Return to Sports After Total Hip Arthroplasty: A Survey Among Members of the European Hip Society

Thaler, Martin; Khosravi, Ismail; Putzer, David; Siebenrock, Klaus A.; Zagra, Luigi

doi:10.1016/j.arth.2020.11.009

Cited by 20 publications

(17 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, performing revisions through that interval will be more or less natural for them. Recent studies have shown the increasing use of the DAA in primary THA in the US and Europe [ 38 , 39 , 40 ]. Several publications have shown that the DAA provides excellent exposure of the acetabulum.…”

Section: Discussionmentioning

confidence: 99%

Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach

Thaler

Dammerer

Ban

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

Background: we report the clinical outcomes for femoral revision total hip replacement (THR) using the Direct Anterior Approach (DAA) interval. Methods: 149 patients (165 hips) with a mean age of 68.9 years (range, 33.2–91.0 years) and a mean follow-up of 4.2 years (1.1–8.9 years) were included. The indication for revision surgery was aseptic stem loosening in 131 (79.4%) hips, periprosthetic fracture in 29 (17.6%) hips, revision for stem malalignment in one (0.6%) hip, and prosthetic failure in four (2.4%) hips. Results: an endofemoral approach was used for 156 hips, and a Wagner transfemoral osteotomy was used for nine hips. An additional cup revision was done in 52 hips (uncemented cup: n = 29; cemented cup: n = 21; acetabular cage: n = 2). The overall complication rate was 14.5% (24 complications). Ten patients (10 hips) were revised (8 cups, 2 liners, 2 stems) with an average time to revision of 6 months (range, 3–23 months). The median preoperative Western Ontario McMasters Osteoarthritis Score (WOMAC) score was 52.5 (Inter Quartile Range (IQR): 33.3), which improved to 27.2 (IQR: 30) postoperatively (p < 0.01). Conclusion: use of the DAA achieved similar results when compared with other surgical approaches in terms of clinical outcomes and complications, including dislocation rate. These results suggest that femoral revision using the DAA interval can be a safe and reliable procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach

Thaler

Dammerer

Ban

et al. 2021

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

“…A 2009 survey of the American Association of Hip and Knee Surgeons regarding a return to athletics did not even address the topic [9]. In a more recent 2020 web-based survey of the European Hip Society, up to 88% of surgeons allowed patients to return to yoga after 6 months without further guidelines [10].…”

Section: Discussionmentioning

confidence: 99%

Returning to Yoga Practice and Teaching After Total Hip Arthroplasty

Yun

Qutami

Carles

2021

Cureus

View full text Add to dashboard Cite

Patients who practice yoga are motivated to return to practice after total hip arthroplasty (THA). With case reports of dislocations during yoga, the safety of such a return is unclear. The purpose of this study is to examine the timing and feasibility of a return in a subset of highly experienced and motivated patients. Between 2010 and 2019, a total of 19 THA's performed in 14 patients who self-identified as yoga instructors were retrospectively reviewed. Patients who practiced yoga but were not teachers were excluded from this series. The primary outcome measures were the ability to return to yoga, to resume teaching, and fluency with 14 classic poses. Secondary outcomes measured were patient-reported Hip Disability and Osteoarthritis Outcome Score (HOOS, Jr.), complications, and radiographic position of the implants. After surgery, all patients returned to practicing and teaching yoga, and the mean time to each was 2 months. All patients were able to perform all 14 classic poses. At a mean follow-up of 5 years (SD ± 4), there were no complications, and the mean HOOS, JR score was 92 points (SD ± 15). This study demonstrates that a return to yoga in an experienced population is not only possible but also safe after a direct anterior THA. Limitations in performing the poses should be understood, and appropriate modifications should be incorporated when needed.

show abstract

“…Numerous consensus articles have been published regarding return to athletic activity after THA [18][19][20][21][22]. A 2020 survey among members of the European Hip Society, which is the first and only article to reference yoga specifically, recommends allowing return to yoga 6 weeks after THA [21]. This represents a greater tolerance by surveyed surgeons to allow return to activity than consensus guidelines from 2007 which recommended allowing return to pilates, a similar activity, only to those with previous experience [22].…”

Section: Discussionmentioning

confidence: 99%

“…Authors have also divided sporting activities into 3 broad categories based on impact leveld"high impact," "intermediate impact," and "low impact"dand base their recommendations accordingly. Although yoga had not been distinctly referenced before the recommendations from Thaler et al [21], other authors do however mention activities, such as martial arts, which require hip motion beyond the range that would normally be advised with THA. Furthermore, in discussing the likelihood of dislocation, they note that there is no evidence to suggest an increased dislocation rate in THA patients involved in sports and that surgeons can reduce risk by using larger femoral heads, up to 36 mm [19,20].…”

Section: Discussionmentioning

confidence: 99%

Late Anterior Prosthetic Hip Dislocation Due to Yoga

et al. 2021

View full text Add to dashboard Cite

The popularity of yoga and the prevalence of total hip arthroplasty (THA) have simultaneously increased in the United States. Accordingly, one can assume that the number of THA patients practicing yoga has increased. Certain yoga poses reach the extremes of hip range of motion, potentially leaving patients vulnerable to dislocation. To date, 2 cases of late posterior prosthetic hip dislocations during yoga have been reported; however, there have been no reports of anterior prosthetic hip dislocations. We present one case of late anterior prosthetic hip dislocation during yoga in a patient who underwent THA via the direct anterior approach. Prosthetic hip dislocation during yoga may be a growing concern. We provide additional evidence in support of recommendations for THA patients to safely practice yoga.

show abstract

Return to Sports After Total Hip Arthroplasty: A Survey Among Members of the European Hip Society

Cited by 20 publications

References 15 publications

Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach

Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach

Returning to Yoga Practice and Teaching After Total Hip Arthroplasty

Late Anterior Prosthetic Hip Dislocation Due to Yoga

Contact Info

Product

Resources

About