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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 11/2012

01-11-2012 | Symposium: Papers Presented at the 2011 Meeting of the International Hip Society

Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?

Authors: Matthieu Ollivier, MD, Solenne Frey, MD, Sebastien Parratte, MD, PhD, Xavier Flecher, MD, PhD, Jean-Noël Argenson, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2012

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Abstract

Background

Return to sport is a key patient demand after hip arthroplasty and some patients are even involved in high-impact sports. Although polyethylene wear is related to the number of cycles and the importance of the load, it is unclear whether high-impact sport per se influences THA durability.

Questions/purposes

Therefore, we compared (1) function between the patients involved in high-impact sports and the patients with lower activities as measured by the Harris hip score (HHS) and the Hip Osteoarthritis Outcome Score (HOOS); (2) linear wear rates; and (3) survivorships considering revision for mechanical failure with radiographic signs of aseptic loosening as the end point.

Methods

We retrospectively identified 70 patients who engaged in high-impact sports and 140 with low activity levels from among 843 THAs from a prospectively collected database performed between September 1, 1995, and December 31, 2000. Patients were evaluated at a minimum followup of 10 years (mean, 11 years; range, 10–15 years) by two independent observers. We obtained a HHS and HOOS at each followup.

Results

The mean HOOS was higher in the high-impact group for three of the five subscales of the HOOS. Mean linear wear was higher in the high-impact group than in the low-activities group. We also found a higher number of revisions in the high-activity group.

Conclusions

Our observations confirm concern about the risk of THA mechanical failures related to high-impact sport, and patient and surgeons alike should be aware of these risks of mechanical failures.

Level of Evidence

Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
Literature
1.
Bedigrew KM, Ruh EL, Zhang Q, Clohisy JC, Barrack RL, Nunley RM. 2011 Marshall Urist Young Investigator Award: when to release patients to high-impact activities after hip resurfacing. Clin Orthop Relat Res. 2012;470:299–306.PubMedCrossRef
2.
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833–1840.PubMed
3.
Calvert GT, Devane PA, Fielden J, Adams K, Horne J. Double-blind, prospective, randomized controlled trial comparing highly cross-linked and conventional polyethylene in primary total hip arthroplasty. J Arthroplasty. 2009;24:505–510.PubMedCrossRef
4.
Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972;54:61–76.PubMed
5.
Charnley J, Cupic Z. The nine and ten year results of the low-friction arthroplasty of the hip. Clin Orthop Relat Res. 1973;95:9–25.PubMed
6.
DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976;121:20–32.PubMed
7.
Devane PA, Home JG, Martin K, Coldham G, Krause B. Three dimensional polyethylene wear of a press-fit titanium prosthesis: factors influencing generation of polyethylene debris. J Arthroplasty. 1997;12: 256–266.PubMedCrossRef
8.
Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty. 2002;17:649–661.PubMedCrossRef
9.
Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987;69:45–55.PubMed
10.
Flecher X, Pearce O, Parratte S, Aubaniac JM, Argenson JN. Custom cementless stem improves hip function in young patients at 15-year followup. Clin Orthop Relat Res. 2010;468:747–755.PubMedCrossRef
11.
Flugsrud GB, Nordsletten L, Espehaug B, Havelin LI, Meyer HE. The effect of middle-age body weight and physical activity on the risk of early revision hip arthroplasty: a cohort study of 1535 individuals. Acta Orthop Scand. 2007;78:99–107.CrossRef
12.
Girard J, Touraine D, Soenen M, Massin P, Laffargue P, Migaud H. Measurement of head penetration on digitalized radiographs: reproducibility and accuracy. Rev Chir Orthop. 2005;91:137–142.PubMed
13.
Gruen TA, McNeice GM, Amstutz HC. ‘Modes of failure’ of cemented stem-type femoral components. Clin Orthop Relat Res. 1979;141:17–27.PubMed
14.
Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737–755.PubMed
15.
Healy WL, Iorio R, Lemos MJ. Athletic activity after joint replacement. Am J Sports Med. 2001;29:377–388.PubMed
16.
Huch K, Müller KA, Stürmer T, Brenner H, Puhl W, Günther KP. Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis. 2005;64:1715–1720.PubMedCrossRef
17.
Huet R, Sakona A, Kurtz SM. Strength and reliability of alumina ceramic femoral heads: review of design, testing, and retrieval analysis. J Mech Behav Biomed Mater. 2011;4:476–483.PubMedCrossRef
18.
Jarrett CA, Ranawat AS, Bruzzone M, Blum YC, Rodriguez JA, Ranawat CS. The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. J Bone Joint Surg Am. 2009;91:1344–1349.PubMedCrossRef
19.
Kilgus DJ, Moreland JR, Finerman GA, Funahashi TT, Tipton JS. Catastrophic wear of tibial polyethylene inserts. Clin Orthop Relat Res. 1991;273:223–231.PubMed
20.
Klein GR, Levine BR, Hozack WJ, Strauss EJ, D’Antonio JA, Macaulay W. 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;22:171–175.PubMedCrossRef
21.
Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370:1508–1519.PubMedCrossRef
22.
Livermore J, Ilstrup D, Morrey B. Effect of femoral head size on wear of the polyethylene acetabular component. J Bone Joint Surg Am. 1990;72:518–522.PubMed
23.
Lübbeke A, Garavaglia G, Barea C, Stern R, Peter R, Hoffmeyer P. Influence of patient activity on femoral osteolysis at five and ten years following hybrid total hip replacement. J Bone Joint Surg Br. 2011;93:456–463.PubMedCrossRef
24.
Massin P, Schmidt L, Engh CA. Evaluation of cementless acetabular component migration. J Arthroplasty. 1989;4:245–251.PubMedCrossRef
25.
McGrory BJ, Stuart MJ, Sim FH. Participation in sports after hip and knee arthroplasty: review of literature and survey of surgeon preferences. Mayo Clin Proc. 1995;70:342–348.PubMedCrossRef
26.
Migaud H, Putman S, Krantz N, Vasseur L, Girard J. Cementless metal-on-metal versus ceramic-on-polyethylene hip arthroplasty in patients less than fifty years of age: a comparative study with twelve to fourteen-year follow-up. J Bone Joint Surg Am. 2011;93:137–142.PubMedCrossRef
27.
Mont MA, Marker DR, Seyler TM, Gordon N, Hungerford DS, Jones LC. Knee arthroplasties have similar results in high- and low-activity patients. Clin Orthop Relat Res. 2007;460:165–173.PubMed
28.
Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM. Hip disability and Osteoarthritis Outcome Score (HOOS)—validity and responsiveness in total hip replacement. BMC Musculoskelet Disord. 2003;30:4–10.
29.
Ornetti P, Parratte S, Gossec L, Tavernier C, Argenson J-N, Roos EM, Guillemin F, Maillefert JF. Cross-cultural adaptation and validation of the French version of the Hip disability and Osteoarthritis Outcome Score (HOOS) in hip osteoarthritis patients. Osteoarthritis Cartilage. 2010;18:522–529.PubMedCrossRef
30.
Ritter MA, Meding JB. Total hip arthroplasty. Can the patient play sports again? Orthopedics. 1987;10:1447–1452.PubMed
31.
Schmalzried TP, Shepherd EF, Dorey FJ, Jackson WO, dela Rosa M, Fa’vae F, McKellop HA, McClung CD, Martell J, Moreland JR, Amstutz HC. The John Charnley Award. Wear is a function of use, not time. Clin Orthop Relat Res. 2000;381:36–46.PubMedCrossRef
32.
Sechriest VF 2nd, Kyle RF, Marek DJ, Spates JD, Saleh KJ, Kuskowski M. Activity level in young patients with primary total hip arthroplasty: a 5-year minimum follow-up. J Arthroplasty. 2007;22:39–47.PubMedCrossRef
33.
Seyler TM, Mont MA, Ragland PS, Kachwala MM, Delanois RE. Sports activity after total hip and knee arthroplasty: specific recommendations concerning tennis. Sports Med. 2006;36:571–583.PubMedCrossRef
34.
Trousdale RT, McGrory BJ, Berry DJ, Becker MW, Harmsen WS. Patients’ concerns prior to undergoing total hip and total knee arthroplasty. Mayo Clin Proc. 1999;74:978–982.PubMed
35.
Visuri T, Honkanen R. Total hip replacement: its influence on spontaneous recreation exercise habits. Arch Phys Med Rehabil. 1980;61:325–328.PubMed
36.
Weiss JM, Noble PC, Conditt MA, Kohl HW, Roberts S, Cook KF, Gordon MJ, Mathis KB. What functional activities are important to patients with knee replacements? Clin Orthop Relat Res. 2002;404:172–188.PubMedCrossRef
37.
Wright JG, Young NL. The patient-specific index: asking patients what they want. J Bone Joint Surg Am. 1997;79:974–983.PubMed
38.
Wright TM, Bartel DL. The problem of surface damage in polyethylene total knee components. Clin Orthop Relat Res. 1986;205:67–74.PubMed
39.
Xenos JS, Hopkinson WJ, Callaghan JJ, Heekin RD, Savory CG. Osteolysis around an uncemented cobalt chrome total hip arthroplasty. Clin Orthop Relat Res. 1995;317:29–36.PubMed
40.
Zahiri CA, Scmalzried TP, Szuszczewcz ES, Amstutz HC. Assessing activity in joint replacement patients. J Arthroplasty. 1998;13:890–895.PubMedCrossRef
Metadata
Title
Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?
Authors
Matthieu Ollivier, MD
Solenne Frey, MD
Sebastien Parratte, MD, PhD
Xavier Flecher, MD, PhD
Jean-Noël Argenson, MD
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 11/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-012-2362-z

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