The Role of Cultural Beliefs in Performing Total Knee Arthroplasty: A Case Report Study

Document Type : Case Study

Author

Department of Orthopedics, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

10.48309/ijashss.2026.561766.1259
Abstract
Following the Total Knee Arthroplasty (TKA) procedure, the patient experienced several complications, including reduced range of motion, pain, swelling, and a general sense of weakness and fatigue. Overall, women undergo this surgery more frequently than men, and elderly or obese patients are generally at higher risk for postoperative complications and adverse outcomes. The patient is a 65-year-old man with a history of cardiovascular diseases, including high blood pressure, who does not mention any specific medical history. The patient has been walking impaired for 3 years due to knee joint wear and tear, and due to cultural issues including lack of proper health literacy, negative peer influences, and lack of correct beliefs and understanding of the disease, he does not accept knee joint replacement properly. Initially, the patient stated that the cause of the joint wear was the injection of Corona drug and claimed that he would recover soon. After 3 years, the patient underwent right knee joint replacement surgery. After 3 months, the patient's right leg was also operated on. Currently, the patient's leg condition is very good and satisfaction with the operation is reported to be excellent. According to the patient's words, special trust should be placed in the treatment team and any fear or distrust of the medical staff should be avoided. Unfortunately, the patient's surgery was postponed for 3 years due to cultural beliefs and personal opinions. The results of this case report showed that cultural and personal beliefs play a fundamental role in improving patients' health.

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Articles in Press, Accepted Manuscript
Available Online from 04 January 2026

  • Receive Date 23 October 2025
  • Revise Date 02 November 2025
  • Accept Date 11 December 2025