Sports Activity Following Cementless Metaphyseal Hip Joint Arthroplasty

Abstract

An adequate level of physical activity has a substantial effect on both mental and physical human health. Physical activity is largely dependent on the function of the musculoskeletal and articular system. One of the most frequent diseases of this system is degenerative joint disease. Due to the changing and more demanding lifestyles and patients’ willingness to be involved in sports activity, the expectations of hip joint arthroplasty are becoming increasingly high. Alleviating pain ceases to be the only reason for which patients choose surgical interventions, while the expectations often include involvement in various sports. Only few studies contain recommendations concerning the frequency, type and intensity of sports activity which are acceptable after hip joint arthroplasty. The aim of the study was to evaluate function and physical activity of people following cementless short-stem hip joint arthroplasty in the observation of at least five years. The study group comprised 106 patients who underwent total hip arthroplasty due to degenerative joint diseases, chosen according to inclusion criteria. Patients underwent routine physical examinations following the Harris Hip Score protocol, responded to the UCLA scale and questionnaires concerning pre-surgical and current physical activity. Our results demonstrated that hip joint arthroplasty in people suffering from degenerative joint diseases has a beneficial effect on their level of functioning and physical activity. Although physical activity and the level of functioning obviously reduced as a person aged, the level of physical activity continued to be very high in both groups, with function of the hip joint evaluated as very good.

Cementless neck preserving arthroplasty should be the treatment of choice in cases of coxarthrosis in middle-aged men: very good results in a mid-term follow-up study with NANOS stem and Verilast articulation

“…To maintain adequate bone density, specific load to the bone tissue is needed. This is achieved by the participation in recreational-level amateur sports and through moderate physical activity [19,20].…”

Clinical Outcomes of Patients Who Perform High-Load Activities after Total Hip Arthroplasty in Snowy Agricultural Areas

“…However, there were no early complications, such as fracture, dislocation, or migration of the cup or stem [9]. In 2017, Czech et al reported that hip joint arthroplasty in people with degenerative joint diseases had a beneficial effect on their level of functioning and physical activity [10]. In addition, Ortmaier et al reported that about 80% of patients returned to sports after short-stem THA, with almost no pain in the affected hip [11].…”

Rekonstruktion der Biomechanik und Knochenremodelling nach Implantation einer neuen Kurzschaftprothese

“…rative Status nicht erfasst wurde.Rading und Köster (2011) zeigten mit dem MAYO-Schaft einen Anstieg des UCLA von 3,7 auf 6,3 postoperativ, allerdings bei einem Follow-up von sechs Jahren. In Studien nach sechs beziehungsweise fünf Jahren mit dem NANOS-Schaft lag der UCLA präoperativ bei 2,9 und postoperativ bei sechs beziehungsweise 6.3(Capone et al 2017;Czech et al 2017).Grundsätzlich lässt sich erkennen, dass die körperliche Aktivität nach Implantation des Systems in dem zu erwartenden Bereich liegt und somit ein angemessenes Aktivitätsniveau erzielt wird.…”