Skip to main content

Total Joint Replacement

Three decades of research have consistently demonstrated that patients who have their surgery performed at a facility and by a surgeon with more experience have better outcomes, including lower complication rates. 

Based on the research by Dartmouth-Hitchcock Medical Center, Michigan Medicine, and Johns Hopkins Medicine, as well as guidance from Leapfrog’s national expert panel, Leapfrog has identified two high-risk procedures performed in surgery centers for which there is a strong volume-outcome relationship.

The procedures with their corresponding minimum facility volumes and minimum annual surgeon volumes for privileging are shown in the table below.

ProcedureMinimum facility volume standardMinimum annual surgeon volume standard
Total knee replacement surgery5025
Total hip replacement surgery5025