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Predictors of Participation in Sports After Hip and Knee Arthroplasty

  • Symposium: Papers Presented at the Annual Meetings of The Hip Society
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

While the primary objective of joint arthroplasty is to improve patient quality of life, pain, and function, younger active patients often demand a return to higher function that includes sporting activity. Knowledge of rates and predictors of return to sports will help inform expectations in patients anticipating return to sports after joint arthroplasty.

Questions/purposes

We measured the rate of sports participation at 1 year using the UCLA activity score and explored 11 variables, including choice of procedure/prosthesis, that might predict return to a high level of sporting activity, when controlling for potential confounding variables.

Methods

We retrospectively evaluated 736 patients who underwent primary metal-on-polyethylene THA, metal-on-metal THA, hip resurfacing arthroplasty, revision THA, primary TKA, unicompartmental knee arthroplasty, and revision TKA between May 2005 and June 2007. We obtained UCLA activity scores on all patients; we defined high activity as a UCLA score of 7 or more. We evaluated patient demographics (age, sex, BMI, comorbidity), quality of life (WOMAC score, Oxford Hip Score, SF-12 score), and surgeon- and procedural/implant-specific variables to identify factors associated with postoperative activity score. Minimum followup was 11 months (mean, 12.1 months; range, 11–13 months).

Results

Preoperative UCLA activity score, age, male sex, and BMI predicted high activity scores. The type of operation and implant characteristics did not predict return to high activity sports.

Conclusions

Our data suggest patient-specific factors predict postoperative activity rather than factors specific to type of surgery, implant, or surgeon factors.

Level of Evidence

Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

The authors thank Daphné Savoy for her assistance in the preparation of this manuscript and Eric Sayre, PhD, for his assistance with the statistical analysis.

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Authors and Affiliations

  1. Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Room 3114, 910 West 10th Avenue, Vancouver, BC, V5Z 4E3, Canada

    Daniel H. Williams MBBCh, MSc, Nelson V. Greidanus MD, MPH, Bassam A. Masri MD, Clive P. Duncan MD, MSc & Donald S. Garbuz MD, MHSc

Authors
  1. Daniel H. Williams MBBCh, MSc
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  2. Nelson V. Greidanus MD, MPH
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  3. Bassam A. Masri MD
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  4. Clive P. Duncan MD, MSc
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  5. Donald S. Garbuz MD, MHSc
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Corresponding author

Correspondence to Donald S. Garbuz MD, MHSc.

Additional information

The institution of one or more of the authors (DSG, NVG, BAM) has received, in any 1 year, funding from Zimmer, Inc (Warsaw, IN, USA), DePuy Orthopaedics Inc (Warsaw, IN, USA), and Stryker Canada (Hamilton Ontario, Canada). One or more of the authors (DSG, BAM, CPD) certify that he or she, or a member of his or her immediate family, has consultancies at Zimmer, Inc. One or more of the authors (CPD) certify that he or she, or a member of his or her immediate family, has a consultancy at Smith & Nephew, Inc (Memphis, TN, USA).

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request.

Clinical Orthopaedics and Related Research neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use.

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Williams, D.H., Greidanus, N.V., Masri, B.A. et al. Predictors of Participation in Sports After Hip and Knee Arthroplasty. Clin Orthop Relat Res 470, 555–561 (2012). https://doi.org/10.1007/s11999-011-2198-y

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