Relationship between surgical volume and early outcomes of total hip arthroplasty: Do results continue to get better?

Peter F. Sharkey, Shani Shastri, Marco A. Teloken, Javad Parvizi, William J. Hozack, Richard H. Rothman

Research output: Contribution to journalArticle

45 Scopus citations


This retrospective study explored the relationship between the volume of total hip arthroplasties (THA) and postoperative mortality and early complications from a single institution. One thousand hip arthroplasties in 932 patients were identified during a 1-year period, which included 786 primary and 214 revision hip arthroplasties. The postoperative 6-month combined medical and orthopedic complication rate for primary and revision THA was 7.9% and 16.5%, respectively. The 6-month mortality rate for the overall group was 0.5% (5 deaths), for the primary hips was 0.4% (3 deaths), and for the revision hip was 0.9% (2 deaths). The mortality and complication rates of many surgical procedures, including joint arthroplasties, are inversely related to hospital and surgical volume. The reduction in complication rate, however, approaches a plateau and does not improve regardless of an increase in the surgical and hospital volume.

Original languageEnglish (US)
Pages (from-to)694-699
Number of pages6
JournalJournal of Arthroplasty
Issue number6
Publication statusPublished - Sep 2004



  • complications
  • surgical volume
  • total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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