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International Orthopaedics

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01-12-2019 | Osteoarthritis of the Hip | Original Paper

Perceived skills for sports performance after primary hip arthroplasty: a cross-sectional study

Authors: James Madrid, Maria Bautista, Juan F. Guio, Guillermo Bonilla, Akillefs Betancourt, Adolfo Llinas

Published in: International Orthopaedics | Issue 12/2019

Abstract

Purpose

Recommendations arising from existing literature regarding restrictions and benefits of sporting activities after joint replacement surgery vary widely. As hip arthroplasty patients are becoming increasingly active, their expectations about post-operative function are constantly evolving. The aim of this study is to identify the perception of patients regarding their performance in sports activities after hip arthroplasty.

Methods

This cross-sectional study included all patients undergoing primary hip arthroplasty, for any diagnosis, between January 2009 and January 2016. By applying a telephone survey, practice of sports before surgery, resumption after surgery, level of performance, and causes of non-resumption of sports activities were assessed.

Results

Data of 531 patients were obtained. Of these, 13% were engaged in sports before surgery. The most frequently practiced sports were golf (27.5%) and tennis (22%). Of the 72 patients that practiced sports, only 44.4% (30 patients) returned to this activity after surgery. Nonetheless, 71% of these patients reported to have an equal or better athletic performance than before surgery. The main causes reported by patients not to return to sports were the fear of injury and recommendation of the surgeon.

Conclusions

A significant number of patients return to sports after hip arthroplasty and most of them perceive a good athletic performance after surgery. These findings should enrich the pre-operative assessment of patient’s expectations, particularly for those who wish to resume physical activity.

Crowninshield RD, Rosenberg AG, Sporer SM (2006) Changing demographics of patients with total joint replacement. Clin Orthop Relat Res 443:266–272. https://doi.org/10.1097/01.blo.0000188066.01833.4f CrossRefPubMed

Kurtz S, Ong K, Lau E et al (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89:780–785CrossRefPubMed

Wylde V, Blom a, Dieppe P et al (2008) Return to sport after joint replacement. J Bone Joint Surg Br 90–B:920–923. https://doi.org/10.1302/0301-620X.90B7.20614 CrossRef

Neuprez A, Delcour JP, Fatemi F et al (2016) Patients’ expectations impact their satisfaction following total hip or knee arthroplasty. PLoS One 11:1–14. https://doi.org/10.1371/journal.pone.0167911 CrossRef

Kuster MS (2002) Exercise recommendations after total joint replacement: a review of the current literature and proposal of scientifically based guidelines. Sports Med 32:433–445CrossRefPubMed

Chatterji U, Ashworth MJ, Lewis PL, Dobson PJ (2005) Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 75:405–408. https://doi.org/10.1111/j.1445-2197.2005.03400.x CrossRefPubMed

Vogel LA, Carotenuto G, Basti JJ, Levine WN (2011) Physical activity after total joint arthroplasty. Sports Health 3:441–450. https://doi.org/10.1177/1941738111415826 CrossRefPubMedPubMedCentral

Golant A, Christoforou DC, Slover JD, Zuckerman JD (2010) Athletic participation after hip and knee arthroplasty. Bull NYU Hosp Jt Dis 68:76–83PubMed

Visuri T, Honkanen R (1980) Total hip replacement: its influence on spontaneous recreation exercise habits. Arch Phys Med Rehabil 61:325–328PubMed

10.

Buckworth J (2016) Start where the client is: assessment to support behavior change. ACSM’s Health Fit J:28–30

11.

Filho VCB, Minatto G, Mota J et al (2016) Promoting physical activity for children and adolescents in low- and middle-income countries: an umbrella systematic review. Prev Med 88:115–126. https://doi.org/10.1016/j.ypmed.2016.03.025 CrossRef

12.

Caspersen CJ, Powell KE, Christenson GM (1985) Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 100:126–131. https://doi.org/10.2307/20056429 CrossRefPubMedPubMedCentral

13.

Altman RD (2010) Early management of osteoarthritis. Am J Manag Care 16(Suppl M):S41–S47PubMed

14.

Dekker J, van Dijk GM, Veenhof C (2009) Risk factors for functional decline in osteoarthritis of the hip or knee. Curr Opin Rheumatol 21:520–524. https://doi.org/10.1097/BOR.0b013e32832e6eaa CrossRefPubMed

15.

Ethgen O, Bruyere O, Richy F (2004) 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 86–A:963–974CrossRef

16.

Dubs L, Gschwend N, Munzinger U (1983) Sport after total hip arthroplasty. Arch Orth Traum Surg 101:161–169CrossRef

17.

Ollivier M, Frey S, Parratte S et al (2012) Does impact sport activity influence total hip arthroplasty durability? Clin Orthop Relat Res 470:3060–3066. https://doi.org/10.1007/s11999-012-2362-z CrossRefPubMedPubMedCentral

18.

Wylde V, Livesey C, Blom AW (2012) Restriction in participation in leisure activities after joint replacement: an exploratory study. Age Ageing 41:246–249. https://doi.org/10.1093/ageing/afr180 CrossRefPubMed

19.

Huch K (2005) Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis 64:1715–1720. https://doi.org/10.1136/ard.2004.033266 CrossRefPubMedPubMedCentral

20.

Klein GR, Levine BR, Hozack WJ et al (2007) Return to athletic activity after total hip arthroplasty. J Arthroplast 22:171–175. https://doi.org/10.1016/j.arth.2006.09.001 CrossRef

21.

Schmidutz F, Grote S, Pietschmann M et al (2012) Sports activity after short-stem hip arthroplasty. Am J Sports Med 40:425–432. https://doi.org/10.1177/0363546511424386 CrossRefPubMed

22.

Williams DH, Greidanus NV, Masri BA et al (2012) Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res 470:555–561. https://doi.org/10.1007/s11999-011-2198-y CrossRefPubMed

23.

Mont MA, LaPorte DM, Mullick T et al (1999) Tennis after total hip arthroplasty. Am J Sports Med 27:60–64. https://doi.org/10.1177/03635465990270011801 CrossRefPubMed

24.

Zahiri A, Zahiri CA, Schmalzried TP et al (1998) Assessing activity in joint replacement patients. J Arthroplast 13:890–895. https://doi.org/10.1016/S0883-5403(98)90195-4 CrossRef

25.

Jb A, Jl W, Ke F (2016) Does physical activity increase after total hip or knee arthroplasty for osteoarthritis ? A systematic review. PubMed Commons. doi: https://doi.org/10.2519/jospt.2016.6449.KEYWORDS

26.

Nicholls MA, Selby JBHJ (2002) Athletic activity after total joint replacement. Orthopedics 25:1283–1287PubMed

27.

Flecher X, Argenson JN, Aubaniac JM (2004) Hip and knee replacement and sport. Ann Readapt Med Phys 47:382–388CrossRefPubMed

28.

Schmitt-Sody M, Pilger V, Gerdesmeyer L (2011) Rehabilitation and sport following total hip replacement. Orthopade 40:513–519. https://doi.org/10.1007/s00132-011-1761-2 CrossRefPubMed

29.

Healy WL, Iorio R, Lemos MJ (2001) Athletic activity after joint replacement. Am J Sports Med 29:377–388CrossRefPubMed

30.

Hara D, Nakashima Y, Hamai S et al (2016) Dynamic hip kinematics during the golf swing after total hip arthroplasty. Am J Sports Med 44:1801–1809. https://doi.org/10.1177/0363546516637179 CrossRefPubMed

31.

Cowie JG, Turnball GS, Ker a M, Breusch SJ (2013) Return to work and sports after total hip replacement. Arch Orthop Trauma Surg 133:695–700. https://doi.org/10.1007/s00402-013-1700-2 CrossRefPubMed

32.

Mallon WJ, Callaghan JJ (1993) Total knee arthroplasty in active golfers. J Arthroplast 8:299–306. https://doi.org/10.1016/S0883-5403(07)80022-2 CrossRef

Title: Perceived skills for sports performance after primary hip arthroplasty: a cross-sectional study
Authors: James Madrid
Maria Bautista
Juan F. Guio
Guillermo Bonilla
Akillefs Betancourt
Adolfo Llinas
Publication date: 01-12-2019
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthritis of the Hip
Osteoarthritis of the Hip
Published in: International Orthopaedics / Issue 12/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-019-04311-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Perceived skills for sports performance after primary hip arthroplasty: a cross-sectional study

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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