Effect of total hip arthroplasty on recreational and sporting activity

Chatterji, Urjit; Ashworth, Mark; Lewis, Peter L.; Dobson, Peter J.

doi:10.1111/j.1445-1433.2004.03028.x

Cited by 90 publications

(106 citation statements)

References 11 publications

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“…In our series, patients were able to return to their activities as soon as they wished (after a minimum of six weeks). We ascertained that mean time to sports resumption was about three months (14.6 weeks), a finding supported by data from other series [3,7,28,32,33]. In the series reported by Naal et al, 50 % of patients resumed their sports activities within the first three months, and 90 % in less than six months [32].…”

Section: Discussionsupporting

confidence: 76%

Can patients return to high-impact physical activities after hip resurfacing? A prospective study

Girard

Miletic

Deny

et al. 2013

International Orthopaedics (SICOT)

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Purpose Although the resumption of low-impact sports activities is compatible with total hip arthroplasty (THA), participation in high-impact sports seems problematic, and there is no consensus as to whether it is advisable. The purpose of this article is to evaluate the quality and possibility of resuming high-impact physical activities after hip resurfacing. Materials The study was performed in an on-going, singlesurgeon, prospective series of 215 resurfacing arthroplasties (RSA). Mean follow-up was 44.1 months (range, 39.1-54.5). Clinical evaluation included the Postel-Merle d'Aubigné (PMA) score, the Oxford hip score, the Harris hip score (HHS), Devane score, and UCLA activity score. A specific questionnaire analysing sports activities was administered to each patient to assess the number and level of physical activities performed (both before the operation and at final follow-up). Results In the series of 202 consecutive patients (215 RSA), 50 patients (55 RSA) engaged regularly in at least one highimpact activity before their operation and the onset of pain, 102 patients practised at least one intermediate-impact activity, and the 50 remaining patients undertook only low-impact activities. Harris hip score increased from 44.8 (range, 23-68) before the operation to 97.8 (range, 85-100) at the last followup. Mean time to sports resumption after surgery was 14.6 weeks (range, 7-29). The resumption rate was 98 % for sports of any impact level and 82 % for high-impact activities. No osteolysis or implant loosening was observed at follow-up. No revision was performed. Conclusion In 2012, no consensus recommendations yet exist for the resumption of sports activities after RSA. Existing recommendations concern only conventional THA. We believe that RSA allows younger and more active patients to resume physical and sports activities without restriction. The rate of return to sports after RSA appears to be excellent and unequalled by conventional hip prostheses. High-impact sports seem to be compatible with hip resurfacing, although no longterm studies have analysed the impact of these activities on wear and/or aseptic loosening.

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Section: Discussionsupporting

confidence: 76%

Can patients return to high-impact physical activities after hip resurfacing? A prospective study

Girard

Miletic

Deny

et al. 2013

International Orthopaedics (SICOT)

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“…To the best of our knowledge, no studies have compared the two groups of patients with respect to physical activity measures. Studies examining the level of physical activity in THA patients using the UCLA or Grimby scales have found a moderate level of physical activity postoperatively (UCLA 6-6.8, Grimby 3.5) [2][3][4]. Our results are consistent with this, as the achieved PAS score of 42 similarly corresponds to a moderate level of physical activity.…”

Section: Discussionsupporting

confidence: 82%

“…Two cross-sectional studies of THA patients have found the level of physical activity 1 year postoperatively to be comparable to the general population [2,24]. One study, based on recall questionnaires, found a general increase in the self-reported recreational activity, although the number of patients participating in activities posing stress on the new hip (i.e., tennis, jogging) decreased [4]. To date, no studies have focused on the physical activity level of individuals following LDS.…”

Section: Introductionmentioning

confidence: 99%

Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

et al. 2012

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Purpose Lumbar decompression surgery (LDS) and total hip arthroplasty (THA) are frequently performed in the elderly population, but very little is known about their subsequent physical capacity and participation in leisure activities. Despite similar demographics and comorbidities, it is questionable whether LDS patients achieve equally high levels of physical capacity and quality of life postoperatively as do THA patients. The aim was to compare the physical activity level, participation in leisure activities and related quality of life 1 year after an LDS and THA procedure. Methods Data from 95 THA patients and 83 LDS patients were gathered from questionnaires on self-reported physical activity level, leisure activities and quality of life. Results LDS and THA patients reported equally moderate levels of physical activity. The median score was 42.3 METs/day (IQR 37.9; 47.7) for the LDS group and 41.0 METs/day (IQR 38.5; 48.5)

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“…Autores como Naal et al (15)(16)(17) , Visuri & Honkanen (18) , Chatterji et al (19) , Bradbury et al (20) , Mallon & Callaghan (21) , Huch et al (22) , Healy et al (23) apontam que após a artroplastia de quadril há manutenção ou retorno à atividade física, inclusive com aumento no número de modalidades realizadas. O retorno à atividade física após a artroplastia de quadril acontece em cerca de 50% (Scholz & Freiherr (3) e Wylde et al (24) ) a 80% dos pacientes (Naal et al) (17) .…”

Section: Artroplastia De Quadrilunclassified

“…Seguindo essas orientações, Chatterji et al (19) demonstram que no pós-operatório de artroplastia de quadril, devido à orientação para utilizar atividades físicas, esportivas sem impacto, houve aumento de 8% na caminhada e de 16,8% na hidroginástica.…”

Section: Artroplastia De Quadrilunclassified

Atividade física e esportiva após artroplastia de quadril

Melo

2009

Rev Bras Med Esporte

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A artroplastia é utilizada para reconstrução da articulação do quadril, visando minimizar a dor e possibilitar o retorno às atividades de vida diária, esportivas e de lazer. O objetivo deste artigo é analisar na literatura as indicações e contraindicações referentes à prática de atividade física, esportiva e lazer após a artroplastia de quadril. Essa revisão aborda estudos publicados entre os anos de 1980 e 2009, obtidos por buscas em bancos de dados eletrônicos Medline, Scielo, Ovid, Infomaworld, Sciencedirect, Springerlink, Interscience, Sportdiscuss, Bireme, Informglobal, Opas, Ovid, Diseasedex, Eric, que totalizaram 39 artigos. Os artigos analisados apontam para a utilização de atividade física, esportiva e de lazer de baixo impacto. como a caminhada, natação, boliche, ciclismo, dentre outras. Outra indicação constatada na literatura é a utilização da atividade física e esportiva visando à manutenção do condicionamento físico, qualidade óssea e controle do peso corporal. Há ressalvas na literatura sobre a utilização de atividades de alto impacto, esporte com giro como o basquete e futebol ou com grande intensidade como tênis e a corrida, bem como os esportes de luta. As atividades físicas, esportivas e de lazer mais indicadas após uma atroplastia de quadril são as de baixo impacto como a hidroginástica, natação, caminhada, dentre outras. O início dessas atividades deve aguardar a liberação do médico, mas em média iniciam 60 dias após a cirurgia.Palavras-chave: artroplastia de quadril, atividade motora, esporte, atividade de lazer. aBStRaCtHip arthroplasty is used for reconstruction of the hip joint to reduce pain and to make the return to daily life, physical, sports and leisure activities possible. The objective of this article was to analyze in the literature the indications and counter-indications referring to practice of physical, sportive and leisure activities after hip arthroplasty. This revision approaches studies published between 1980 and 2009, obtained in searches in the Medline, Scielo, Ovid, Infomaworld, Sciencedirect, Springerlink, Interscience, Sportdiscuss, Bireme, Informglobal, Opas, Ovid, Diseasedex and Erics electronic databases with a total of 39 articles. The analyzed articles point to the use of physical, leisure and sports of low impact activities such as walking, swimming, bowling, cycling and others. Another indication evidenced in the literature is the use of physical and sportive activity aiming at the maintenance of physical fitness, bone quality and body weight control. The literature shows concerns with the use of activities of high impact or with great intensity like tennis and jogging, as well as fights.Keywords: hip arthroplasty, motor activity, sport, leisure activities. intRodUÇÃoA reconstrução da articulação do quadril através da colocação de uma prótese total ou parcial, devido à degeneração completa ou parcial dessa articulação é denominada artroplastia de quadril. Essa reconstrução é realizada por ocorrência de dor intensa, dificuldade ou impossibilidade em realizar a...

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Effect of total hip arthroplasty on recreational and sporting activity

Abstract: This study has shown that patients are adopting lower impact activities to participate in after total hip arthroplasty. The total number of patients performing a sport increases postoperatively but the total amount of sport played decreases. These data will help to counsel patients.

Cited by 90 publications

References 11 publications

Can patients return to high-impact physical activities after hip resurfacing? A prospective study

Can patients return to high-impact physical activities after hip resurfacing? A prospective study

Physical activity level, leisure activities and related quality of life 1 year after lumbar decompression or total hip arthroplasty

Atividade física e esportiva após artroplastia de quadril

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