Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe?

Streck, Laura Elisa; Chiu, Yu-Fen; Braun, Sebastian; Mujaj, Anisa; Hanreich, Carola; Boettner, Friedrich

doi:10.3390/jcm12206482

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…One report indicated that some patients desire returning to a level of athleticism achieved only prior to the onset of OA [18]. The evolution of implant designs have led to fewer surgeon-recommended activity and sports restrictions following THA [19], with evidence that high activity is associated with improved implant survival [20,21]. Despite this, many patients report self-imposed activity restrictions due to anxiety regarding injury or damage to implants, rather than limitations associated with joint pain post-operatively [19,22].…”

Section: Introductionmentioning

confidence: 99%

Patients with High Pre-Operative Physical Activity Take Longer to Return to Baseline

Redfern,

Crawford,

Lombardi

et al. 2024

Surgeries

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Patients with end-stage osteoarthritis are recommended to engage in physical activity (PA) to reduce pain and improve function but may avoid PA due to joint pain. Our goal was to investigate patient-reported outcomes and objective mobility metrics (step counts) in total hip arthroplasty (THA) patients as a function of pre-operative PA levels. In total, 1647 patients enrolled in a multicenter prospective cohort study investigating a smartphone-based care management platform for self-directed rehabilitation that underwent THA and were included in analysis. The entire cohort’s step count was divided into quartiles to categorize patients with low, moderate, and high baseline PA. Outcomes including pain, EQ-5D-5L, HOOS JR, and step counts were compared according to activity group by ANOVA. Pre-operative pain scores were lowest, with smallest improvements, in the high-baseline PA group. Low-PA patients demonstrated the greatest improvements in EQ-5D-5L, while changes in EQ-VAS, HOOS JR, and satisfaction were similar between groups. Low- and moderate-PA patients increased physical activity by six weeks, reaching 180% and 114% of pre-operative steps; high-PA patients did not return to full step counts until one-year post-operation. Patients who perform high levels of PA undergoing THA report lower levels of pain and higher function pre-operatively but may appreciate less improvement in PA up to one year post-operatively. These results may be helpful in appropriate counseling of patient expectations prior to surgery.

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Section: Introductionmentioning

confidence: 99%

Patients with High Pre-Operative Physical Activity Take Longer to Return to Baseline

Redfern,

Crawford,

Lombardi

et al. 2024

Surgeries

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Sport and sexual recovery after total hip arthroplasty in young adults: a retrospective cohort study

Di Martino,

Di Censo,

Brunello

et al. 2024

Arch Orthop Trauma Surg

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Introduction : Total Hip Arthroplasty (THA) is the main treatment for end-stage degenerative hip arthrosis in the elderly, while became increasingly performed as treatment of secondary arthrosis in younger patients, a population at high functional requests in terms of resumption of physical activity and resumption of sexual activity. This study evaluates the physical, sports recovery and the sexual quality of life in young patients undergoing primary THA. Materials and methods Patients undergoing primary THA aged between 18 and 45, operated in a 10 year timeframe, were selected. Demographic, clinical, and radiological data were collected. The Harris Hip Score (HHS) was assessed before and after the surgery. The UCLA Activity Score was collected, sport participation in pre and post-operative period was acquired. The quality of sexual activity (SQoL) before and after surgery was analysed through a qualitative questionnaire. Collected data were also compared on the surgical approach, namely Direct Anterior (DAA), Postero-Lateral (PL) and Direct lateral (DL). Results The population consisted of 242 THA implanted in 232 patients, including 143 males and 89 females, with an average age of 37.4. The mean follow-up period was 51.0 months, with a minimum of 2.9 months and a maximum of 122.6 months. Postoperatively, the average HHS was 90.29 ± 0.9 points, compared to 62.43 ± 1.34 points preoperatively (p < 0.001). The UCLA Activity Score in the postoperative period was 7.17 ± 0.17 matching to intermediate impact sport activity. The 64% of patients reported an improvement in SQoL after-surgery, 73% of which being females that show a significant improvement in SQoL compared to males (p = 0.046). By surgical approach comparison, DAA patients demonstrated better UCLA Activity Score (p = 0.037) and Return to sport (p = 0.027) compared to PL and DL. Conclusion Primary THA surgery in young adults can improve the level of physical activity and promote the involvement of subjects in moderate impact sports. Patients showed a better quality of sexual life compared to the preoperative period, an effect more evident in female patients.

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Safety and Efficacy of Latitud™ Hip Replacement in Total Hip Arthroplasty: An Observational Study in Kazakhstan Running title: Safety and Efficacy of Latitud ™ Hip Replacement

Bekarissov,

Batpen,

Belokobylov

et al. 2024

Preprint

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Introduction: Total hip replacement (THR) is one of the most successful surgical procedures globally for managing end-stage hip osteoarthritis. Latitud™ hip replacement system is at the forefront of restoring mobility and improving patient outcomes. This study aimed to evaluate the safety and effectiveness of the Latitud™ hip replacement in total hip arthroplasty. Methods: In this retrospective, single-centre, post-market, observational study, 150 patients who underwent total hip replacement and were treated in our hospital from 2018–2020 were included. The primary outcome was the THR-related intra and postoperative complications and revision rate at 1-year follow-up. Secondary outcomes were other patient-reported outcomes, radiographic analysis, Harris hip score, adverse events, implant dislocation, and survivorship rate. Results: The mean age of the patients was 53.90 ± 11.44 years. The surgical procedures were successful without any major complications. There was a significant (p < 0.001) improvement in the Harris hip score. No death was observed throughout the study. There was 1 (0.67%) intra-operative fracture, with the patient having a closed comminuted fracture of the upper and middle third of the left femur and anemia. Seven patients (4.67%) patients required postoperative blood transfusions. During the follow-up period, there was no revision surgery or implant dislocation. Conclusion: This observational study suggests that the Latitud™ hip replacement system was favorable safety and effective in a real-world setting in Kazakhstan. The study showed promising results in pain alleviation, functional improvement, and implant survivorship.

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Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe?

Cited by 3 publications

References 39 publications

Patients with High Pre-Operative Physical Activity Take Longer to Return to Baseline

Patients with High Pre-Operative Physical Activity Take Longer to Return to Baseline

Sport and sexual recovery after total hip arthroplasty in young adults: a retrospective cohort study

Safety and Efficacy of Latitud™ Hip Replacement in Total Hip Arthroplasty: An Observational Study in Kazakhstan Running title: Safety and Efficacy of Latitud ™ Hip Replacement

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