Skip to main content
SpringerLink
Log in

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

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. 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

    Article  PubMed  Google Scholar 

  2. 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 89:780–785

    Article  PubMed  Google Scholar 

  3. 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

    Article  Google Scholar 

  4. 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

    Article  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  6. 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

    Article  PubMed  Google Scholar 

  7. 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

    Article  PubMed  PubMed Central  Google Scholar 

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

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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

    Article  Google Scholar 

  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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Altman RD (2010) Early management of osteoarthritis. Am J Manag Care 16(Suppl M):S41–S47

    PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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:963–974

    Article  Google Scholar 

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

    Article  CAS  Google Scholar 

  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

    Article  PubMed  PubMed Central  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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

    Article  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  Google Scholar 

  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

    Article  CAS  Google Scholar 

  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 25:1283–1287

    PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  Google Scholar 

  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

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of Medicine, Universidad El Bosque, Bogotá D.C., Colombia

    James Madrid

  2. Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia

    Maria Bautista, Guillermo Bonilla, Akillefs Betancourt & Adolfo Llinas

  3. School of Medicine, Universidad de Los Andes, Bogotá D.C., Colombia

    Juan F. Guio, Guillermo Bonilla & Adolfo Llinas

  4. School of Medicine, Universidad del Rosario, Bogotá D.C., Colombia

    Guillermo Bonilla & Adolfo Llinas

Authors
  1. James Madrid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Maria Bautista
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Juan F. Guio
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Guillermo Bonilla
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Akillefs Betancourt
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Adolfo Llinas
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Guillermo Bonilla.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Madrid, J., Bautista, M., Guio, J.F. et al. Perceived skills for sports performance after primary hip arthroplasty: a cross-sectional study. International Orthopaedics (SICOT) 43, 2725–2730 (2019). https://doi.org/10.1007/s00264-019-04311-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-019-04311-3

Keywords

Search

Navigation