Return to sports after hip resurfacing versus total hip arthroplasty: a mid-term case control study

Rüeckl, Kilian; Liebich, Alina; Bechler, Ulrich; Springer, Bernhard; Rudert, Maximilian; Boettner, Friedrich

doi:10.1007/s00402-020-03414-6

Cited by 10 publications

(15 citation statements)

References 33 publications

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“…One important finding from this study is that patients who underwent THA had lower preoperative and postoperative PROs relative to patients who underwent HRA yet had similar improvements in all measured outcomes. This is in contrast to a recent study [ 5 ] comparing return to sport and function in men (no age restriction) undergoing THA or HRA, which found that patients had similar baseline UCLA scores, but patients who underwent HRA had higher postoperative UCLA scores. Patients who underwent HRA also had higher HHS and HOOS Quality of Life scores postoperatively, but the changes from baseline were not evaluated.…”

Section: Discussioncontrasting

confidence: 99%

“…Hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) are two treatment options for end-stage degenerative hip conditions including osteoarthritis, avascular necrosis, and inflammatory arthritis [ [1] , [2] , [3] , [4] ]. Both procedures offer pain relief, return to function [ 5 , 6 ], and restoration of natural hip biomechanics [ 7 ]. Although HRA was initially developed as a temporizing measure for young patients before THA, the indications for HRA have expanded given that it affords bone preservation, closer resemblance to normal hip biomechanics, increased function, and enhanced stability [ [8] , [9] , [10] , [11] , [12] , [13] ].…”

Section: Introductionmentioning

confidence: 99%

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Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

et al. 2021

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Background: Hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) are two treatment options for end-stage degenerative hip conditions. The objective of this single-center retrospective cohort study was to compare implant survival and patient-reported outcomes (PROs) in young patients (35 years) who underwent HRA or THA. Methods: All patients aged 35 years or younger who underwent HRA or THA with a single high-volume arthroplasty surgeon between 2004 and 2015 were reviewed. The sample included 33 THAs (26 patients) and 76 HRAs (65 patients). Five-year implant survival and minimum 2-year PROs were compared between patient cohorts. Results: Three patients in the THA group (9%) were revised within 5 years for instability (n ¼ 1), squeaking (n ¼ 1), or squeaking with a ceramic liner fracture (n ¼ 1). No patients who underwent HRA were revised. The University of California, Los Angeles, activity score, modified Harris Hip score, and Hip Dysfunction and Osteoarthritis Outcome Scores for Joint Replacement increased by 74%, 64%, and 49%, respectively, among all patients. Compared to the HRA cohort, patients who underwent THA had lower preoperative and postoperative University of California, Los Angeles, activity, modified Harris Hip score, and Hip Dysfunction and Osteoarthritis Outcome Scores for Joint Replacement scores, yet there were no differences in the absolute improvements in any of the three measures between the two groups. Conclusions: Excellent functional outcomes were seen in young patients undergoing either HRA or THA. Although young patients undergoing THA started at lower preoperative baseline and postoperative PROs than patients undergoing HRA, both groups improved by an equal amount after surgery, suggesting that both HRA and THA afford a similar degree of potential improvement in a young population.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

et al. 2021

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“…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%

“…One-item questionnaires giving a general indication of PA were used in twelve articles [ 4 , 25 , 40 , 42 , 45 , 64 , 72 , 74 , 76 , 86 , 109 , 139 ]. Eleven used the UCLA score.…”

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

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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.

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“…The majority of patients' desire to maintain an active lifestyle and engage in sports after THA will increase. For younger patients, a high rate of return-to-activity after THA could be shown [3,4]. However, data on the activity level after cementless THA in patients older than 75 years are scarce in the literature.…”

Section: Introductionmentioning

confidence: 99%

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

Zimmerer

Navas

Kinkel

et al. 2021

Arch Orthop Trauma Surg

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Introduction This retrospective study aimed to compare activity levels before and at mid-term follow-up after primary cementless total hip arthroplasty (THA) in patients older than 75 years. Materials and methods A cohort of 79 patients with a mean age at surgery of 78 years (range 76–84 years) was evaluated 6.3 years (range 4–8 years) after cementless THA due to osteoarthritis and was followed up with a questionnaire to determine their activity level. Pre- and post-operative recreational 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 Veterans Rand 12-item survey (VR-12). Results Six years after THA, 72% of preoperatively active patients had returned to activity. Comparing activity preoperatively (before the onset of symptoms) and 6 years after THA, the number of disciplines and session length has decreased significantly. A significant decline in high-impact activities was observed, while participation in low-impact activities significantly increased. Conclusion The majority of patients maintained a recreational activity level in the mid-term after primary cementless THA. However, a change in disciplines toward low-impact activities was observed.

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Return to sports after hip resurfacing versus total hip arthroplasty: a mid-term case control study

Cited by 10 publications

References 33 publications

Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

Hip Resurfacing vs Total Hip Arthroplasty in Patients Younger than 35 Years: A Comparison of Revision Rates and Patient-Reported Outcomes

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

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

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