Research Article| Volume 27, ISSUE 8, P1518-1525.e2, September 2012

What Are Young Patients Doing After Hip Reconstruction?

Published:April 19, 2012DOI:


      We assessed primary hip arthroplasty patients younger than 50 years in terms of activity and function. We hypothesized that young patients are more active than previously thought. Physician activity recommendations were compared with patient-reported participation levels in activities. Sixty-one patients (65.3%) were reached by telephone. Average age was 43.18 years; body mass index, 29.46. “Recommended activities” increased by 33%. High-Activity Arthroplasty Score and University of California at Los Angeles scores were 11.69 and 6.87, respectively. Patients were 98% satisfied with their postoperative function, and 95% would redo the procedure. Activities stopped due to fear of injury (29%), physician recommendation (26%), hip pain (14%), early fatigue (17%), and decreased interest (14%). The average period to postoperative survey administration was 30.06 months (range, 10-81 months). Postoperative recommendations for the young total hip arthroplasty patient should be a balance between joint prosthesis preservation and regular activity participation.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The Journal of Arthroplasty
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kurtz S.
        • Ong K.
        • Lau E.
        • et al.
        Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.
        J Bone Joint Surg. 2007; 89: 780
        • Mancuso C.
        • Graziano S.
        • Briskie L.
        • et al.
        Randomized trials to modify patients' preoperative expectations of hip and knee arthroplasties.
        Clin Orthop Relat Res. 2008; 466: 424
        • Harris W.
        • Sledge C.
        Total hip and total knee replacement.
        N Engl J Med. 1990; 323: 725
        • Ritter M.
        • Albohm M.
        • Keating E.
        • et al.
        Comparative outcomes of total joint arthroplasty.
        J Arthroplasty. 1995; 10: 737
        • Collis D.
        Cemented total hip replacement in patients who are less than fifty years old.
        J Bone Joint Surg. 1984; 66: 353
        • Dorr L.
        • Takei G.
        • Conaty J.
        Total hip arthroplasties in patients less than forty-five years old.
        J Bone Joint Surg. 1983; 65: 474
        • Kuster M.
        Exercise recommendations after total joint replacement: a review of the current literature and proposal of scientifically based guidelines.
        Sports Med. 2002; 32: 433
        • Bauman S.
        • Williams D.
        • Petruccelli D.
        • et al.
        Physical activity after total joint replacement: a cross-sectional survey.
        Clin J Sport Med. 2007; 17: 104
        • Clifford P.
        • Mallon W.
        Sports after total joint replacement.
        Clin Sports Med. 2005; 24: 175
        • Porucznik M.
        How many orthopaedists does it take to…? Is the United States facing a shortage of orthopaedic surgeons? Or are recent calls for more surgeons another false alarm?.
        AAOS Now. 2007; (
        • Cornell C.
        • Ranawat C.
        Survivorship analysis of total hip replacements. Results in a series of active patients who were less than fifty-five years old.
        J Bone Joint Surg. 1986; 68: 1430
        • Ritter M.
        • Meding J.
        Total hip arthroplasty. Can the patient play sports again?.
        Orthopedics. 1987; 10: 1447
        • Bradbury N.
        • Borton D.
        • Spoo G.
        • et al.
        Participation in sports after total knee replacement.
        Am J Sports Med. 1998; 26: 530
        • Dubs L.
        • Gschwend N.
        • Munzinger U.
        Sport after total hip arthroplasty.
        Arch Orthop Trauma Surg. 1983; 101: 161
        • Naal F.D.
        • Impellizzeri F.M.
        • Leunig M.
        Which is the best activity rating scale for patients undergoing total joint arthroplasty?.
        Clin Orthop Relat Res. 2009; 467: 958
        • Talbot S.
        • Hooper G.
        • Stokes A.
        • et al.
        Use of a new high-activity arthroplasty score to assess function of young patients with total hip or knee arthroplasty.
        J Arthroplasty. 2010; 25: 268
        • Swanson E.
        • Schmalzried T.
        • Dorey F.
        Activity recommendations after total hip and knee arthroplasty: a survey of the American Association for Hip and Knee Surgeons.
        J Arthroplasty. 2009; 24: 120
        • Klein G.
        • Levine B.
        • Hozack W.
        • et al.
        Return to athletic activity after total hip arthroplasty: consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons.
        J Arthroplasty. 2007; 22: 171
        • Healy W.L.
        • Sharma S.
        • Schwartz B.
        • et al.
        Athletic activity after total joint arthroplasty.
        J Bone Joint Surg. 2008; 90: 2245
        • Healy W.L.
        • Iorio R.
        • Lemos M.J.
        Athletic activity after joint replacement.
        Am J Sports Med. 2001; 29: 377
        • Sechriest I.
        Activity level in young patients with primary total hip arthroplasty: a 5-year minimum follow-up.
        J Arthroplasty. 2007; 22: 39
        • Goldsmith A.
        • Dowson D.
        • Wroblewski B.
        • et al.
        Comparative study of the activity of total hip arthroplasty patients and normal subjects.
        J Arthroplasty. 2001; 16: 613
        • Schmalzried T.P.
        • Szuszczewicz E.S.
        • Northfield M.R.
        • et al.
        Quantitative assessment of walking activity after total hip or knee replacement.
        J Bone Joint Surg. 1998; 80: 54
        • Schmalzried T.P.
        • Shepherd E.F.
        • Dorey F.J.
        • et al.
        Wear is a function of use, not time.
        Clin Orthop Relat Res. 2000; 381: 36
        • Silva M.
        • Shepherd E.F.
        • Jackson W.O.
        • et al.
        Average patient walking activity approaches 2 million cycles per year.
        J Arthroplasty. 2002; 17: 693
        • Zahiri C.A.
        • Schmalzried T.P.
        • Szuszczewicz E.S.
        • et al.
        Assessing activity in joint replacement patientslow asterisk 1.
        J Arthroplasty. 1998; 13: 890
        • Mont M.A.
        • LaPorte D.M.
        • Mullick T.
        • et al.
        Tennis after total hip arthroplasty.
        Am J Sports Med. 1999; 27: 60
        • von Strempel A.
        • Wirth C.
        • Gossé F.
        Post-traumatic recurrent hip joint dislocation.
        Der Unfallchirurg. 1992; 95: 298
      1. Widhalm R, Höfer G, Krugluger J, et al. Is there greater danger of sports injury or osteoporosis caused by inactivity in patients with hip prosthesis? Sequelae for long-term stability of prosthesis anchorage. Zeitschrift für Orthopädie und ihre Grenzgebiete.128:139.

        • Kilgus D.J.
        • Moreland J.R.
        • Finerman G.A.M.
        • et al.
        Catastrophic wear of tibial polyethylene inserts.
        Clin Orthop Relat Res. 1991; 273: 223
        • Malchau H.
        • Herberts P.
        • Ahnfelt L.
        Prognosis of total hip replacement in Sweden: follow-up of 92,675 operations performed 1978-1990.
        Acta Orthop. 1993; 64: 497
        • McGrory B.
        Periprosthetic fracture of the femur after total hip arthroplasty occurring in winter activities: report of two cases.
        J Surg Orthop Adv. 2004; 13: 119
        • Röder C.
        • Parvizi J.
        • Eggli S.
        • et al.
        The Frank Stinchfield Award: demographic factors affecting long-term outcome of total hip arthroplasty.
        Clin Orthop Relat Res. 2003; 417: 62