Return to Sport After Bilateral Single Stage Total Hip Arthroplasty Using the Direct Anterior Approach: A Case Control Study

Batailler, Cécile; Rozinthe, Anouk; Mercier, Marcelle; Bankhead, Christopher; Gaillard, Romain; Lustig, Sébastien

doi:10.1016/j.arth.2019.06.054

Cited by 13 publications

(18 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thirty-one articles reported on activity using one-item questionnaires that give a general indication of activity [ 23 , 26 , 36 , 37 , 41 , 44 , 47 – 49 , 51 , 57 , 61 , 64 , 67 , 71 , 75 , 85 , 90 , 93 , 94 , 103 , 107 , 110 , 114 , 115 , 123 , 126 , 128 , 136 , 138 , 139 ]. On the University of California Los Angeles activity score (UCLA) questionnaire, 21 articles reported a score between 5.5 and 7, which means regular participation in moderate activities.…”

Section: Resultsmentioning

confidence: 99%

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

View full text Add to dashboard Cite

Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spent sedentarily by persons after THA/TKA. Methods A systematic review (PROSPERO: CRD42020178556). Pubmed, Cinahl, EMBASE and PsycInfo were systematically searched for articles reporting on amount of PA, and on the kind of activities performed between January 1995-January 2021. Quality of the articles was assessed with the adapted tool from Borghouts et al. Results The search retrieved 5029 articles, leading to inclusion of 125 articles reporting data of 123 groups; 53 articles reported on subjects post-THA, 16 on post-hip-resurfacing arthroplasty, 40 on post-TKA, 15 on post-unicompartimental knee arthroplasty and 12 on a mix of arthroplasty types. With respect to quality assessment, 14 articles (11%) met three or fewer criteria, 29 (24%) met four, 32 (26%) met five, 42 (34%) met six, and 6 (5%) met seven out of the eight criteria. PA levels were comparable for THA and TKA, showing a low to moderately active population. Time spent was mostly of low intensity. Roughly 50% of -subjects met health-enhancing PA guidelines. They spent the largest part of their day sedentarily. Sports participation was relatively high (rates above 70%). Most participation was in low-impact sports at a recreational level. Roughly speaking, participants were engaged in sports 3 hours/week, consisting of about three 1-hour sessions. Conclusion Activity levels seem to be low; less than half of them seemed to perform the advised amount of PA following health-enhancing guidelines Sports participation levels were high. However, many articles were unclear about the definition of sports participation, which could have led to overestimation.

show abstract

Section: Resultsmentioning

confidence: 99%

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

View full text Add to dashboard Cite

show abstract

“…This overview summarized THA revision rate data from 10 registries ( Ben-Shlomo et al, 2019 ; Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), 2019 ; Canadian Institute for Health Information, 2019 ; Dutch Arthroplasty Register (LROI), 2019 ; Norwegian National Advisory Unit Report on Arthoplasty and Hip Fractures, 2019 ; Danish Hip Arthroplasty Register, 2020 ; Finnish Arthroplasty Register for National Institute of Health and Welfare, 2020 ) ( Supplementary Material S1 ), 10 studies on recommendations regarding sports after THA ( McGrory et al, 1995 ; Healy et al, 2001 ; Franke et al, 2006 ; Klein et al, 2007 ; Healy et al, 2008 ; Swanson et al, 2009 ; Laursen et al, 2014 ; Bradley et al, 2017 ; Meester et al, 2018 ; Vu-Han et al, 2020 ) ( Supplementary Material S2 ), 17 studies on RTS ( Dubs et al, 1983 ; Mont et al, 1999 ; Hatterji et al, 2004 ; Huch et al, 2005 ; Suckel and Best, 2006 ; Arbuthnot et al, 2007 ; Schmidutz et al, 2012 ; Lefevre et al, 2013 ; Abe et al, 2014 ; Raguet et al, 2015 ; Innmann et al, 2016 ; Piccolo et al, 2016 ; Karampinas et al, 2017 ; Hara et al, 2018 ; Batailler et al, 2019 ; Jassim et al, 2019 ; Ortmaier et al, 2019 ), and 19 on RTW ( Danielsson, 1965 ; Nevitt et al, 1984 ; Johnsson and Persson, 1986 ; Visuri et al, 1987 ; Suarez et al, 1996 ; Mobasheri et al, 2006 ; Bohm, 2010 ; Nunley et al, 2011 ; Buchau et al, 2013 ; Clyde et al, 2013 ; Sankar et al, 2013 ; Truszczyńska et al, 2014 ; Kleim et al, 2015 ; Leichtenberg et al, 2016 ;…”

Section: Methodsmentioning

confidence: 99%

“…This overview summarized THA revision rate data from 10 registries (Ben-Shlomo et al, 2019 (McGrory et al, 1995;Healy et al, 2001;Franke et al, 2006;Klein et al, 2007;Healy et al, 2008;Swanson et al, 2009;Laursen et al, 2014;Bradley et al, 2017;Meester et al, 2018;Vu-Han et al, 2020) (Supplementary Material S2), 17 studies on RTS (Dubs et al, 1983;Mont et al, 1999;Hatterji et al, 2004;Huch et al, 2005;Suckel and Best, 2006;Arbuthnot et al, 2007;Schmidutz et al, 2012;Lefevre et al, 2013;Abe et al, 2014;Raguet et al, 2015;Innmann et al, 2016;Piccolo et al, 2016;Karampinas et al, 2017;Hara et al, 2018;Batailler et al, 2019;Jassim et al, 2019;Ortmaier et al, 2019), and 19 on RTW (Danielsson, 1965;Nevitt et al, 1984;Johnsson and Persson, 1986;Visuri et al, 1987;Suarez et al, 1996;Mobasheri et al, 2006;Bohm, 2010;Nunley et al, 2011;Buchau et al, 2013;Clyde et al, 2013;Sankar et al, 2013;Truszczyńska et al, 2014;Kleim e...…”

Section: Registry Data Self-reported Return To Sport and Return To Workmentioning

confidence: 99%

Overstretching Expectations May Endanger the Success of the “Millennium Surgery”

Bender

Damm

Hommel

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Total hip arthroplasty (THA) is an extremely successful treatment strategy. Patient expectations, however, have increased; if not properly guided by surgeons, at present, patients expect next to pain-free restoration of the joint and a fast return to work and sports. While the revision rates after THA also increased in younger patients, knowledge on musculoskeletal loads still remains sparse, and the current recommendations on postoperative rehabilitation are based on expert opinions only. The aim of this study was to unravel biomechanical contact conditions in “working age” (<60 years, 53.5 ± 3.0 years) and “retirement age” (>60 years, 67.7 ± 8.6 years) patients during activities recommended post-THA. We hypothesized that working age patients would show substantially increased hip contact loads compared to older patients. The in vivo joint contact force (Fres) and torsion torque (Mtors), reflecting the main contact load situation, experienced during activities of daily living and sports activities were measured in a unique group of 16 patients with instrumented THA. We summarized patient activities and sports recommendations after THA mentioned within the literature using PubMed (without claim of completeness). The measurements showed that younger working age patients experienced significant (p = 0.050) increased Mtors (21.52 ± 9.11 Nm) than older retirement age patients (13.99 ± 7.89 Nm) by walking. Bowling, as a recommended low-impact sport, was associated with Fres of up to 5436 N and Mtors of up to 108 Nm in the working age group, which were higher than the Fres (5276 N) and Mtors (71 Nm) during high-impact soccer. Based on our results, age was proven to be a discriminator in joint loading, with working age patients presenting with increased loads compared to retirement age patients, already during daily activities. The current patient recommendations have led to further increased joint loadings. If THA cannot be delayed in a patient, we propose counselling patients on a carefully considered return to sports, focusing on low-impact activities, as indicated hereby. The findings from this work illustrate the need to provide critical feedback to patient expectations when returning to work and sports activities. Patients returning to more intensive sports activities should be carefully monitored and advised to avoid as much overloading as possible.

show abstract

“…It has been reported that 16-85% of those undergoing unilateral THA with bilateral disease eventually required contralateral THA [1][2][3][4]. For these patients, simultaneous bilateral total hip arthroplasty (SBTHA) can be an attractive option; it offers several potential advantages over staged bilateral THA, including a single anesthesia, shorter total operation time and hospital stay, lower overall cost, reduced recovery and rehabilitation time, and earlier return to daily activities [5][6][7][8][9]. Recent studies have reported that SBTHA can be a safe procedure, showing similar or lower incidence of postoperative complications compared to staged operations [6,7,[10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Effects of disusing closed suction drainage in simultaneous bilateral total hip arthroplasty: A retrospective cohort study

et al. 2021

View full text Add to dashboard Cite

Purpose Increased blood loss remains a major drawback of simultaneous bilateral total hip arthroplasty (SBTHA). We examined the effects of disusing closed suction drainage (CSD) on postoperative blood loss and transfusion requirement in cementless SBTHA. Methods A retrospective cohort study was conducted with a consecutive series of cementless SBTHAs performed by a single surgeon between January 2014 and March 2017. The surgeon routinely used CSD until May 2015 and refrained from CSD in all primary THAs thereafter. This study included SBTHAs with intravenous administration of tranexamic acid (TXA). Postoperative hemoglobin drop, blood loss, transfusion rate, pain scores, complication rates, and implant survivorships were compared between the groups of SBTHA with and without CSD. The minimum follow-up duration was 1 year. Results Among the 110 patients (220 hips), 46 (92 hips) and 64 (128 hips) underwent SBTHA with and without CSD, respectively. Maximum hemoglobin drop (mean, 4.8 vs. 3.9 g/dL; P = 0.001), calculated blood loss (mean, 1530 vs. 1190 mL; P<0.001), transfusion rate (45.7% vs. 21.9%; P = 0.008), and length of hospital stay (mean, 6.6 vs. 5.8 days; P = 0.004) were significantly lower in patients without CSD. There were no significant differences in postoperative pain scales and wound complication rates. The mean Harris Hip scores at final follow-up (92.5 vs. 92.1; P = 0.775) and implant survivorships with an end-point of any revision at 4 years (98.9% vs. 98.4%; log-rank, P = 0.766) were similar between groups. Conclusions Disusing CSD significantly reduced postoperative blood loss and transfusion requirement without increasing postoperative pain and surgical wound complications in cementless SBTHA with concurrent administration of intravenous TXA.

show abstract

Return to Sport After Bilateral Single Stage Total Hip Arthroplasty Using the Direct Anterior Approach: A Case Control Study

Cited by 13 publications

References 24 publications

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Overstretching Expectations May Endanger the Success of the “Millennium Surgery”

Effects of disusing closed suction drainage in simultaneous bilateral total hip arthroplasty: A retrospective cohort study

Contact Info

Product

Resources

About