Can Patients Practice Strenuous Sports After Uncemented Ceramic-on-Ceramic Total Hip Arthroplasty?

Autor: Jean-Charles Rollier, Michel-Henri Fessy, Michel Bonnin, Jean-Christophe Chatelet, Laurent Jacquot, Gerjon Hannink, Tarik Aït-Si-Selmi, Mo Saffarini, Julien Chouteau
Přispěvatelé: Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Lyon, France, parent, Artro Group Institute, Centre de Chirurgie Orthopédique du Beaujolais, Department of Orthopaedic Surgery, Clinique d'Argonay, Orthopaedic Research Laboratory, Radboud University Medical Center [Nijmegen], ReSurg SA, Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)
Rok vydání: 2018
Předmět:
Zdroj: Orthopaedic Journal of Sports Medicine, 6, 4, pp.
Orthopaedic Journal of Sports Medicine
Orthopaedic Journal of Sports Medicine, SAGE Publications, 2018, 16 (4), ⟨10.1177/2325967118763920⟩
Orthopaedic Journal of Sports Medicine, 6,
ISSN: 2325-9671
DOI: 10.1177/2325967118763920⟩
Popis: Background:Patients are often concerned about returning to sports after total hip arthroplasty (THA).Purpose:To (1) evaluate sports participation and motivation rates in a large cohort of patients who underwent uncemented THA with ceramic-on-ceramic bearings and (2) determine whether patients’ participation was associated with their motivation for each sport, preoperative demographics, or patient-reported outcomes.Study Design:Case-control study; Level of evidence, 3.Methods:We surveyed 1310 patients (aged Results:At least 51% of patients participated regularly or frequently in at least 1 light sport, 73% in at least 1 moderate sport, and 20% in at least 1 strenuous sport. Sports participation was strongly correlated with motivation ( r = 0.97, P < .001) but not with level of discomfort ( r = 0.22, P = .292). Participation in strenuous sports was significantly associated with age, body mass index, and sex. There were significant differences among patients who practiced various categories of sports as determined using the Oxford Hip Score ( P = .008), but not with regard to the Forgotten Joint Score ( P = .054).Conclusion:Only 20% of patients practiced strenuous sports regularly or frequently after THA, regardless of pain or discomfort. Participation in sports after THA is strongly correlated with motivation but not with level of discomfort. Longer term studies with a greater focus on complications and survival are necessary to determine whether high-impact sports compromise patient safety or implant longevity.
Databáze: OpenAIRE