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BMC Musculoskeletal Disorders

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Open Access 01-12-2022 | Hip-TEP | Research

Sports activity participation and subjective health status of patients after total hip arthroplasty via the anterolateral-supine approach: a case series study

Authors: Yoshiki Takahashi, Naonobu Takahira, Katsufumi Uchiyama, Kensuke Fukushima, Mitsutoshi Moriya, Manaka Shibuya

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

Abstract

Background

No reports have been published about participation in sports activity and subjective health status after total hip arthroplasty via the anterolateral approach in the supine position (ALS-THA) in Japanese patients. This study assessed sports activity participation and subjective health status, as well as factors potential associated with these variables, in patients who underwent ALS-THA.

Methods

Of 698 patients who underwent total hip arthroplasty at our institution between 2013 and 2018, questionnaires were sent to 355 patients under 80 years old who had undergone ALS-THA and 242 responded. Patients were asked about their subjective health status, participation in sports activity, the EuroQol 5-dimensions 5-level (EQ-5D-5L), the University of California Los Angeles (UCLA) activity scale score and the Forgotten Joint Score (FJS). Patient characteristics and hospitalization information were also collected. Patients’ subjective health status was categorized as “healthy” or “unhealthy”. Univariate and multivariate logistic regression analyses were performed to determine factors associated with participation in sports activity after ALS-THA and a “healthy” status.

Results

The pre- and postoperative sports activity participation rates were 54.0% and 57.8%, respectively. Most patients (76.8%, n = 182) were considered “healthy”. Age (P = .019) and UCLA activity score (P < .001) were significantly associated with sports activity after ALS-THA. FJS (P = .002) and EQ-5D-5L (P = .004) were significantly associated with a “healthy” status.

Conclusion

Patients participating in sports activity after ALS-THA are older and have higher UCLA activity scores and patients considered “healthy” have higher FJS and EQ-5D-5L scores.

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Olshansky SJ. From lifespan to healthspan. JAMA. 2018;320(13):1323–4. https://doi.org/10.1001/jama.2018.12621.CrossRefPubMed

Leskinen T, Stenholm S, Aalto V, et al. Physical activity level as a predictor of healthy and chronic disease-free life expectancy between ages 50 and 75. Age Ageing. 2018;47(3):423–9. https://doi.org/10.1093/ageing/afy016.CrossRefPubMed

Samitz G, Egger M, Zwahlen M. Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. Int J Epidemiol. 2011;40(5):1382–400. https://doi.org/10.1093/ije/dyr112.CrossRefPubMed

Ekelund U, Ward HA, Norat T, et al. Physical activity and all-cause mortality across levels of overall and abdominal adiposity in European men and women: the European Prospective Investigation into Cancer and Nutrition Study (EPIC). Am J Clin Nutr. 2015;101(3):613–21. https://doi.org/10.3945/ajcn.114.100065.CrossRefPubMedPubMedCentral

Myojin T, Ojima T, Kikuchi K, et al. Orthopedic, ophthalmic, and psychiatric diseases primarily affect activity limitation for Japanese males and females: based on the Comprehensive Survey of Living Conditions. J Epidemiol. 2017;27(2):75–9. https://doi.org/10.1016/j.je.2016.09.007.CrossRefPubMed

Ethgen O, Bruyère O, Richy F, et al. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963–74. https://doi.org/10.2106/00004623-200405000-00012.CrossRefPubMed

Bayliss LE, Culliford D, Monk AP, et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet. 2017;389(10077):1424–30. https://doi.org/10.1016/S0140-6736(17)30059-4.CrossRefPubMedPubMedCentral

Pedersen AB, Baron JA, Overgaard S, et al. Short- and long-term mortality following primary total hip replacement for osteoarthritis: a Danish nationwide epidemiological study. J Bone Joint Surg Br. 2011;93(2):172–7. https://doi.org/10.1302/0301-620X.93B2.25629.CrossRefPubMed

Healy WL, Sharma S, Schwartz B, et al. Athletic activity after total joint arthroplasty. J Bone Joint Surg Am. 2008;90(10):2245–52. https://doi.org/10.2106/JBJS.H.00274.CrossRefPubMed

10.

Hoorntje A, Janssen KY, Bolder SBT, et al. The effect of total hip arthroplasty on sports and work participation: a systematic review and meta-analysis. Sports Med. 2018;48(7):1695–726. https://doi.org/10.1007/s40279-018-0924-2.CrossRefPubMedPubMedCentral

11.

Pflüger G, Junk-Jantsch S, Schöll V. Minimally invasive total hip replacement via the anterolateral approach in the supine position. Int Orthop 2007; Suppl 1: S7-11. https://doi.org/10.1007/s00264-007-0434-6.

12.

Scott CEH, MacDonald DJ, Howie CR. ‘Worse than death’ and waiting for a joint arthroplasty. Bone Joint J. 2019;101-B(8):941–50. https://doi.org/10.1302/0301-620X.101B8.BJJ-2019-0116.R1.CrossRefPubMedPubMedCentral

13.

Takahashi Y, Takahira N, Uchiyama K, et al. Sports activity participation after curved periacetabular osteotomy for acetabular dysplasia. BMC Musculoskelet Disord. 2020;21(1):637. https://doi.org/10.1186/s12891-020-03625-3.CrossRefPubMedPubMedCentral

14.

Klein GR, Levine BR, Hozack WJ, et al. Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons. J Arthroplasty. 2007;22(2):171–5. https://doi.org/10.1016/j.arth.2006.09.001.CrossRefPubMed

15.

Sullivan DF. A single index of mortality and morbidity. HSMHA Health Rep. 1971;86(4):347–54. https://doi.org/10.2307/4594169.CrossRefPubMedPubMedCentral

16.

Amstutz HC, Thomas BJ, Jinnah R, et al. Treatment of primary osteoarthritis of the hip. A comparison of total joint and surface replacement arthroplasty. J Bone Joint Surg Am. 1984;66(2):228–41. https://doi.org/10.2106/00004623-198466020-00010.CrossRefPubMed

17.

Naal FD, Impellizzeri FM, Leunig M. Which is the best activity rating scale for patients undergoing total joint arthroplasty? Clin Orthop Relat Res. 2009;467(4):958–65. https://doi.org/10.1007/s11999-008-0358-5.CrossRefPubMed

18.

Behrend H, Giesinger K, Giesinger JM, et al. The “forgotten joint” as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty. 2012;27(3):430–6. https://doi.org/10.1016/j.arth.2011.06.035.CrossRefPubMed

19.

Herdman M, Gudex C, Lloyd A, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011;20(10):1727–36. https://doi.org/10.1007/s11136-011-9903-x.CrossRefPubMedPubMedCentral

20.

Shiroiwa T, Ikeda S, Noto S, et al. Comparison of value set based on DCE and/or TTO data: scoring for EQ-5D-5L health states in Japan. Value Health. 2016;19(5):648–54. https://doi.org/10.1016/j.jval.2016.03.1834.CrossRefPubMed

21.

Matsumoto T, Kaneuji A, Hiejima Y, et al. Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci. 2012;17(1):25–38. https://doi.org/10.1007/s00776-011-0166-8.CrossRefPubMed

22.

Chatterji U, Ashworth MJ, Lewis PL, et al. Effect of total hip arthroplasty on recreational and sporting activity. ANZ J Surg. 2004;74(6):446–9. https://doi.org/10.1111/j.1445-1433.2004.03028.x.CrossRefPubMed

23.

Hara D, Hamai S, Komiyama K, et al. Sports participation in patients after total hip arthroplasty vs periacetabular osteotomy: a propensity score-matched asian cohort study. J Arthroplasty. 2018;33(2):423–30. https://doi.org/10.1016/j.arth.2017.08.035.CrossRefPubMed

24.

Ollivier M, Frey S, Parratte S, et al. Pre-operative function, motivation and duration of symptoms predict sporting participation after total hip replacement. Bone Joint J. 2014;96-B(8):1041–6. https://doi.org/10.1302/0301-620X.96B8.32813.CrossRefPubMed

25.

Ortmaier R, Pichler H, Hitzl W, et al. Return to sport after short-stem total hip arthroplasty. Clin J Sport Med. 2019;29(6):451–8. https://doi.org/10.1097/JSM.0000000000000532.CrossRefPubMed

26.

Wylde V, Blom A, Dieppe P, et al. Return to sport after joint replacement. J Bone Joint Surg Br. 2008;90(7):920–3. https://doi.org/10.1302/0301-620X.90B7.20614.CrossRefPubMed

27.

Huch K, Müller KA, Stürmer T, et al. Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis. 2005;64(12):1715–20. https://doi.org/10.1136/ard.2004.033266.CrossRefPubMedPubMedCentral

28.

Tudor A, Ruzic L, Vuckovic M, et al. Functional recovery after muscle sparing total hip arthroplasty in comparison to classic lateral approach - A three years follow-up study. J Orthop Sci. 2016;21(2):184–90. https://doi.org/10.1016/j.jos.2015.12.010.CrossRefPubMed

29.

Sheth D, Cafri G, Inacio MC, et al. Anterior and anterolateral approaches for THA are associated with lower dislocation risk without higher revision risk. Clin Orthop Relat Res. 2015;473(11):3401–8. https://doi.org/10.1007/s11999-015-4230-0.CrossRefPubMedPubMedCentral

30.

Vu-Han T, Hardt S, Ascherl R, et al. Recommendations for return to sports after total hip arthroplasty are becoming less restrictive as implants improve. Arch Orthop Trauma Surg. 2021;141(3):497–507. https://doi.org/10.1007/s00402-020-03691-1.CrossRefPubMed

31.

Innmann MM, Weiss S, Andreas F, et al. Sports and physical activity after cementless total hip arthroplasty with a minimum follow-up of 10 years. Scand J Med Sci Sports. 2016;26(5):550–6. https://doi.org/10.1111/sms.12482.CrossRefPubMed

32.

Ollivier M, Frey S, Parratte S, et al. Does impact sport activity influence total hip arthroplasty durability? Clin Orthop Relat Res. 2012;470(11):3060–6. https://doi.org/10.1007/s11999-012-2362-z.CrossRefPubMedPubMedCentral

33.

Abe H, Sakai T, Nishii T, et al. Jogging after total hip arthroplasty. Am J Sports Med. 2014;42(1):131–7. https://doi.org/10.1177/0363546513506866.CrossRefPubMed

34.

Lübbeke A, Zimmermann-Sloutskis D, Stern R, et al. Physical activity before and after primary total hip arthroplasty: a registry-based study. Arthritis Care Res (Hoboken). 2014;66(2):277–84. https://doi.org/10.1002/acr.22101.CrossRef

35.

Williams DH, Greidanus NV, Masri BA, et al. Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res. 2012;470(2):555–61. https://doi.org/10.1007/s11999-011-2198-y.CrossRefPubMed

36.

Galea VP, Rojanasopondist P, Ingelsrud LH, et al. Longitudinal changes in patient-reported outcome measures following total hip arthroplasty and predictors of deterioration during follow-up: a seven-year prospective international multicentre study. Bone Joint J. 2019;101-B(7):768–78. https://doi.org/10.1302/0301-620X.101B7.BJJ-2018-1491.R1.CrossRefPubMed

37.

Rolfson O, Kärrholm J, Dahlberg LE, et al. Patient-reported outcomes in the Swedish Hip Arthroplasty Register: results of a nationwide prospective observational study. J Bone Joint Surg Br. 2011;93(7):867–75. https://doi.org/10.1302/0301-620X.93B7.25737.CrossRefPubMed

38.

Naal FD, Maffiuletti NA, Munzinger U, et al. Sports after hip resurfacing arthroplasty. Am J Sports Med. 2007;35(5):705–11. https://doi.org/10.1177/0363546506296606.CrossRefPubMed

39.

Monma T, Takeda F, Noguchi H, et al. The impact of leisure and social activities on activities of daily living of middle-aged adults: evidence from a National Longitudinal Survey in Japan. PLoS ONE. 2016;11(10):e0165106. https://doi.org/10.1371/journal.pone.0165106.CrossRefPubMedPubMedCentral

40.

Monma T, Takeda F, Noguchi H, et al. Exercise or sports in midlife and healthy life expectancy: an ecological study in all prefectures in Japan. BMC Public Health. 2019;19(1):1238. https://doi.org/10.1186/s12889-019-7570-y.CrossRefPubMedPubMedCentral

41.

Thienpont E, Vanden Berghe A, Schwab PE, et al. Joint awareness in osteoarthritis of the hip and knee evaluated with the ‘Forgotten Joint’ Score before and after joint replacement. Knee Surg Sports Traumatol Arthrosc. 2016;24(10):3346–51. https://doi.org/10.1007/s00167-015-3970-4.CrossRefPubMed

42.

Fransen M, McConnell S, Hernandez-Molina G, et al. Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev. 2014; (4): CD007912. https://doi.org/10.1002/14651858.CD007912.pub2.

43.

Jingushi S, Ohfuji S, Sofue M, et al. Multiinstitutional epidemiological study regarding osteoarthritis of the hip in Japan. J Orthop Sci. 2010;15(5):626–31. https://doi.org/10.1007/s00776-010-1507-8.CrossRefPubMed

44.

Iidaka T, Muraki S, Oka H, et al. Incidence rate and risk factors for radiographic hip osteoarthritis in Japanese men and women: a 10-year follow-up of the ROAD study. Osteoarthritis Cartilage. 2019;28(2):182–8. https://doi.org/10.1016/j.joca.2019.09.006.CrossRefPubMed

45.

Clement ND, Scott CEH, Murray JRD, et al. The number of patients “worse than death” while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic. Bone Joint J. 2021;103-B(4):672–80. https://doi.org/10.1302/0301-620X.103B.BJJ-2021-0104.R1.CrossRefPubMed

Title: Sports activity participation and subjective health status of patients after total hip arthroplasty via the anterolateral-supine approach: a case series study
Authors: Yoshiki Takahashi
Naonobu Takahira
Katsufumi Uchiyama
Kensuke Fukushima
Mitsutoshi Moriya
Manaka Shibuya
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Hip-TEP
Hip-TEP
Published in: BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-022-05886-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sports activity participation and subjective health status of patients after total hip arthroplasty via the anterolateral-supine approach: a case series study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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