Can I Ski Doc?: Return to Skiing Following Total Joint Arthroplasty

Lancaster, Alex; Christie, Matthew; Blackburn, Brenna; Pelt, Christopher E.; Peters, Christopher L.; Dunson, Blake; Gililland, Jeremy; Anderson, Lucas A.

doi:10.1016/j.arth.2021.12.002

Cited by 6 publications

(2 citation statements)

References 28 publications

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“…Studies focusing on sports like skiing, which are linked to higher implant wear rates did not show higher revision rates. Furthermore, habitual jogging was not associated with adverse effects [15][16][17]. Comparing highly active versus less active patients, an evaluation of more than 2500 THA patients with a follow up of 4.5 years reported that high activity improved implant survival, even after adjusting for potential confounding factors such age, gender, or body mass index (BMI) [18].…”

Section: Introductionmentioning

confidence: 99%

“…However, full-contact sports such as soccer and martial arts have mostly remained prohibited for THA patients [19,20]. The current literature mainly focusses on either the influence of certain specific sports or on single complications such as dislocations [15][16][17]21]. Studies investigating overall revision rates mostly compare active versus inactive patients or younger versus older patients [18,22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Streck,

Chiu,

Braun

et al. 2023

JCM

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Background: Younger and physically active patients demand a return to sport after total hip arthroplasty (THA). However, because of the risk of implant wear and loosening, high-impact activities are often not recommended. The current study evaluates predictive factors and revision rates in patients with higher activity levels. Methods: This retrospective study included 4152 hips in 3828 patients aged 45–75 that underwent primary THA for primary osteoarthritis between 2009 and 2019 with a minimum follow-up of 2 years. Pain and Lower Extremity Activity Scale (LEAS) were assessed before and 2 years after surgery. Activity was classified as low (LEAS 1–6), moderate (LEAS 7–13), or high (LEAS 14–18). Results: Pain and LEAS improved from preoperative to 2-years postoperative (p < 0.001). The activity level was low in 6.2%, moderate in 52.9%, and high in 40.9% of the patients. Younger age, lower BMI, ASA, and CCI, male sex, and higher preoperative LEAS correlated with higher activity at 2 years (p < 0.001). The predicted revision-free survival rates between the activity groups were better for more highly active patients (p < 0.001). Conclusions: High physical activity 2 years following THA, with participating in sports like jogging several times a week, did not increase the risk of revision surgery. THA patients should not be prevented from a highly active lifestyle.

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