Increasing Incidence of Joint Replacements Burdens Healthcare System

With the number of joint replacement proceduresrevisions are expected to increase sevenfold, and hip
growing at extraordinary rates, putting extremerevisions to more than double by 2030.
pressure on already rising healthcare costs, theRevision surgeries are problematic for several
healthcare community must ensure that it isreasons. In addition to the extra recovery time for
adequately equipped to meet the demand bypatients, revisions are tougher operations that take
preparing for the rising costs and making sure thatlonger and cost more. There is often a reduced
there are enough orthopedic surgeons to handle newamount of bone to place the new implant and there
cases. For their part, medical device companies needis a much higher complication rate.
to design and manufacture implants with longer lifeWhy Implants Fail
spans to avoid revision surgeries that add toWith hip replacements, the most common problems
healthcare costs, while exploring alternatives toare postoperative instability and repeated dislocations.
traditional joint replacement procedures.Surgeons must consider many risk factors before the
Record growth in joint replacement surgeriesinitial surgery, including age, gender, motor function
represents a lucrative opportunity for implant makers,disorders, dementia and prior hip surgery. The surgical
but with opportunity comes the responsibility to helpapproach can also affect the risk for dislocation and
hold down increases in healthcare costs before theyleg-length discrepancy, so proper pre-operative
overwhelm our collective ability to pay. Medical deviceplanning is a must.
companies are developing new materials andComponents design and positioning may also
procedures and working with healthcare providers oncontribute to instability. Dislocations are often caused
preventive measures. Even so, more needs toby movement outside the normal range of motion,
happen to prevent joint replacement surgeries fromso it is important for patients to take the proper
overburdening the healthcare system.precautions following surgery. A study by the Mayo
Joint replacements, which have been performed sinceClinic showed that in the case of repeated
the late 1960s, can be highly successful at relievingdislocations, the hospital fees for treatment and
pain, repairing damage caused by arthritis, and helpingrevision surgery end up costing, on average, 148%
people to function normally and remain active.of the cost of the initial replacement. The decision to
According to the National Center for Health Statistics,undergo a revision surgery is typically made based on
about 43 million Americans, or nearly one in fiverepeated dislocations and the patient's health. Patients
adults, have some sort of arthritis pain. Knees, thethat have undergone previous hip surgeries or have
largest joints in the body, are usually the most painful.poor abductor muscles are at greater risk for failed
Since obesity is also highly prevalent, cases ofrevisions.
arthritis are beginning to onset at a much earlier ageRevisions of knee replacements may be required
in overweight people.when patients experience infection, osteolysis,
Number of Replacements Skyrocketingimplant loosening or misalignment, knee injury or
With an aging baby-boomer generation, it shouldchronic progressive joint disease. Decisions to
come as no surprise that the number of hip and kneeundergo revisions are made based on previous knee
replacement procedures have skyrocketed. Thesurgeries, current health and radiographic
Nationwide Inpatient Sample (NIS) shows thatexaminations. Patients with poor bone quality,
primary hip replacements increased by 48%, fromunresolved infection, peripheral vascular disease or
153,080 procedures in 1997 to 225,900 in 2004.poor quadriceps muscles or extensor tendons are at
First-time knee replacements grew by 63% fromgreater risk for a failed revision.
264,331 in 1997 to 431,485 in 2004. According toPreventive Measures
HCUPNet, 228,332 patients received total hipWith the unprecedented growth in replacement
replacements in 2006, and 496,077 patients receivedprocedures, measures must be taken to prevent this
total knee replacements.phenomenon from overwhelming our healthcare
If these trends continue, an estimated 600,000 hipsystem. This can be accomplished through better
replacements and 1.4 million knee replacements will bepreventive care, alternatives to total replacements,
carried out in 2015. It is estimated that by 2030, theand by ensuring that primary replacements are
number of knee replacements will rise to more thansuccessful. Reducing obesity and treating arthritis at
3.4 million. First-time replacement procedures haveearlier stages will help reduce the numbers of
been increasing equally for males and females;procedures. In addition, many have called for a
however, the number of procedures has increased atnational joint replacement registry such as those in
particularly high rates among people age 45-64 years.Australia, Great Britain, Norway, Denmark, and
According to Datamonitor's 2006 report, the USSweden, which track high failure rates associated
accounts for 50% and Europe 30% of the totalwith some joint replacement procedures.
procedures worldwide. The 2005 revenues for hipAlternative procedures are available that have
implants in the US were $2 billion and $1.4 billion inimproved dramatically over the past 10 years. For
Europe, while knee implant revenues comprised $2.4example, partial replacements are less-invasive, with
billion in the US and $774 million in Europe.smaller scars and shorter healing times because only
Demand & Technology Drive Cost Increasesthe diseased compartments are replaced. Minimally
With the increase in demand and improved implantinvasive procedures are available for total
materials and surgical techniques, the cost of thesereplacements in some patients. There are also new
procedures is also increasing. According to NIS,options available for women needing total knee
Medicare was the major source of payment in 2004replacement, known as "gender-specific" knees that
(55.4% for primary hip replacements, 59.3% forare slimmer and contoured to more closely imitate
primary knee replacements). Private insurancethe female anatomy. Hip resurfacing is another
payments experienced a steeper increase. In 2004,procedure gaining in popularity because it conserves
the national bill for hip and knee replacements wasmore bone than a traditional total hip replacement.
$26 billion. Hospital cost accounted for $9.1 billion, andThis type of implant will last longer than a traditional
the amount of reimbursement was $7.2 billion (28%hip replacement.
of hospital charges or 79% of hospital cost).New biomaterials and component designs also
Another study from Exponent, Inc. analyzed Medicareincrease the lifespan of implants, and
data for hip and knee replacements from 1997-2003.computer-assisted surgery can improve the success
It was found that while procedural charges increased,of joint replacement by allowing more accurate and
reimbursements actually decreased over the studyprecise implant alignment. Several studies have shown
period, with higher charges observed for revisionsthis type of procedure to be more cost-effective by
than primary replacements. Reimbursements perpreventing the need for revision.
procedure were 62-68% less than associatedLooking Ahead
charges from primary and revision procedures. It isFor medical device companies, the record growth in
evident that joint replacements have the potential tojoint replacement procedures presents a lucrative
be highly lucrative, but the burden on patients andopportunity. However, manufacturers need to work
our healthcare system must also be considered.with the medical community to help ease the burden
Behind the Growth Trendof this epidemic by increasing the success and
An aging population and increased incidence oflongevity of their implants and exploring alternatives
obesity are primary causes for the increase in jointto the traditional joint replacement procedures.
replacements. Nearly 65% of the US population isUndoubtedly, national joint replacement registries
overweight, and arthritis is highly prevalent amonghave proven useful in other countries. The medical
this group. With more patients receiving jointcommunity needs to demand that a registry be put
replacements at an earlier age, there is much higherin place in the United States, and it needs to do a
probability they will outlive their artificial joint.better job of educating society on prevention. It is
A recent study in Wales tracked joint replacementimportant that the medical community, including
procedures since 2003 and found a revision rate ofdevice companies, come together with a plan for
1-in-75, which was considered to be a fairly goodpreventing the potential burden this overwhelming
score. In the US, 40,000 knee revisions and 46,000surgical load could have before it takes a toll on our
hip revisions were performed in 2004. However, kneehealthcare system.