Sports and physical activity after cementless total hip arthroplasty with a minimum follow‐up of 10 years

Abstract

The present retrospective cohort study was conducted to compare sporting activity levels before and a minimum of 10 years after primary cementless total hip arthroplasty (THA). A consecutive series of 86 patients with a mean age at surgery of 52 years (range, 21-60 years) was evaluated 11 years after surgery (range, 10-12 years). Pre- and post-operative sporting activities were assessed at routine follow-up using the University of California, Los Angeles activity score and the Schulthess Clinic sports and activity questionnaire. Post-operative health-related quality of life was measured using the Short-Form 36 (SF-36) questionnaire and compared with age-matched reference populations from the SF-36 database. Eleven years after THA, 89% of preoperatively active patients had returned to sport. Comparing sports activity preoperatively (before the onset of symptoms) and 11 years after THA, no significant difference was found for the mean number of disciplines or session length. A significant decline in high-impact activities was observed, while participation in low-impact activities significantly increased. Health-related quality of life compared well against a healthy age-matched reference population and was significantly higher than in a reference group of patients with osteoarthritis. The majority of patients were able to maintain their physical activity level in the long term after primary cementless THA, compared with the activity level before the onset of restricting osteoarthritis symptoms. However, a change in disciplines toward low-impact activities was observed.

Metal-on-metal hip resurfacing in patients younger than 50 years: a retrospective analysis

“…It is noteworthy that we have achieved 2014 NICE survivorship in our younger, high-risk population, as this group typically presents poor outcomes in THA [2, 9]. Our study produced better outcomes than most THA reports and compare favorably to other smaller, youth-centered resurfacing studies, such as those by Sayeed et al, Haddad et al, and Krantz et al (Table 9) [11, 23, 44].…”

“…Total hip arthroplasty (THA) is durable in elderly populations [1] but does not meet functional demands or durability requirements for younger patients [2–5]. In 2014, the UK’s National Institute for Health and Care Excellence (NICE) raised their benchmark criteria for hip implants from 90 to 95% 10-year survivorship.…”

“…It is well known THA implants display markedly lower survivorship in patients younger than 50 years old [2–4]. In the Scandinavian registry, 10-year implant survivorship for these patients was only 83% [5].…”

Endoprothetischer Gelenkersatz und Sport

“…Postoperativ wurden im Schnitt 3,9 Sportarten im Vergleich zu 3,5 präoperativ ausgeübt. Innman et al haben 11 Jahre nach zementfrei implantierten Standardschäften im Vergleich zur prä-OP noch asymptomatischen Phase eine Quote des sportlichen Wiedereinstieges von 89 % beschrieben sowie eine Verbesserung des UCLA von 3,6 auf 6,2 bei unveränderter Anzahl (1,8 vs 1,7), Dauer und Frequenz der ausgeübten Sportarten [45]. Quoten des Return to Sports ohne genaue Differenzierung der Sportarten in der Größen-ordnung von 75 -95 % entsprechen auch früheren Arbeiten in der Literatur [46,47].…”

Trajectory of physical activity following total hip and knee arthroplasty: data from the English Longitudinal Study of Ageing (ELSA) cohort

“…Previous quantitative analyses have provided variable and inconsistent conclusions on physical activity after THA and TKA [21][22][23][24][25][26][27][28]. However, the current evidence-base has focused on assessing changing participatory levels of sports and exercise, rather than lower levels of physical activity pursuits which may be more typical of the majority of the arthroplasty population [12].…”