Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030

Kurtz, Steven; Ong, Kevin; Lau, Edmund; Mowat, Fionna; Halpern, Michael
April 2007
Journal of Bone & Joint Surgery, American Volume;Apr2007, Vol. 89-A Issue 4, p780
Academic Journal
Background: Over the past decade, there has been an increase in the number of revision total hip and knee arthroplasties performed in the United States. The purpose of this study was to formulate projections for the number of primary and revision total hip and knee arthroplasties that will be performed in the United States through 2030. Methods: The Nationwide Inpatient Sample (1990 to 2003) was used in conjunction with United States Census Bureau data to quantify primary and revision arthroplasty rates as a function of age, gender, race and/or ethnicity, and census region. Projections were performed with use of Poisson regression on historical procedure rates in combination with population projections from 2005 to 2030. Results: By 2030, the demand for primary total hip arthroplasties is estimated to grow by 174% to 572,000. The demand for primary total knee arthroplasties is projected to grow by 673% to 3.48 million procedures. The demand for hip revision procedures is projected to double by the year 2026, while the demand for knee revisions is expected to double by 2015. Although hip revisions are currently more frequently performed than knee revisions, the demand for knee revisions is expected to surpass the demand for hip revisions after 2007. Overall, total hip and total knee revisions are projected to grow by 137% and 601%, respectively, between 2005 and 2030. Conclusions: These large projected increases in demand for total hip and knee arthroplasties provide a quantitative basis for future policy decisions related to the numbers of orthopaedic surgeons needed to perform these procedures and the deployment of appropriate resources to serve this need.


Related Articles

  • TKR for Unicompartmental Disease: First Among Equals. Sculco, Thomas P. // Orthopedics;Sep2003, Vol. 26 Issue 9, p958 

    The article asserts that unicompartmental knee replacement as a temporizing procedure is not a good idea. The article then cites the uncommonness of the ideal patient, the complexity of the technique, the inferiority of long-term results and the problems encountered in revisions. The article...

  • Participation in physical activity in patients 1-4 years post total joint replacement in the Dominican Republic. Elman, Scott A.; Yan Dong; Stenquist, Derek S.; Ghazinouri, Roya; Alcantara, Luis; Collins, Jamie E.; Beagan, Carolyn; Thornhill, Thomas S.; Katz, Jeffrey N. // BMC Musculoskeletal Disorders;2014, Vol. 15 Issue 1, p2 

    Background To address both the growing burden of joint disease and the gaps in medical access in developing nations, medical relief organizations have begun to launch programs to perform total joint replacement (TJR) on resident populations in developing countries. One outcome of TJR of...

  • Younger patients undergo hip and knee replacement surgery.  // Nursing Management - UK;Apr2009, Vol. 16 Issue 1, p5 

    The article reports on the results of a survey that was conducted by the Hip and Knee Network. The survey found that the average of patients undergoing hip or knee replacement is falling, that more joint replacement patients consider themselves to be active and that many patients experience knee...

  • Analgesia for primary hip and knee arthroplasty: the role of regional anaesthesia. Grant, Calum R. K.; Checketts, Matthew R. // Continuing Education in Anaesthesia, Critical Care & Pain;Apr2008, Vol. 8 Issue 2, p56 

    The article discusses the role of regional anaesthesia for primary hip and knee arthroplasty. It states that it provides stable intra-operative conditions and allows for faster patient recovery. Regional anaesthetic techniques result in less intra and post-operative blood loss due to reduced...

  • Weight change following total hip replacement: A comparison of obese and non-obese patients. Aderinto, J.; Brenkel, I.J.; Chan, P. // Surgeon (Edinburgh University Press);Aug2005, Vol. 3 Issue 4, p269 

    Background: Weight loss is desirable in obese patients prior to hip replacement but poor mobility secondary to hip dysfunction may limit attempts at weight reduction because of reduced exercise tolerance. Methods: We followed 140 patients prospectively to investigate weight change and functional...

  • Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. Kennedy, Deborah M.; Stratford, Paul W.; Wessel, Jean; Gollish, Jeffrey D.; Penney, Dianne // BMC Musculoskeletal Disorders;2005, Vol. 6, p3 

    Background: Physical performance measures play an important role in the measurement of outcome in patients undergoing hip and knee arthroplasty. However, many of the commonly used measures lack information on their psychometric properties in this population. The purposes of this study were to...

  • Serum metal ion levels after rotating-hinge knee arthroplasty: comparison between a standard device and a megaprosthesis. Friesenbichler, Joerg; Maurer-Ertl, Werner; Sadoghi, Patrick; Lovse, Thomas; Windhager, Reinhard; Leithner, Andreas // International Orthopaedics;Mar2012, Vol. 36 Issue 3, p539 

    Purpose: The effects of systemic metal ion exposure in patients with implants made of common prosthetic alloys continue to be a matter of concern. The aim of the study was to determine the measurement values of cobalt (Co), chromium (Cr) and molybdenum (Mo) in serum following rotating-hinge knee...

  • A pilot project for the Japan arthroplasty register. Akiyama, Haruhiko; Hoshino, Akiho; Iida, Hirokazu; Shindo, Hiroyuki; Takakura, Yoshinori; Miura, Hiromasa; Yamamoto, Kengo; Yoshiya, Shinichi; Hasegawa, Yukiharu; Shimamura, Tadashi; Kurosaka, Masahiro; Otsuka, Hiromi; Kawanabe, Keiichi; Kawate, Kenji; Harada, Yoshitada; Nakamura, Takashi // Journal of Orthopaedic Science;Jul2012, Vol. 17 Issue 4, p358 

    Background: National arthroplasty registers are valuable tools for reporting on an updated epidemiologic survey of arthroplasties and for evaluating the performance of implants and operative procedures through the early identification of failure risk factors. More than ten registers have been...

  • Athletic Participation After Hip and Knee Arthroplasty. Golant, Alexander; Christoforou, Dimitrios C.; Slover, James D.; Zuckerman, Joseph D. // Bulletin of the NYU Hospital for Joint Diseases;2010, Vol. 68 Issue 2, p76 

    The issue of athletic participation after hip and knee arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. This article reviews patient-, surgery-, implant-, and sports-related factors, and discusses...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics