Sexual Activity After Total Hip Arthroplasty: A Motion Capture Study

Charbonnier, Caecilia; Chagué, Sylvain; Ponzoni, Matteo; Bernardoni, Massimiliano; Hoffmeyer, Pierre; Christofilopoulos, Panayiotis

doi:10.1016/j.arth.2013.07.043

Cited by 66 publications

(71 citation statements)

References 28 publications

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“…We found that patients with sexual difficulties had slightly less hip flexion and external rotation before THA than did patients without such limitations. Our findings are in agreement with those of Charbonnier et al [4] which used optical motion capture and MRI of two volunteers in vivo to determine the kinematics of the hip during sexual activity. Data were applied to prosthetic hip three-dimensional models to evaluate impingement and instability during motion.…”

Section: Discussionsupporting

confidence: 83%

“…In our retrospective study, we found that hip flexion and hip external rotation were decreased in the group with sexual limitations, which might be supported by the findings of this motion capture study. The finding of Charbonnier et al [4] that sexual positions in women require extreme hip ROM also might explain why women in our study reported more sexual limitations than men. Although we found differences in hip ROM between our two groups, the differences were not large and may have been within the range of measurement error for goniometrical measured hip ROM.…”

Section: Discussionmentioning

confidence: 35%

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High Rates of Interest in Sex in Patients With Hip Arthritis

Lavernia

Villa

2016

Clinical Orthopaedics &Amp; Related Research

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Background Being sexually active has been associated with a high quality of life. Unfortunately, the topic of sexual limitations in patients undergoing total hip arthroplasty (THA) has not been well studied. Question/purposes (1) What proportion of patients experience sexual limitations because of hip arthritis before THA; (2) whether patient reports of sexual limitations would be associated with poorer results on general health and hip-specific instruments; and (3) whether patient reports of sexual limitations would be associated with poorer preoperative range of motion. Preoperatively, patients with sexual limitations had a mean pain intensity of 8 ± 1.84 points on the visual analog scale, whereas patients without limitations had 6 ± 1.99 points (p \ 0.001). Differences were also found in WOMAC pain (11 ± 3.9 versus 8 ± 3.5; p = 0.004) and WOMAC stiffness (3.4 ± 2.3 versus 1.4 ± 1.7; p = 0.001). Baseline hip flexion (84°± 22.4°versus 93°± 16.5°, respectively; p = 0.04) and external rotation (23°± 14.5°v ersus 30°± 11.6°; p = 0.02) were also different. Conclusions Our data suggest that many patients getting a hip arthroplasty are sexually active but most patients who are sexually active have sexual limitations before surgery as a result of hip arthritis. Women are more affected than men. Patients with these limitations experience more pain and have less flexion and external rotation before surgery. Preoperatively, counseling on sexual activities should be routinely discussed with all patients undergoing THA. Level of Evidence Level III, prognostic study.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 35%

High Rates of Interest in Sex in Patients With Hip Arthritis

Lavernia

Villa

2016

Clinical Orthopaedics &Amp; Related Research

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“…We and our colleagues [1] recently published the first biomechanical study that investigated the most common sexual positions that could be safely executed by patients with a THA. This preliminary study included two subjects.…”

Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: High Rates of Interest in Sex in Patients With Hip Arthritis

Christofilopoulos

Charbonnier

2016

Clinical Orthopaedics &Amp; Related Research

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“…Simulation was executed with custom-made software that allows testing of the prosthetic hip model with realtime evaluation of impingement and joint instability (30). Hip angles (3 rotations) computed from motion capture data were first applied at each time step to the prosthetic model in its anatomical frame.…”

Section: Simulation Of Prosthetic Hipsmentioning

confidence: 99%

Analysis of Hip Range of Motion in Everyday Life: A Pilot Study

et al. 2014

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Patients undergoing total hip arthroplasty are increasingly younger and have a higher demand concerning hip range of motion. To date, there is no clear consensus as to the amplitude of the “normal hip” in everyday life. It is also unknown if the physical examination is an accurate test for setting the values of true hip motion. The purpose of this study was: 1) to precisely determine the necessary hip joint mobility for everyday tasks in young active subjects to be used in computer simulations of prosthetic models in order to evaluate impingement and instability during their practice; 2) to assess the accuracy of passive hip range of motion measurements during clinical examination. A total of 4 healthy volunteers underwent Magnetic Resonance Imaging and 2 motion capture experiments. During experiment 1, routine activities were recorded and applied to prosthetic hip 3D models including nine cup configurations. During experiment 2, a clinical examination was performed, while the motion of the subjects was simultaneously captured. Important hip flexion (mean range 95°-107°) was measured during daily activities that could expose the prosthetic hip to impingement and instability. The error made by the clinicians during physical examination varied in the range of ±10°, except for flexion and abduction where the error was higher. This study provides useful information for the surgical planning to help restore hip mobility and stability, when dealing with young active patients. The physical examination seems to be a precise method for determining passive hip motion, if care is taken to stabilise the pelvis during hip flexion and abduction.

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Sexual Activity After Total Hip Arthroplasty: A Motion Capture Study

Cited by 66 publications

References 28 publications

High Rates of Interest in Sex in Patients With Hip Arthritis

High Rates of Interest in Sex in Patients With Hip Arthritis

CORR Insights®: High Rates of Interest in Sex in Patients With Hip Arthritis

Analysis of Hip Range of Motion in Everyday Life: A Pilot Study

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