Streck, Laura Elisa; Chiu, Yu-Fen; Braun, Sebastian; Mujaj, Anisa; Hanreich, Carola; Boettner, Friedrich (2023). Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe? Journal of clinical medicine, 12(20) MDPI 10.3390/jcm12206482
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BACKGROUND
Younger and physically active patients demand a return to sport after total hip arthroplasty (THA). However, because of the risk of implant wear and loosening, high-impact activities are often not recommended. The current study evaluates predictive factors and revision rates in patients with higher activity levels.
METHODS
This retrospective study included 4152 hips in 3828 patients aged 45-75 that underwent primary THA for primary osteoarthritis between 2009 and 2019 with a minimum follow-up of 2 years. Pain and Lower Extremity Activity Scale (LEAS) were assessed before and 2 years after surgery. Activity was classified as low (LEAS 1-6), moderate (LEAS 7-13), or high (LEAS 14-18).
RESULTS
Pain and LEAS improved from preoperative to 2-years postoperative (p < 0.001). The activity level was low in 6.2%, moderate in 52.9%, and high in 40.9% of the patients. Younger age, lower BMI, ASA, and CCI, male sex, and higher preoperative LEAS correlated with higher activity at 2 years (p < 0.001). The predicted revision-free survival rates between the activity groups were better for more highly active patients (p < 0.001).
CONCLUSIONS
High physical activity 2 years following THA, with participating in sports like jogging several times a week, did not increase the risk of revision surgery. THA patients should not be prevented from a highly active lifestyle.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Hanreich, Carola Anna |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2077-0383 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Oct 2023 11:14 |
Last Modified: |
03 Nov 2023 05:54 |
Publisher DOI: |
10.3390/jcm12206482 |
PubMed ID: |
37892620 |
Uncontrolled Keywords: |
activity hip replacement lower extremity activity scale outcome revision sports |
BORIS DOI: |
10.48350/188273 |
URI: |
https://boris.unibe.ch/id/eprint/188273 |
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