Related Experiment Video
Updated: Jun 9, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Differences in outcome between Maori and Caucasian patients undergoing total joint arthroplasty for osteoarthritis
Vasu Pai1, Vishal Pai, Sophie Wright
1Gisborne Hospital, New Zealand. vasuchitra@gmail.com
Purpose:
To compare differences in outcome between Maori and Caucasian patients undergoing total joint arthroplasty for osteoarthritis.
Methods:
45 men and 45 women aged 43 to 87 years who underwent total hip (n=54) or total knee (n=36) arthroplasties by a single surgeon and were followed up for at least one year were prospectively studied. Patients were classified according to American Society of Anesthesiologists (ASA) score. Preoperative comorbidity, length of hospital stay, postoperative complications, and pre- and post-operative outcomes in the 2 groups were compared.
Results:
Maori patients were more likely than Caucasian patients to be obese (body mass index of >30 kg/m square) [37% vs. 15%], diabetic (15% vs. 5%), and smokers (32% vs. 13%). Postoperative complication rates and the lengths of hospital stay in the 2 groups were not significantly different. The ASA score correlated positively with the length of hospital stay; higher ASA scores predicted more prolonged recovery.
Conclusion:
Maori patients were more likely than Caucasian patients to have preoperative comorbidities, but their postoperative length of hospital stay and complication rates were not significantly different.