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Background and objective Compliance with preoperative expectations of patients undergoing total knee arthroplasty (TKA) is related to the degree of satisfaction, but its effect on other outcomes has not been studied. The aim of this study is to determine whether meeting expectations influences clinical, functional and quality of life outcomes at one year after surgery. Material and methods The expectations of 183 patients were evaluated through the Hospital for Special Surgery Knee Replacement Expectations Survey. The Visual Analog Scale,