Τίτλος:
Comparing return to sport activities after short metaphyseal femoral arthroplasty with resurfacing and big femoral head arthroplasties
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives: Young patients feel that maintaining sport activities after total hip arthroplasty constitutes an important part of their quality of life. The majority of hip surgeons allow patients to return to low-impact activities, but significant caution is advised to taking part in high-impact activities. The purpose of this study is to compare and evaluate the post-operative return to daily living habits and sport activities following short-metaphyseal hip and high functional total hip arthroplasties (resurfacing and big femoral head arthroplasties). Material and methods: In a study design, 48 patients (55 hips) were enrolled in three different comparative groups, one with the short-metaphyseal arthroplasties, a second with high functional resurfacing arthroplasties and a third of big femoral head arthroplasties. Each patient experienced a clinical examination and evaluated with Harris Hip Score, WOMAC, Sf-36, UCLA activity score, satisfaction VAS, anteroposterior and lateral X-rays of the hip and were followed in an outpatient setting for 2 years. Results: Statistical analysis revealed no notable differences between the three groups regarding their demographic data however significant differences have been found between preoperative and postoperative clinical scores of each group. Also, we fail to reveal any significant differences when comparing data of all three groups at the final 2 years postoperative control regarding their clinical scores. The overall outcome of all three groups was similar, all the patients were satisfied and returned to previous level of sport activities. Conclusion: Short metaphyseal hip arthroplasties in young patients intending to return to previous and even high impact sport activities, similar to high functional resurfacing, big femoral head arthroplasties. Short stems with hard on hard bearing surfaces might become an alternative to standard stems and hip resurfacing. © 2017, Springer-Verlag France.
Συγγραφείς:
Karampinas, P.K.
Papadelis, E.G.
Vlamis, J.A.
Basiliadis, H.
Pneumaticos, S.G.
Περιοδικό:
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
Εκδότης:
Springer-Verlag France
Λέξεις-κλειδιά:
aged; Article; big femoral head arthroplasty; body mass; clinical article; clinical evaluation; clinical examination; comparative study; controlled study; daily life activity; female; femoral head; femur metaphysis; Harris hip score; hip arthroplasty; hip disease; hip resurfacing device; human; joint surgery; male; physical activity; priority journal; retrospective study; Short Form 36; short metaphyseal femoral arthroplasty; sport; Western Ontario and McMaster Universities Osteoarthritis Index; daily life activity; devices; diagnostic imaging; hip; hip prosthesis; hip replacement; middle aged; pathophysiology; patient satisfaction; postoperative period; preoperative period; procedures; return to sport, Activities of Daily Living; Aged; Arthroplasty, Replacement, Hip; Female; Hip Joint; Hip Prosthesis; Humans; Male; Middle Aged; Patient Satisfaction; Postoperative Period; Preoperative Period; Return to Sport
DOI:
10.1007/s00590-016-1897-1
