Language proficiency is not associated with arthroplasty-specific complications, implicating postoperative rather than intraoperative management

Patient–provider language discordance (limited English proficiency) is not associated with arthroplasty-specific (mechanical/implant) complications after knee arthroplasty; because surgical technique appears consistent across language groups, the language-related disparity in postoperative outcomes is more plausibly driven by postoperative management (e.g., communication barriers affecting pain control and mobilisation) than by intraoperative factors.