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African American patients have improved functional gains and comparable clinical outcomes to Caucasian patients after total hip and knee arthroplasty

Journal of Arthroplasty Aug 09, 2020

Chisari E, Grosso MJ, Nelson CL, et al. - This research was sought to correlate variations in perioperative complications and functional outcomes between African American and Caucasian patients undergoing THA and TKA. Between 2015 to 2018, a consecutive series of all primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients were examined at the institution. Researchers compared demographics, comorbidities, 90-day complications, readmissions, Veterans Rand 12-Item Health Survey (VR-12), Hip disability Osteoarthritis Outcome Score, and Knee injury and Osteoarthritis Outcome Scores between African American and Caucasian patients. A multivariate analysis was performed to control for confounding variables. The study enrolled a total of 5,284 patients. In comparison with Caucasian patients, African American patients made improved postoperative gains, although they had lower preoperative functional scores. Future evaluations are required to assess social causes for the increase in rehabilitation utilization rates in minority patients, although no difference was noted in postoperative complications.

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