Abstract
Background
Total hip arthroplasty is increasingly performed in younger, more active patients.
Thirty-five percent of patients are involved in sports preoperatively, and a desire
to return to sporting activity is now a major expectation. Sporting activity potentially
risks premature failure of the implant, and there is no consensus or guidelines among
British or European surgeons performing total hip arthroplasty in sporting patients.
Methods
The current practice of British Hip Society members was explored through a Web-based
survey. Of the 260 members surveyed, 109 responded.
Results
The majority of respondents (33%) would perform uncemented, 29.1% would perform hybrid,
15.5% would perform fully cemented, and 11.7% would perform a resurfacing hip arthroplasty
for sporting patients. The preferred approach is the standard posterior (68.9%) and
preferred bearing couples are ceramic-on-ceramic (39.8%) and ceramic-on-polyethylene
(36.9%). Half of respondents would opt for a femoral head smaller than 36 mm, whereas
22.3% would use a head 36 mm or larger. A third would allow patients to return to
sports between 6 and 12 weeks after surgery, whereas 43.7% advise patients to wait
until 3 months postoperatively. All respondents allow patients to return to low-impact
activities, but significant caution is exercised with regard to taking part in high-impact
activities.
Conclusion
We report the practice of a specialist group of hip surgeons, the majority of which
consider themselves young adult hip specialists. We believe that these data may be
of use to help inform the practice of our colleagues when performing arthroplasty
in sporting patients and may serve to inform future consensus guidelines.
Keywords
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Article info
Publication history
Published online: September 28, 2016
Accepted:
September 8,
2016
Received in revised form:
August 20,
2016
Received:
April 1,
2016
Footnotes
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2016.09.019.
Identification
Copyright
Crown Copyright © 2016 Published by Elsevier Inc. All rights reserved.
