Racial Disparities in Total Joint Arthroplasty

Danielle S. Chun, Annemarie K. Leonard, Zenaida Enchill, Linda I. Suleiman*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations


Purpose of Review: The primary aim of this review was to evaluate recently published total joint arthroplasty (TJA) studies in order to accurately summarize the current concepts regarding racial and ethnic disparities in total joint arthroplasty. Recent Findings: Many studies found that racial and ethnic disparities in TJA are present in all phases of arthroplasty care including access to, utilization of, and postoperative outcomes after TJA. Summary: Factors that limit patient access to TJA—increased patient comorbidities, lower socioeconomic status, and Medicaid/uninsured status—are also disproportionately associated with underrepresented patient populations. Minority patients are more likely to require more intensive postoperative rehabilitation and non-home discharge placement. This in turn potentially adds additional concerns regarding hospital/provider reimbursement in light of the current Medicare/Medicaid model for arthroplasty surgeons, thus creating a recurrent cycle in which disparities in TJA reflect the complex interplay of overall health disparities and access inequalities associated with racial and ethnic biases. Literature demonstrating evidenced-based interventions to minimize these disparities is sparse, but the multifactorial cause of disparities in TJA highlights the need for multifaceted solutions on both a systemic and individual level.

Original languageEnglish (US)
Pages (from-to)434-440
Number of pages7
JournalCurrent Reviews in Musculoskeletal Medicine
Issue number6
StatePublished - Dec 2021


  • Racial disparities
  • Total hip replacement
  • Total joint replacement
  • Total knee replacement

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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