Who Fares Worse Following Total Knee, Hip Replacement: Men or Women?

Remember how women were at a much higher risk for first-time non-contact ACL tears than men?

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Now the American Academy of Orthopaedic Surgeons shares that women fare better than men following total knee, hip replacements.

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The good news: complications and need for revision surgery are relatively rare in the first place.

Here are the numbers directly from the study:

Following surgery, men were:

  • 15 percent more likely to return to the emergency department within 30 days of hospital discharge following either THR or TKR.
  • 60 percent and 70 percent more likely to have an acute myocardial infarction (heart attack) within three months following THR and TKR, respectively.
  • 50 percent more likely to require a revision arthroplasty within two years of TKR.
  • 25 percent more likely to be readmitted to the hospital and 70 percent more likely to experience an infection or revision surgery within two years of TKR, compared to women.

Lead study author Bheeshma Ravi, MD, PhD, notes that one possible explanation is that previous research indicates North American women are less often offered or undergo joint replacement surgery in the first place.

Dr. Ravi concludes this means, “the previously documented sex difference utilization of TJR (total joint replacement) cannot be explained by differential risks of complications following surgery.”

Click here to read the full article from the AAOS.