Search for


search for




 

Return to light-impact sports after total hip arthroplasty
Arthrosc Orthop Sports Med 2021;8:32-37
Published online November 1, 2021;  https://doi.org/10.14517/aosm21003
© 2021 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Kang Yeol Ko, Hyo Jun Lee, Hyun Bai Choi, Suenghwan Jo

Department of Orthopaedics, Chosun University Hospital, Gwangju, Korea
Correspondence to: Suenghwan Jo, https://orcid.org/0000-0001-7262-710X
Department of Orthopaedics, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea. Tel: +82-62-220-3147, Fax: +82-62-226-3379, E-mail: jo.suenghwan@chosun.ac.kr
Received June 23, 2021; Revised August 4, 2021; Accepted August 11, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: A paucity of literature exists on the patients’ ability to return to sports following total hip arthroplasty (THA). This study reports the outcomes of recreational athletes of low-impact sports who had undergone THA to determine the patients’ ability to return to sports following the surgery.
Methods: Patients who were recreational athletes of low-impact sports were identified before undergoing surgery from the institution’s THA database. The patients’ ability to return to sports was investigated at a minimum of a 2-year followup with respect to the intensity, and the time to return to sport was assessed. Additionally, the reasons for failure were assessed for patients who were unable to return to sport or preoperative intensity.
Results: This analysis included 28 patients. At a 2-year follow-up, 85.7% were able to return to low-impact sports activity. In addition, 88% of the patients initiated the sports activity within 6 months from the surgery. Of these patients, 37.5% were able to return to the preoperative level. The most common reason for not returning to sport was the patients’ concern of developing complications.
Conclusion: The majority of the patients can return to light-impact sport following surgery, but only limited patients can return to preoperative intensity. The restriction due to the patient’s or the surrounding people’s concern was the main reason for not returning to preoperative intensity.
Keywords : Light-impact sport; Return to sports; Total hip arthroplasty
References
  1. Bradley BM, Moul SJ, Doyle FJ, Wilson MJ. Return to sporting activity after total hip arthroplasty-a survey of members of the British Hip Society. J Arthroplasty 2017;32:898-902.
    Pubmed CrossRef
  2. Pabinger C, Lothaller H, Portner N, Geissler A. Projections of hip arthroplasty in OECD countries up to 2050. Hip Int 2018;28:498-506.
    Pubmed CrossRef
  3. Hoorntje A, Janssen KY, Bolder SB, et al. The effect of total hip arthroplasty on sports and work participation: a systematic re-view and meta-analysis. Sports Med 2018;48:1695-726.
    Pubmed KoreaMed CrossRef
  4. Maharaj Z, Cakic JN, Pietrzak JRT. Return to sports after total hip arthroplasty: keep your (femoral) head in the game- a narrative review. Sports Orthop Traumatol 2021;37:51-8.
    CrossRef
  5. Klein GR, Levine BR, Hozack WJ, et al. Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons. J Arthroplasty 2007;22:171-5.
    Pubmed CrossRef
  6. Itokawa T, Nakashima Y, Yamamoto T, et al. Late dislocation is associated with recurrence after total hip arthroplasty. Int Orthop 2013;37:1457-63.
    Pubmed KoreaMed CrossRef
  7. Krismer M. Sports activities after total hip arthroplasty. EFORT Open Rev 2017;2:189-94.
    Pubmed KoreaMed CrossRef
  8. Siebert C. Hip Replacement and Return to Sports. Dtsch Z Sport-med 2017;68:111-5.
    CrossRef
  9. Laursen MK, Andersen JB, Andersen MM, Simonsen OH, Laurs-en MB. Danish surgeons allow the most athletic activities after total hip and knee replacement. Eur J Orthop Surg Traumatol 2014;24:1571-7.
    Pubmed CrossRef
  10. Gschwend N, Frei T, Morscher E, Nigg B, Loehr J. Alpine and cross-country skiing after total hip replacement: 2 cohorts of 50 patients each, one active, the other inactive in skiing, followed for 5-10 years. Acta Orthop Scand 2000;71:243-9.
    Pubmed CrossRef
  11. Ollivier M, Frey S, Parratte S, Flecher X, Argenson JN. Does im-pact sport activity influence total hip arthroplasty durability? Clin Orthop Relat Res 2012;470:3060-6.
    Pubmed KoreaMed CrossRef
  12. Tischer T, Mittelmeier W, Kluess D, J?llenbeck T, H?rterer H, Grim C. [Sport und Endoprothese]. Sports Orthop Traumatol 2019;35:123-9. Germany.
    CrossRef
  13. Kayani B, Konan S, Thakrar RR, Huq SS, Haddad FS. Assuring the long-term total joint arthroplasty: a triad of variables. Bone Joint J 2019;101-B(1 Supple A):11-8.
    Pubmed CrossRef
  14. Kornuijt A, Das D, Sijbesma T, van der Weegen W. The rate of dislocation is not increased when minimal precautions are used after total hip arthroplasty using the posterolateral approach: a prospective, comparative safety study. Bone Joint J 2016;98-B:589-94.
    Pubmed CrossRef
  15. Dietz MJ, Klein AE, Lindsey BA, et al. Posterior hip precautions do not impact early recovery in total hip arthroplasty: a multicenter, randomized, controlled study. J Arthroplasty 2019;34 Suppl 7:S221-7.e1.
    Pubmed KoreaMed CrossRef
  16. Hanly RJ, Sokolowski S, Timperley AJ. The SPAIRE technique allows sparing of the piriformis and obturator internus in a modi-fied posterior approach to the hip. Hip Int 2017;27:205-9.
    Pubmed CrossRef
  17. Learmonth ID, Young C, Rorabeck C. The operation of the cen-tury: total hip replacement. Lancet 2007;370:1508-19.
    CrossRef
  18. Bergmann G, Graichen F, Rohlmann A, Verdonschot N, van Len-the GH. Frictional heating of total hip implants. Part 2: finite ele-ment study. J Biomech 2001;34:429-35.
    CrossRef
  19. Abe H, Sakai T, Nishii T, Takao M, Nakamura N, Sugano N. Jog-ging after total hip arthroplasty. Am J Sports Med 2014;42:131-7.
    Pubmed CrossRef
  20. Bonnin MP, Rollier JC, Chatelet JC, et al. Can patients practice stren-uous sports after uncemented ceramic-on-ceramic total hip ar-throplasty? Orthop J Sports Med 2018;6:2325967118763920.
    Pubmed KoreaMed CrossRef
  21. Batailler C, Rozinthe A, Mercier M, Bankhead C, Gaillard R, Lustig S. Return to sport after bilateral single stage total hip arthro-plasty using the direct anterior approach: a case control study. J Arthroplasty 2019;34:2972-7.
    Pubmed CrossRef
  22. Barrett WP, Turner SE, Leopold JP. Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthro-plasty. J Arthroplasty 2013;28:1634-8.
    Pubmed CrossRef
  23. Meek RMD, Treacy R, Manktelow A, Timperley JA, Haddad FS. Sport after total hip arthroplasty: undoubted progress but still some unknowns. Bone Joint J 2020;102-B:661-3.
    Pubmed KoreaMed CrossRef
  24. Cherian JJ, Jauregui JJ, Banerjee S, Pierce T, Mont MA. What host factors affect aseptic loosening after THA and TKA? Clin Orthop Relat Res 2015;473:2700-9.
    Pubmed KoreaMed CrossRef
  25. Healy WL, Sharma S, Schwartz B, Iorio R. Athletic activity after total joint arthroplasty. J Bone Joint Surg Am 2008;90:2245-52.
    Pubmed CrossRef
  26. Vu-Han T, Hardt S, Ascherl R, Gwinner C, Perka C. Recommenda-tions for return to sports after total hip arthroplasty are becoming less restrictive as implants improve. Arch Orthop Trauma Surg 2021;141:497-507.
    Pubmed KoreaMed CrossRef
  27. Jassim SS, Tahmassebi J, Haddad FS, Robertson A. Return to sport after lower limb arthroplasty - why not for all? World J Or-thop 2019;10:90-100.
    Pubmed KoreaMed CrossRef
  28. Williams DH, Greidanus NV, Masri BA, Duncan CP, Garbuz DS. Predictors of participation in sports after hip and knee arthro-plasty. Clin Orthop Relat Res 2012;470:555-61.
    Pubmed KoreaMed CrossRef

May 2022, 9 (1)
Full Text(PDF) Free

Social Network Service
Services