed and explained all the drugs I’d be taking; went through all my history to make sure I wasn’t allergic to anything or there was any problems with any of those. The physio went through it all, explained what was going to be done after the operation, and progress with crutches and down stairs and things. The surgeon went through the operation, which was not too much of a problem. It’s just what I said, it’s quite a, generally it’s about an hour, hour and a quarter, something like that. It’s one they do on a regular basis; did all the ECG and all the bits and pieces, just to make sure that there wasn’t going to be a problem when he operated. Yes, it was very good.
Many people talked about the tests and information given to them by different professionals at the pre-operative assessment (see ‘Views and experiences of healthcare from people who had a knee replacement’). This included verbal, written and video information. During this appointment people were shown a new type of computerised information that includes 3D pictures and videos that can be watched and listened to on the internet. This is called Technology Enhanced Patient Information (TEPI). The 3D videos are designed to help people understand why they need partial knee replacement surgery, what it involves and the different stages involved, from the pre-operative assessment to recovery.
 

A doctor explains what happens at the pre-operative assessment.

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The pre-op assessment is a really important part of the process. It’s an opportunity where we get to impart a lot of information to patients about what will happen in their journey through hospital and after that in follow-up. 

Perhaps the easiest way to think of it is that we’re going to do an assessment of the patient to make sure that we’re making that process as safe for them as possible. There are some medical checks, blood tests, heart tracing and general assessment of ability of people to be able to mobilise and to be safe at home when we let them out after hospital. 

I think central to that process is the transfer of a lot of information to patients about what they can expect. And we’d also expect to answer a lot of your questions about the precise detail that may be very specific to you about having a joint replacement.
This video explains more about the pre-operative assessment



The people we spoke with talked about the TEPI videos they had been shown at the pre-op assessment. A few watched the video with the physiotherapist while others were left to watch them alone or with a relative. The physio was available afterwards to answer questions. Most people found the videos informative, helpful and said that they prepared them well for surgery. Knowing what would happen before, during and after the operation was reassuring, Lesley saying that the videos were a ‘great help’, Penelope that they ‘settle your mind’ and Jacky said that you ‘don’t go in blind...they’re good and encouraging’. Some people watched them again at home with family, many saying that the videos gave them all the information they needed and were reassuring for family to understand more about the operation.
 

Lesley watched the TEPI videos at home with family. They were simple, straightforward and it was interesting to see the implants that would be going inside her knee.

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Age at interview: 58
Sex: Female
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When I saw the physiotherapist and she explained that there was a website that I could go on and it would explain the procedure. She showed me how to get on it and she gave me information about how to do it.

When I came home, I went on and had a look with the family. And, yes, it was really helpful and really good. All the questions that I might have had was on the tape. The assessment was on the video, but obviously I didn’t have information before then. But that was good. Each procedure, it showed me about the operation, what to expect. It showed me the part knee replacement as well as the full knee. Because he did, the doctor did explain that although it was only the left-hand side of my knee, I would have to sign for full consent for the full knee. So that was absolutely fine. I was reassured. I knew exactly what to take. I had all the literature telling me how long it would take. One or two days in hospital.

So did you look at the website on that very day then, after you came back, with your family?

Yes, yes. It, and it just looked so simple, so straightforward. Reassured you. You knew exactly what to expect. Even the, saying the doctor would be there, the nurse, the anaesthetist and the sequence of events was really helpful. Because you wasn’t anticipating what’s going to happen next. You knew what was going to happen. You knew what order it was going to happen in as well. So therefore you wasn’t just saying, “Why is nobody talking to me?”

So that was helpful. This is quite new, this, you know, using videos like this that the Nuffield [NHS hospital] are doing. Would you say then that it would be a good idea for every operation that people went in for?

I think so. I suppose people that don’t like to see something cut, and the open wound might not please some people. But in my case I found it, it was interesting to know what was going to be placed inside me, how it was going to be fitted, how it was going to work, the mechanics of it. So now I, instead of just looking at the outside of my knee I know actually what’s inside. Which is good, yes, really good.
Some people felt that video information like the TEPI videos should be available before every operation. They liked the format, found it easy to understand and could access them easily from home. Geoff first had a partial knee replacement when he was around 58 and a second one when he was 64. He watched the TEPI videos at home with his wife and kids.
 

The whole family knew what Geoff’s operation would involve. He watched the videos again after surgery and was reassured to learn his discomfort was normal.

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Age at interview: 64
Sex: Male
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They also had a video that I could watch. So I could… they gave me this and they showed me where you could see the partial knee replacement, the damage it had done, the things that they were going to do to it and the things for recovery, which was good.

Was that the pre-op, the pre-med appointment or with the surgeon?

With, I think it was with the surgeon. I went to see the physio lady and she went through it with me and told me what would happen and get on the site and do this.

So you looked at it while you were there?

Yeah and then I looked at it when I got home. She said… told me which… she wrote down which website it was and I watched it when I got home and showed my wife, showed the kids.

What did they think?

They all thought it was pretty good. It was good information and everybody knew what was going on instead of thinking, 'Well Dad's going in.' I mean my children are old, they're over thirty but, 'My Dad's going in and he's just going to have a knee stuck on and he'll be back home.' But they could actually see what was happening.

So that was good to have that website?

Yeah, yeah

Did you have anything like that for the first knee?

No it was just…this was new, it was good.

And you saw it once with your wife and kids, did you look at it again at all?

Yeah, I looked at it when I'd come back home after I'd had the operation and looked at it a few times.

What kind of things were you thinking about when you think, 'Oh I think I'll have another look?' What sort of information were you trying to get?

Well I was trying to make sure that the exercises and the pain, well not the pain but the discomfort – no pain but discomfort – was normal. So I thought I'd go and have a look and see if it's a normal thing and apparently it was.
Although many people felt that the TEPI videos were an excellent source of information, some also said that they were a good accompaniment to the leaflets they were given and that they liked having both. Jennifer said the videos were ‘helpful’ but when she was recovering at home it was easier to browse through the booklet she’d been given than switch her computer on.
 
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The video and booklet were both helpful, but Jennifer found it easier to sit and read the booklet than to go upstairs and use the computer.

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Age at interview: 64
Sex: Female
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I did see a video – the physiotherapist showed me a video and it showed you like the arthritis in the knee joint and the new joint they would put in... I saw the video but I felt that I knew from what I'd done the first time, so I felt that really I knew what to expect. 

Yeah. Did you find it helpful seeing that video? 

I did yeah, yes I did, yes. 

So there were a few short videos, on the pre-assessment? 

That’s right. 

And was that all shown to you on a laptop or? 

Yes, no on a proper computer screen, yes. 

Did somebody go through it with you or? 

Yes, the physio was there, yes. 

So you watched it with the physio? 

Yeah, yeah. 

So that was helpful? 

Very helpful. 

Any questions after that or you just felt it covered everything? 

No, I think it covered everything, yeah. 

Did you think it's a useful thing for doctors to do before any kind of operation? 

Yes I do, yes I do. 

And were you able to look at it at home at all or…? 

Yes, she sent me the website so that I could go onto the computer at home if I wanted to. 

Did you look at it again or? 

No I didn’t, no I didn’t...

So this way that you're given information usin g the video – do you think it's helpful or is a booklet just as good, or both?

Well the booklet you can sit in the chair when you're recovering and you can read whereas, to go upstairs on your crutches, it's an effort, so the booklet was very good. Also that was but, as I say, no when I first came home it was easier to sit in the chair, pick my book up and read it so. 

So in some ways you think the booklet is better than… or are they both different and both useful? 

Both useful yeah, both useful, yeah. 

So you were glad you had both? 

I was, yes. 

Did the booklet have all the exercises as well? 

Yes, yes.

So did you use the booklet to have a look whether you're doing…? 

That’s right, yes I did. 
 
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The TEPI videos were informative but David would have liked a leaflet about the operation as well. He rarely uses the internet. Leaflets are easy to read and reread.

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Age at interview: 57
Sex: Male
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When did they show you the videos? 

When I was talking to the physio, yes. 

Did she go through it with you or did she leave? 

She left me to it, yes. 

And you watched. And what did you think when you saw them? 

They were quite informative actually...

Would you have liked any written information that you could have taken home? 

Possibly, yes, just to give me that peace of mind, because you put your trust in the surgeon. He knows what he’s doing but it would be nice just to know a little bit more. There are people in the village I’ve spoken to who’ve had similar operations and I got the gist of it. But it would have been nice to actually see what was happening, a little bit more about it. 

So something similar to what you saw on the video? 

Yes, yes. 

But on leaflets that you could read? 

Yes, leaflets or something that you could just keep reading. Yes, because with a video, you look at it and it’s gone. You look at it and you’re trying to look at the pictures and also take in what’s being said. If you look at a leaflet, you actually look at it and then study it. You read it two or three times and pick it up a little bit better possibly...

And you mentioned that it might have been good to have the leaflets that you could pick up whenever you feel like it. 

Yes, so that you can actually digest the information properly. Because if you’re not on the Internet and you’ve seen the video once, it doesn’t all go in. You want to be able to go back to it. So if you’ve got it in a leaflet, at least you’ve got something and you can say, “Oh, yes, I’ll just” or “oh, I didn’t quite understand that. Yes, I understand it now.” Yes. 
David and Lesley said that it could be difficult to remember what the TEPI videos were about a few weeks after watching them. A leaflet, though, can be helpful because it is easy to pick up and read whenever it’s needed. A few people couldn’t remember what the videos were about, though they did recall being shown some. Nancy, aged 81, was happy with the care and information she’d been given in hospital and didn’t feel the need to know more. She never uses a computer and her husband remembered more about the TEPI videos. He also watched the videos again at home with Nancy. Keith said that he remembers the videos were helpful but couldn’t recall a lot more, other than that they were short and simple.
 

Keith watched the videos twice but couldn’t remember a lot. They were ‘nicely produced’ and simple. The most useful thing was seeing the implants that would be used.

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Age at interview: 71
Sex: Male
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I saw, I watched it on the laptop with, the physio set it up for me and I watched it. She sent it to me later and I watched it once more after the surgery.

After the surgery?

[mhm]

So once beforehand and once afterwards?

Yes. [mhm]

What did you think of that video? Did you feel that it was helpful at all or did it just repeat what you’d already been told?

I think it was quite helpful. I’ll be honest, even though I watched it twice I still, I can’t remember a lot about it. I think what I found very useful was the, actually, you know, seeing the device. And indeed she showed me one as well, the physiotherapist did. But, you know, seeing and sort of understanding in a way the simplicity of the device was quite useful. And I think for me that was the most beneficial thing. It then talked about, you know, post, what would happen post-surgery and so on. The fact that I can’t remember much about it probably means I found it less helpful. But I can’t be sure about that. But I thought it was quite good. It was a nicely produced video and it was simple. It wasn’t too long, it wasn’t complex, you know.

Were you given leaflets as well at this point at all?

Yes, yes, I was, yeah.

About the operation?

Yes, yes.

Did you read through those or were you fairly familiar?

I did, I did have a look at them, yeah.
Penelope and Jacky watched the videos in hospital but had problems when they tried to access them at home. Penelope clicked on the videos but nothing happened and she wondered if she had a problem with her computer. 
 

The TEPI videos weren’t made the first time Jacky had knee surgery. They were good, encouraging and reassuring. Her son helped her access them when she had problems.

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Age at interview: 57
Sex: Female
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The physio took me to one side during the pre-op while there was a gap and she showed me the video.

And you had the leaflets anyway – leaflets about the operation – but you also saw this video. What did you think of the video, did it tell you more?

I thought it was very good because it showed you the bits before and what they were going to do in the pre-op, and all this, that and the other and what they would be doing. Then you obviously had the op and they would, if I remember rightly they did a little diagram showing what would happen, and after the physio bits as well. It was very good; I found it very encourageable. 

So even though you kind of knew what to expect because you'd had one [partial knee replacement], it just reinforced that.

It reinforced it and it was very good. Because with the first one I'm thinking, 'Ooh what are they going to do?' And I think that would have been more encourageable if I'd seen that before. I would have known what was going on.

So it prepares you. Was it reassuring or did it just give you the information that you needed?

A bit of both, yeah. It was reassuring and knowing what was going to happen.

But you mentioned when you came home you had the web address and you tried to look online?

Yeah, we tried to look on it. But then I had a letter from the lady from the physio saying that everybody was having trouble with it and she sent me another one. I did manage to get on it but then I got confused because me and computers don’t go together.

So did you watch it again?

I did in the end. [Son’s name] helped me; my son helped me. But yeah, it was encourageable and people have said to me, "Would you look at it?" If they asked me, “should I look at it?” I'd say, “Yes because you'd get a good idea then.”

So you would recommend it?

I would recommend them to look at the video, yeah.
Peter felt that patients should be given a choice about whether they want to watch the videos – some people may be ‘squeamish’ and find them off-putting. 
 

The TEPI videos are a good idea but watching them should be a personal choice. Peter read what he thought was relevant and felt completely prepared for surgery.

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Age at interview: 66
Sex: Male
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The video that you watched, did you feel that’s a good idea?

Yeah, yeah, I felt it was a very good idea.

So if people were going in for different types of operations?

Yeah, I think they should be given the choice of, you know, of being told what the video contains. And then their choice as to whether they want to view it or not. Because some people are a bit squeamish about that sort of thing. Personally I’m not because I’ve worked for so many years in hospitals, right from an apprentice. I started my apprenticeship in [hospital name] in London and I’ve been in and around hospitals most of my life. That makes me a little bit easier with seeing things like that. Other people might not like it. It’s got to be a, you know, personal choice.

Would you have liked any leaflets to take home with the information?

We were given loads and loads of leaflets. I did try to sit down and read most of them, but in some cases it’s gone in one ear and out the other. I mean I’ve read them and digested them and, over the time now it’s, you know, I’ve probably forgotten what they said. Well, if I, you know, being honest about it, I’ve concentrated on reading things that I felt was for my benefit, you know, and my knee rather than other people’s.

So before you went in for the operation, did you feel that you were prepared for it?

Yeah, oh, yeah, I was hundred per cent up for it, yeah, absolutely. I think you’ve got to go in there with a very, very, you got to be focused. You got to want it and you got to be prepared for it.
Hugh didn’t get a chance to watch the videos at the pre-op assessment and would have liked a lot more information.
 

While Hugh was watching the TEPI videos, he was called

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Age at interview: 61
Sex: Male
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At which point did they explain to you about the TEPI website that you can go and look at the information that is there?

Oh, that, when they brought me to show me on the TV well. And they show me on the TV what you could see on the TV and what you can do and what you can’t do. Well, while I was doing that, I had to come out the office to go and see someone else. So we had to stop that and I go and see someone else. And I think when I come back it was so much people want to go in at the same time. 

So you, how much did you see?

Not a lot, not a lot.

I just have a printout here. And you can tell me how much you saw of it. This is the partial knee replacement. So the first part is sort of kind of what’s going to happen during the pre-admission clinic and day of surgery and recovery. Did you, do you remember how much you saw? And there’s that and... Did you get any information about your knee problem?

For the first, when I first went in they were telling me about the knee. That’s, I saw this part here, where they show how the knee kind of, how they’re going to operate and things like that. Yes, I see this part here. But I didn’t see the whole lot of it, the whole CD what they were showing. I had to come out the office to go and see some, the doctor.

And then there was no time --

No time, no time, yes.

-- to go and see it? And can you see it at home? Do you have a computer at home?

No, I haven’t got a computer.

So your chance of seeing the website was in the hospital?

Yes, yes.
Some people said they had all the information they needed and felt no need to look for more. Janice said that the TEPI videos were ‘fantastic’ and she preferred not to look for more information on the internet because it could be unreliable and contradictory. A few people had looked for more on the internet before the pre-op assessment but were mainly interested in looking at the hospital website.
 

Helene and some relatives looked at the hospital website. It told her more about the pros and cons of surgery but she had already decided to have it because of the pain she was in.

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Age at interview: 66
Sex: Female
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So this link, was it to a website or was it to video clips?

It was to the Oxford Knee website – that’s what it's called – and it just tells you, or it told me sort of about the partial knee replacement. It actually shows you the devices that are going to be put in there. Such a long time since I looked at it now. And the options – you know you could…that they had said that when we do do the operation we will look and make sure that you don’t need to have a full, change to a full one. And there was the pros and cons from people, different people, because of course you could say no you don’t want it, that you'd wait. Why I wouldn’t want, I don’t know but obviously some people don’t like the idea of surgery and would wait.

So you looked at the website. Did you mention that family members also looked at it?

Did I mention to them?

Did you say earlier that family and people in America?

Yes, yeah.

Friends and family?

It's my sister-in-law – her partner is a GP, well he was a general practitioner, he's now over seventy so he's semi-retired. He looks after hospice patients and so of course it was of interest to them and they looked it up.

And when you saw that website, did it help you make a decision or was your decision made because you were in so much pain?

I think yeah, I think honestly, I would say that it… I needn’t have looked at the website, I would have already said, "I want something done that’s going to take away the pain."
 

The TEPI videos were good, short and informative but Alice had looked at the hospital website before. The videos didn’t tell her anything new.

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Age at interview: 62
Sex: Female
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What did you think of the videos that you were shown?

I thought they were good. But I had already read a lot of stuff on the website, hospital website, so there wasn’t much about the actual surgery that was new to me or about what the condition of what arthritis is etcetera. I think the questions I asked were fairly practical ones about, you know, ‘cos they said about what to expect after as well. But I don’t remember. I thought it was a good video, not too long, quite informative, but there wasn’t a huge amount in there that I didn’t know already.
Several people who’d had partial knee replacement surgery before knew what to expect when having the second knee done. Phillip described his second knee operation as a ‘walk in the park’ compared to the first. Penelope had had her left knee replaced in 2007 and the right one in 2014. She felt no need for more information about the surgery itself. Phillip, on the other hand, said that although he knew what would be involved, watching the TEPI videos helped to refresh his memory. Jennifer had seen the videos before her first knee replacement in January and then again in March 2014 when she had the other knee done, and found them helpful on both occasions. Several other patients having their second operation said the videos were new to them but confirmed what they’d already known. Having partial knee replacement a second time, they felt more relaxed and prepared for surgery and any information from health professionals was further reassurance.
 

Phillip watched the TEPI videos before both knee operations. He stopped smoking after the first one, and can now walk well enough to enjoy time with his grandson again.

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Age at interview: 62
Sex: Male
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So again was it the same thing with this knee? You had to go for the pre-op and then --

Yes, the same, yes.

When did you watch the videos the second time round?

The same as when she went to check all the movement and what bone I’d got. She said, “Well, I’ll show you the...” She said, “You saw the video the first time?” I said, “Yes.” She said, “Do you want to watch it?” I said, “Yes, please, yes. Just refresh my memory.” So she put it on and out she went to get herself a cup of tea, bless her. And come back and that was it. Then she had to take your blood and urine sample and get your weight checked and... Because in between that, you know, other things happened. Since my first knee, I give up smoking now for over a year. So I give, feel 100 per cent better. Because I couldn’t get out of bed to have a cigarette and I thought, “I’ve gone two or three weeks. I don’t want one.” So I’ve knocked that on the head now, thank God.

So it sounds like you’ve made a lot of health changes?

Oh, yes, yes, a lot of changes actually, yes. Retired and given up smoking. So . . .

And now you’re more mobile to do things as well?

It is, yeah. I mean we’ve just, we took my grandson away the other week. And I still can’t move that well with this one. But to actually just walk with him along the beach is a, is a pleasure which had been taken away from me.
Many people talked about the exercise booklet that the physiotherapist gave them before they left hospital. Participants usually wanted to know more about exercises and short and long term recovery (see ‘Information about exercises for knee replacement’ and ‘Wanting more information about knee replacement’)

Last reviewed August 2018.

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