ArticleClinical orthopaedics and related research2012
Does impact sport activity influence total hip arthroplasty durability?
Article in Clinical orthopaedics and related research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Risk of revision arthroplasty surgery after exposure to physically demanding occupational or leisure activities: A systematic review.PloS one · 2022Pooled it
- The Effect of Total Hip Arthroplasty on Sports and Work Participation: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- Pooled it
- What Host Factors Affect Aseptic Loosening After THA and TKA?Clinical orthopaedics and related research · 2015Pooled it
- No difference in the level of sports activity between single versus dual mobility total hip arthroplasty in adults: a clinical trial.European journal of medical research · 2025Trial
- Cemented and cementless dual mobility cups show similar fixation, low polyethylene wear, and low serum cobalt-chromium in elderly patients: a randomized radiostereometry study with 6 years' follow-up.Acta orthopaedica · 2022Trial
- No Benefit After THA Performed With Computer-assisted Cup Placement: 10-year Results of a Randomized Controlled Study.Clinical orthopaedics and related research · 2016Trial
- The Geriatric Nutritional Risk Index Is an Independent Predictor of Prosthesis Aseptic Loosening in Patients Undergoing Total Joint Arthroplasty.Orthopaedic surgery · 2026Article
- Factors associated with aseptic loosening after primary total hip arthroplasty: A systematic review and meta-analysis.World journal of orthopedics · 2026Article
- Returning to Sports and High-Impact Exercise After Total Hip Arthroplasty: What Should We Be Recommending in 2026?Orthopedic reviews · 2026Article
- Article
- Are Activity Restrictions Necessary After Total Hip Arthroplasty: A Systematic Review.Arthroplasty today · 2024Article
- Intensive physical activity following total hip arthroplasty increased the revision risk after 15 years: a cohort study of 973 patients from the Geneva Arthroplasty Register.Acta orthopaedica · 2024Article
- Trends, demographics and reoperation rates of periacetabular osteotomy: an analysis from the PearlDiver database.Journal of hip preservation surgery · 2024Article
- Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe?Journal of clinical medicine · 2023Article
- Reverse dynamics analysis of contact force and muscle activities during the golf swing after total hip arthroplasty.Scientific reports · 2023Article
- Sports activity participation and subjective health status of patients after total hip arthroplasty via the anterolateral-supine approach: a case series study.BMC musculoskeletal disorders · 2022Article
- Wear analysis of the first-generation cross-linked polyethylene at minimum 10 years follow-up after THA: no significant effect of sports participation.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2022Article
- Being active with a total hip or knee prosthesis: a systematic review into physical activity and sports recommendations and interventions to improve physical activity behavior.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022Review
- Implant Survival, Clinical Outcome and Complications of Megaprosthetic Reconstructions Following Sarcoma Resection.Cancers · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReturn 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.
methodsWe 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.
resultsThe 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.
conclusionsOur 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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