Epidemiological Situation of Hip Replacement Surgery: Gender Difference Responding

Abstract

In some papers, differences in gender regarding the total hip arthroplasty (THA) replacement surgery response are reported. This study evaluated gender differences in response to patients undergoing total hip arthroplasty replacement surgery in our country. It is a cross-sectional and descriptive study that analyzed 401 patients admitted and undergoing THA at the University Trauma Center, Tirana, for five years. SPSS software 20.0 is used to analyze patient outcome measures. The logistic regression compared outcomes between genders. A p-value less than 0.05 was considered significant. The average age in this study was 67.1 +/- 5.4 years, with the range of min to max ranging from 22 to 89 years old.Women were the most predominant Gender, at 51.6% (207/401), compared to men, at 48.4% (194/401). The age group 60–70 years old had the most patients, accounting for 29.7% (119/401). In addition, women were more likely than men to be older, to have arthritis, and to have metabolic syndrome (P=0.001). The preoperative health of men was weaker despite being younger than women. Based on the logistic regression of the data, the length of hospital stay was significantly higher in women versus men. Still, on the other side, mobility after the replacement was much slower in men. Also, the men were less likely to return to their homes or mobilize independently during the 90-day follow-up. The findings of this study show a significant association between the gender effect and the outcomes of the replacement response. The total amount of arthroplasty used is more than four times as great in women as in men. We recommend future studies to clear up the underlying causes of gender differences in joint arthroplasty.