Return to Sport After Short-Stem Total Hip Arthroplasty.

Reinhold Ortmaier, Hannes Pichler, Wolfgang Hitzl, Katja Emmanuel, Georg Mattiassich, Fabian Plachel, Josef Hochreiter
Author Information
  1. Reinhold Ortmaier: Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University, Salzburg, Linz, Austria.
  2. Hannes Pichler: Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University, Salzburg, Linz, Austria.
  3. Wolfgang Hitzl: Department of Biostatistics, Paracelsus Medical University, Salzburg, Austria.
  4. Katja Emmanuel: Department of Orthopaedics and Traumatology, Paracelsus Medical University, Salzburg, Austria.
  5. Georg Mattiassich: Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University, Salzburg, Linz, Austria.
  6. Fabian Plachel: Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
  7. Josef Hochreiter: Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University, Salzburg, Linz, Austria.

Abstract

OBJECTIVES: Information about sport activity after short-stem total Hip Arthroplasty (THA) is scarce in the literature. We therefore aimed to evaluate the rate of return to sport after short-stem THA.
METHODS: We evaluated the sport pattern, rate of return to sport, activity level, extent of sport activity, and subjective rating and sense of well-being in 137 patients (137 hips) after short-stem THA. the minimum follow-up time was 18 months. All results were analyzed according to gender (male and female) and age (≤60, >60-≤70, and >70 years).
RESULTS: Ninety-two percent of all patients practiced sport before surgery, and 91% of the patients returned to sport. Most patients returned to sport within the first 6 months after surgery. There was a decline in the number of sport disciplines from preoperatively to postoperatively, which was from 2.9 to 2.6 (P = 0.025). High-impact activities decreased postoperatively, but most low-impact activities did not change significantly. Eighty percent of all patients were involved in recreational sports.
CONCLUSION: In this study, we observed an excellent rate of return to sport after short-stem THA. Most patients returned to the same level of sport activity that they had before the onset of restricting symptoms, with the majority of patients having a great sense of well-being during and after sports, and almost no pain in the affected hip.

MeSH Term

Age Factors
Aged
Arthralgia
Arthroplasty, Replacement, Hip
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pain, Postoperative
Patient Satisfaction
Retrospective Studies
Return to Sport

Word Cloud

Created with Highcharts 10.0.0sportpatientsactivityshort-stemTHAratereturnreturnedhiplevelsensewell-being137monthspercentsurgery6postoperatively2activitiessportsOBJECTIVES:InformationtotalarthroplastyscarceliteraturethereforeaimedevaluateMETHODS:evaluatedpatternextentsubjectiveratinghipsminimumfollow-uptime18resultsanalyzedaccordinggendermalefemaleage≤60>60-≤70>70yearsRESULTS:Ninety-twopracticed91%withinfirstdeclinenumberdisciplinespreoperatively9P=0025High-impactdecreasedlow-impactchangesignificantlyEightyinvolvedrecreationalCONCLUSION:studyobservedexcellentonsetrestrictingsymptomsmajoritygreatalmostpainaffectedReturnSportShort-StemTotalHipArthroplasty

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