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When to Have That Joint Replacement?
Date:2/25/2009

Some minority groups wait too long for surgery, study finds

LAS VEGAS, Feb. 25 /PRNewswire-USNewswire/ -- Hispanic and African-American patients tend to have poorer joint function before undergoing hip or knee replacement surgery, according to a new study presented today at the 2009 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) (http://www.aaos.org/). In addition, female patients have less preoperative joint function than male patients across ethnic groups.

"Studies have shown that the timing of joint replacement surgery (http://orthoinfo.aaos.org/topic.cfm?topic=A00220) is an important determinant of outcome," says James Slover, M.D., M.S., an orthopaedic surgeon at New York University Hospital for Joint Diseases. "This means that patients with worse joint function before surgery do not do as well after the surgery."

Researchers reviewed the pre-surgical joint function of more than 3,500 hip and knee replacement patients based on physical exams and questionnaires. This information comprises the functional components of the Harris Hip Score and the Knee Society Score, which were used to quantify the functional ability of all the patients. They found:

  • Even when adjusted for patient age, Hispanic and African-American patients had worse joint function before the surgery.
  • In particular, Hispanic men had worse function prior to knee and hip replacement than both African-American and Caucasian men.
  • Hispanic and African-American women had significantly worse function prior to hip replacement than Caucasian women.
  • Women demonstrated lower preoperative hip
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SOURCE American Academy of Orthopaedic Surgeons
Copyright©2009 PR Newswire.
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