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Sex‐based differences in the outcomes of total hip and knee arthroplasty: a narrative review
Author(s) -
Choong Annabelle L.C.,
Shadbolt Cade,
Dowsey Michelle M.,
Choong Peter F. M.
Publication year - 2021
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.16299
Subject(s) - medicine , psychological intervention , joint arthroplasty , narrative review , arthroplasty , physical therapy , osteoarthritis , total knee arthroplasty , medline , complication , total hip arthroplasty , implant , intensive care medicine , surgery , alternative medicine , nursing , pathology , political science , law
Total joint arthroplasty (TJA) is an effective treatment for end‐stage osteoarthritis, which aims to alleviate pain and improve function and mobility. Despite the remarkable success of TJA, complications can arise, leading to unplanned hospital readmission, implant failure, morbidity and mortality. Recently, there has been a growing interest in analysing sex‐based differences in diseases and response to medical interventions. This review summaries evidence pertaining to the widening gap between men and women regarding the utilization and outcome of TJA surgery. Interactions between sex and patient‐reported outcome, implant failure and medical complication are complex and often demonstrate conflicting results. Significantly, there is a global consensus that men are at a higher risk of developing prosthetic joint infection following joint arthroplasty. Guided by the literature, there is a clear need for standardized methods of collecting, analysing and reporting sex‐specific data to improve outcomes for both men and women who undergo TJA.