PMID- 34682767
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211026
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 10
IP  - 20
DP  - 2021 Oct 10
TI  - Sports Activity and Patient-Related Outcomes after Cementless Total Hip 
      Arthroplasty in Patients Younger than 40 Years.
LID - 10.3390/jcm10204644 [doi]
LID - 4644
AB  - BACKGROUND: The management of degenerative hip diseases in young patients remains 
      a challenge. Despite the improvement of hip-preserving procedures, total hip 
      arthroplasty (THA) may be required in some instances. In addition, young patients 
      undergoing THA have high expectations concerning their postoperative level of 
      activity. PURPOSE: (1) to define the sports activity level and the return to 
      sports after THA, (2) to describe the modification or initiation of new sports 
      disciplines, and (3) to report the clinically meaningful outcomes after THA in 
      patients younger than 40 years. METHODS: A total of 36 patients (40 hips) were 
      prospectively analyzed at a midterm follow-up of 3.9 years. The modified Harris 
      Hip Score (mHHS); the Visual Analog Scale (VAS) for pain; the University of 
      California, Los Angeles (UCLA) activity scale; and sports and recreational 
      activity levels were assessed via questionnaire. The minimal clinically important 
      difference (MCID) was determined by calculating half of the standard deviation, 
      and the substantial clinical benefit (SCB) as well as patient acceptable 
      symptomatic state (PASS), were calculated by the anchor method for the mHHS. 
      RESULTS: At the final follow-up, there was a significant improvement in mHHS 
      (34.1 to 92.6; p < 0.0001), UCLA (3.2 to 7.6; p < 0.0001), and VAS for pain (8 to 
      1; p < 0.0001). More patients were active in sports at follow-up than before 
      surgery (44% to 92%, p < 0.0001). In addition, the duration and frequency of 
      sports activities showed a significant increase (p < 0.0001). The MCID, SCB and 
      PASS for mHHS were 89% and 58%, respectively. No revision surgery had to be 
      performed. CONCLUSION: This study showed that a large proportion of patients 
      under 40 years of age who underwent THA increased their physical activity. 
      Eighty-six percent of the patients were highly active, with a UCLA score >/= 7. 
      Furthermore, the reported MCID, SCB, and PASS for mHHS were achieved by more than 
      80% of patients.
FAU - Navas, Luis
AU  - Navas L
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Faller, Jasmin
AU  - Faller J
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Schmidt, Sebastian
AU  - Schmidt S
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Streit, Marcus
AU  - Streit M
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Hauschild, Matthias
AU  - Hauschild M
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Zimmerer, Alexander
AU  - Zimmerer A
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
AD  - Department of Orthopaedics, University Medicine Greifswald, 
      Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
LA  - eng
PT  - Journal Article
DEP - 20211010
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC8537021
OTO - NOTNLM
OT  - MCID
OT  - PASS
OT  - SCB
OT  - THA
OT  - sports activity
OT  - young patients
COIS- Matthias Hauschild received royalties from Link and DePuy. All other authors 
      report no conflict of interests. All the authors are employed by the ARCUS Sports 
      Clinic: Luis Navas (Resident Orthopaedic Surgery), Jamsin Faller (Physician 
      Assistant), Sebastian Schmidt (Resident Orthopaedic Surgery), Marcus Streit 
      (Consultant Orthopaedic Surgeon), Matthias Hauschild (Head of Department 
      Orhtopaedic Surgery) and Alexander Zimmerer (Orthopaedic Surgeon).
EDAT- 2021/10/24 06:00
MHDA- 2021/10/24 06:01
PMCR- 2021/10/10
CRDT- 2021/10/23 01:12
PHST- 2021/09/22 00:00 [received]
PHST- 2021/10/06 00:00 [revised]
PHST- 2021/10/06 00:00 [accepted]
PHST- 2021/10/23 01:12 [entrez]
PHST- 2021/10/24 06:00 [pubmed]
PHST- 2021/10/24 06:01 [medline]
PHST- 2021/10/10 00:00 [pmc-release]
AID - jcm10204644 [pii]
AID - jcm-10-04644 [pii]
AID - 10.3390/jcm10204644 [doi]
PST - epublish
SO  - J Clin Med. 2021 Oct 10;10(20):4644. doi: 10.3390/jcm10204644.