Minority race and ethnicity is associated with higher complication rates following revision surgery for failed total hip and knee joint arthroplasty
Journal of Arthroplasty Oct 30, 2020
Klemt C, Walker P, Padmanabha A, et al. - In this study, the impact of ethnicity on clinical outcomes and complications following revision hip and knee total joint arthroplasty (TJA) was explored. Researchers designed a single-institution, retrospective analysis including a consecutive series of 4,424 revision hip and knee TJA patients. They applied a student’s t-test and chi-squared analysis to distinguish significant variations in patient demographics and clinical outcomes between Caucasians and various ethnic minorities, including African Americans, Hispanics, and Asians. The results of this study illustrate an underutilization of revision TJA by ethnic minority groups, implying that disparities in access to orthopedic surgery increase from primary to revision surgery despite higher failure rates of minority ethnic groups reported following primary TJA surgery. The data indicate that inferior postoperative outcomes were correlated with African Americans and Hispanics in comparison with white patients, with African Americans illustrating the highest risk of postoperative complications.
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