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Utilization of Total Knee Arthroplasty in the United States by Settlement Type: Is There Equity of Access?
J Am Acad Orthop Surg
January 2025
From the Department of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH (Huffman, Khan, Pasqualini, Rullán, Walsh, and Piuzzi), the Department of Orthopedic Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH (Oyem and Runsewe), and the Orthopaedic Institute Brielle Orthopaedics, Division of Adult Reconstruction, Manasquan, New Jersey (Siddiqi).
Introduction: Total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic surgeries in the United States, yet little information exists regarding its utilization in different settlement types. This study aimed to determine the number of TKA-performing surgeons by settlement type and assess trends in the volume of TKAs in urban, micropolitan, small town, and rural settings.
Methods: Using the Medicare Provider Utilization and Payment Data: Physician and Other Practitioners database, the number of orthopaedic surgeons performing primary and revision TKAs from 2013 to 2020 was determined.