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Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?

  • Symposium: Papers Presented at the 2011 Meeting of the International Hip Society
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

Return 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.

Methods

We 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.

Results

The 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.

Conclusions

Our 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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Acknowledgments

We thank Pr Jean Manuel Aubaniac for his surgical involvement.

Author information

Authors and Affiliations

  1. APHM, Center for Arthritis Surgery, Hospital Sainte-Marguerite, Aix-Marseille University, Marseille, France

    Matthieu Ollivier MD, Solenne Frey MD, Sebastien Parratte MD, PhD, Xavier Flecher MD, PhD & Jean-Noël Argenson MD

  2. Service de Chirurgie Orthopédique, Hôpital Sainte-Marguerite, 270, Boulevard Sainte-Marguerite, BP 29-13274, Marseille Cedex 09, France

    Jean-Noël Argenson MD

Authors
  1. Matthieu Ollivier MD
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  2. Solenne Frey MD
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  3. Sebastien Parratte MD, PhD
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  4. Xavier Flecher MD, PhD
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  5. Jean-Noël Argenson MD
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Corresponding author

Correspondence to Jean-Noël Argenson MD.

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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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Ollivier, M., Frey, S., Parratte, S. et al. Does Impact Sport Activity Influence Total Hip Arthroplasty Durability?. Clin Orthop Relat Res 470, 3060–3066 (2012). https://doi.org/10.1007/s11999-012-2362-z

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