ICJR Interviews: Racial Disparity in Revision TKA

    Race may be a factor in the need for revision total knee arthroplasty, according to a recent study from Holy Cross Orthopaedic Institute in Ft. Lauderdale, Florida.

    Kevin Wang, MD, and his colleagues queried a large private payer database for TKAs performed between 2007 and 2014. Of the nearly 126,000 patients, 9.2% (about 11,600 patients) required a revision procedure for a variety of reasons, including infection and mechanical complications.

    Although more than three quarters of the revisions occurred among white patients, Dr. Wang said the incidence and burden of revision procedures was highest among African-American patients (12.4% and 11.1%, respectively) and the lowest among Asian patients (3.4% and 3.3%).

    Why the incidence is so much higher in African-American patients is unclear, Dr. Wang said, and indicates a need for additional research to explore racial disparity in outcomes of TKA.

    Click the image above to hear Dr. Wang discuss the study, “Racial Differences in Total Knee Arthroplasty Revision Incidence and Burden in a National Private Payer Database” (Paper 477), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard