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Sex-based differences in hip replacement outcomes

A systematic review of more than 2.3 million patients found that women and men had different patterns of postoperative complications and recovery, with age and implant strategy modifying observed differences.

  • By

  • Andrea Surnit

  • August 21, 2026

  • 4 min

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  • 1

    Biological sex influences postoperative outcomes after total hip arthroplasty, but age and clinical factors play significant roles.

  • 2

    Women have a higher risk of revision surgery, especially younger patients and those with uncemented fixation.

  • 3

    Men experience higher early medical complications, including cardiac events and acute kidney injury, following THA.

  • 4

    Women report greater improvements in pain relief and mental quality of life, while men show faster early functional recovery.

  • 5

    The study emphasizes that biological sex should not be viewed as an isolated predictor of postoperative outcomes.

Original Source(s)

Sex-based differences in hip replacement outcomes

  • by Andrea Surnit

  • August 21, 2026

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