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Return to sports after hip resurfacing versus total hip arthroplasty: a mid-term case control study

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

Hip resurfacing (HR) is an alternative to conventional total hip arthroplasty (THA) for the treatment of osteoarthritis (OA) in very active, young male patients. However, there is no study in the literature that has proven its benefits for high-impact sport over standard primary THA. The aim of the current study was to investigate the return to sport and function level of male patients after THA vs. HR.

Materials and methods

This prospective study is based on a telephone questionnaire for general health and sports activities. 40 HRs were matched with 40 THAs based on preoperative University of California Arthroplasty Score (UCLA), BMI, age at time of surgery and age at follow-up. The mean follow-up period was 56 months (range 24–87 months).

Results

HR patients showed a significantly higher High-activity arthroplasty score (HAAS) (14.9 vs. 12.9, p < 0.001) and Lower extremity activity scale (LEAS) (15.9 vs. 14.1, p < 0.001) and reached significantly higher values in the Hip cycle score (HCS) (44.7 vs. 35.7 p = 0.037) and Impact score (IS) (40.9 vs. 29.6, p < 0.002) than THA patients. No significant differences were found in the HOOS function section (91.4 vs. 90.3, p = 0.803) and the Pain numeric rating scale (NRS)-11 (0.6 vs. 0.9 p = 0.169). Patients with HR had a slightly higher Harris hip score (HHS) (97.8 vs. 95.6, p = 0.015)

Conclusion

The current study suggests that young male patients are able to engage in higher activity levels after HR compared to standard THA.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, 535 E 70th Street, New York, NY, 10021, USA

    Kilian Rueckl, Alina Liebich, Ulrich Bechler, Bernhard Springer & Friedrich Boettner

  2. Department of Orthopedic Surgery, Koenig-Ludwig-Haus, University of Wuerzburg, Brettreichstrasse 11, 97074, Wuerzburg, Germany

    Kilian Rueckl, Alina Liebich & Maximilian Rudert

Authors
  1. Kilian Rueckl
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Correspondence to Friedrich Boettner.

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Conflict of interest

One author (FB) has received royalties by Ortho development Inc. He has also received compensation by Smith and Nephew, and DePuy. All other authors certify that they have no conflict of interest in connection with the submitted article.

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For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors. The study has been performed in accordance with the ethical standards in the 1964 Declaration of Helsinki. It has also been carried out in accordance with relevant regulations of the US Health Insurance Portability and Accountability Act (HIPAA).

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Rueckl, K., Liebich, A., Bechler, U. et al. Return to sports after hip resurfacing versus total hip arthroplasty: a mid-term case control study. Arch Orthop Trauma Surg 140, 957–962 (2020). https://doi.org/10.1007/s00402-020-03414-6

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