Do age and gender really have any influence on total knee arthroplasty (TKA) and total hip arthroscopy (THA)? Debates have emerged on this topic and it seems that it is true.
Recently, a study about the influence of gender on 30-day outcomes after TKA and THA made by Darwin D. Chen, MD, and Jonathan Robinson, MD – researchers from the Icahn
School of Medicine at Mount Sinai, New York – was presented at the American Academy of Orthopaedic Surgeons.
The main purpose of this research was to assess the impact of gender on complications and find which of them can be prevented.
For this study, THA patients consisted of 45.1% male and 54.9% female. TKA patients consisted of 36.7% male and 62.3% female.
Results have shown that the female gender is an independent risk factor for urinary tract infections, blood transfusion and non-home discharge after either THA or TKA. Women have also had worse outcomes after these procedures, which might imply a need for gender-based implant designs.
The male gender, on the other hand, is an independent risk for post-operative sepsis, myocardial infarction and acute renal failure.
When surgeons advise their patients before surgery, gender should play a role in the discussion.
The study made by these two researchers was the largest study to date that examined the impact of post-operative complications for both TKA and THA.
The successful outcomes in both types of surgery have resulted in a steady increase of these procedures over recent years, and they should increase up to 17% more in the next few years.