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Among 5382 identified cases, 63% were women, with the incidence peaking in the 65\u201374 age bracket, highlighting a marked gender gap in middle and older age groups. Regional analyses indicate significant disparities, as \u00d6rebro and Halland had rates exceeding 10 per 100,000, while Stockholm and Blekinge fell below 5 per 100,000. The adoption of total prostheses without cement declined by 22%, reflecting changing surgical preferences. Predictive modelling anticipates an overall decline in incidence by 2035, with gender-specific rates converging over time. These findings highlight the need for targeted healthcare policies that address inequities and minimize unwarranted variations in treatment. 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