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Clinical Orthopaedics and Related Research®

Erschienen in:

01.11.2012 | Symposium: Papers Presented at the 2011 Meeting of the International Hip Society

Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?

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

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 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.

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Titel: Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?
verfasst von: Matthieu Ollivier, MD
Solenne Frey, MD
Sebastien Parratte, MD, PhD
Xavier Flecher, MD, PhD
Jean-Noël Argenson, MD
Publikationsdatum: 01.11.2012
Verlag: Springer-Verlag
Erschienen in: Clinical Orthopaedics and Related Research® / Ausgabe 11/2012
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-012-2362-z

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