HIP International最新文献

{"title":"Effect of the surgical approach on the incidence of nerve injury in patients with Crowe IV hip dysplasia undergoing total hip arthroplasty: a comparison between the direct anterior and the posterior approaches.","authors":"Yanbo Zhang, Junying He, Bo Liu, Hui Bu","doi":"10.1177/11207000251349739","DOIUrl":"https://doi.org/10.1177/11207000251349739","url":null,"abstract":"<p><strong>Background: </strong>Nerve injury is a major complication of total hip arthroplasty (THA) in patients with Crowe IV developmental dysplasia of the hip (DDH), and its incidence is influenced by the type of surgical approach used. The aim of this study was to compare the recently developed direct anterior approach (DAA) and the classic posterior approach (PA) regarding the characteristics of nerve injuries in Crowe IV DDH patients.</p><p><strong>Methods: </strong>A total of 149 Crowe IV DDH patients who underwent THA were retrospectively included and divided into 2 groups based on surgical approach (DAA: 68 patients and PA: 81 patients). Postoperatively, the nerve injury was evaluated both clinically and electrophysiologically. The incidence, severity and prognosis of nerve injuries and involved nerves were compared and analysed.</p><p><strong>Results: </strong>The overall incidence of nerve injury was 30.88% (21/68) for the DAA and 29.63% (24/81) for the PA (<i>p</i> = 0.868). The incidence of motor nerve injury (12.35%, 10/81) was higher with the PA than with the DAA (2.94%, 2/68, <i>p</i> = 0.036). The sciatic nerve was more commonly injured when the PA was performed (overall incidence: 27.16% vs. 8.82%, <i>p</i> = 0.004). In contrast, nerve injuries with the DAA mainly affected the femoral nerve (overall incidence: 25.00% vs. 11.11%, <i>p</i> = 0.026). The independent risk factors for symptomatic nerve injury were previous surgical history (OR 7.075) and body mass index (OR 1.598) for the DAA and previous surgical history (OR 9.143), surgical time (OR 1.029) and amount of limb lengthening (OR 1.104) for the PA.</p><p><strong>Conclusions: </strong>Patients undergoing THA due to osteoarthritis secondary to Crowe IV DDH can be operated on with a DAA. However, there is an increased incidence of femoral nerve injury when compared to the posterior approach. To prevent symptomatic nerve injury, the DAA should not be used in obese patients and might require more extensive intraoperative soft-tissue release.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251349739"},"PeriodicalIF":1.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High volume total hip arthroplasty surgeons have improved perioperative outcomes and short-term cumulative revision rates.","authors":"Theodor Di Pauli von Treuheim, Utkarsh Anil, Charles C Lin, Matthew T Kingery, Joshua Rozell, Ran Schwarzkopf","doi":"10.1177/11207000251350102","DOIUrl":"https://doi.org/10.1177/11207000251350102","url":null,"abstract":"<p><strong>Background: </strong>The relationship between total hip arthroplasty (THA) surgeon volume and outcomes is informative in this era of health care value optimisation. The purpose of this study was to evaluate outcomes based on modern-day surgeon practice volumes.</p><p><strong>Methods: </strong>The SPARCS database was queried for patients undergoing primary THA from 2010 to 2020. Annual case volume thresholds were 30 and 150, differentiating high-volume (HV), intermediate-volume (IV), and low-volume (LV) groups. Perioperative outcomes and all-cause cumulative revision rates were evaluated.</p><p><strong>Results: </strong>There were 88,411, 142,201, and 53,276 in the HV, IV, and LV groups, respectively. HV surgeons had significantly lower 3-month prosthetic joint infection (PJI) rates (0.5 vs. 0.8 vs. 1.0%, <i>p</i> <i><</i> 0.001). While controlling for confounders, multivariate regression revealed increased odds of PJI for IV (1.5) and LV (1.87) and increased all-cause revision hazard ratio for IV (1.1) and LV (1.3). Cumulative revision rates were lower for HV at 1 and 2 years, but rates converged with IV group at 9 years.</p><p><strong>Conclusions: </strong>HV surgeons have the most favourable short-term outcomes. However, in the long-term the difference in all-cause revision event rates becomes less apparent.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251350102"},"PeriodicalIF":1.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impaction bone grafting combined with lateral trabecular augments in acetabular revision surgery: a case-control study.","authors":"Ana Cruz-Pardos, Eduardo García-Rey","doi":"10.1177/11207000251351270","DOIUrl":"https://doi.org/10.1177/11207000251351270","url":null,"abstract":"<p><strong>Background: </strong>Impaction bone grafting (IBG) has been shown to be effective and reliable for contained or medial large acetabular defects, but large segmental rim defects may need alternative options for reconstruction. We hypothesised that IBG combined with lateral trabecular augments in large segmental acetabular bone defects can provide comparable results to IBG combined with conventional metallic meshes.</p><p><strong>Methods: </strong>In a series of 382 acetabular revisions using IBG 30 hips with a lateral trabecular augment (case group) were matched for age, gender and bone defect with 54 controls (with a lateral mesh). The mean follow-up was 5 years. All hips had a Paprosky 3A or 3B bone defect. Clinical outcome, radiological results and re-revisions rate were analysed in each over time. A Kaplan-Meier analysis was used to determine the survival of the cup, with radiological failure and re-revision as the endpoints.</p><p><strong>Results: </strong>5 (16.7%) hips in the case group and 9 (16.7%) in the control group were re-revised. The 10-year survival for reoperation for any reason was 80.8% (95% CI, 69.7-92.0) and 93.3% (95% CI, 84.0-100) respectively. At latest follow-up the mean Harris Hip Score was 85.3 in the case group and 82.9 in the control group (<i>p =</i> 0.4). In the case group, 7 (23%) hips showed acetabular radiological migration, 3 requiring further revision surgery. In the control group, 12 (22%) hips showed acetabular radiological migration, with 6 needing re-revision. Acetabular radiological migration was more frequent in hips with a greater radiological horizontal distance (<i>p</i> <i>=</i> 0.01).</p><p><strong>Conclusions: </strong>IBG combined with lateral trabecular augments in large segmental acetabular bone defects was comparable to IBG combined with a lateral mesh. Improvements in surgical reconstruction could decrease the radiological migration rates of the acetabular component.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251351270"},"PeriodicalIF":1.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of articular noise in ceramic-on-ceramic total hip arthroplasty with short stems.","authors":"Frederic Laude, ReSurg, Christian Matar, Sonia Ramos-Pascual, Bethany Grew, Sonia Dubreil, Mo Saffarini","doi":"10.1177/11207000251346917","DOIUrl":"https://doi.org/10.1177/11207000251346917","url":null,"abstract":"<p><strong>Purpose: </strong>To determine: (1) the prevalence of articular noise in primary ceramic-on-ceramic (CoC) total hip arthroplasty (THA) using 2 different designs of short uncemented stems; (2) risk factors for noise; and (3) the impact of noise on quality of life (QoL), at a minimum follow-up of 5 years.</p><p><strong>Methods: </strong>70 patients (81 hips) that underwent primary CoC THA with either SMS or Minimax stems (Medacta, Switzerland) between 01 February 2015 and 31 December 2017 were retrospectively reviewed. Clinical assessment included Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), modified Harris Hip Score (mHHS), and a questionnaire on articular noise. Regression analyses were performed to find associations with articular noise.</p><p><strong>Results: </strong>64 patients (74 hips; 40 SMS, 34 Minimax) were available for clinical assessment at ⩾5 years. There were no significant differences between the SMS and Minimax groups in terms of postoperative WOMAC (93.5 ± 6.7 vs. 90.9 ± 11.8, <i>p =</i> 0.746) and mHHS (94.9 ± 12.7 vs. 95.7 ± 9.7, <i>p =</i> 0.641). The prevalence of articular noise was 23% (9 hips) in the SMS group and 24% (8 hips) in the Minimax group (<i>p =</i> 1.000). Regression analyses revealed that presence of noise was associated with preoperative WOMAC (OR 1.05; 95% CI, 1.01-1.10; <i>p =</i> 0.023), and tended to be associated with age (OR 0.96; 95%CI, 0.91-1.00; <i>p =</i> 0.060), cup diameter of 58-60 mm (OR 4.43; 95% CI, 0.86-23.44; <i>p =</i> 0.070), and head diameter of 36 mm (OR, 5.29; 95% CI, 0.86-38.10; <i>p =</i> 0.080). Impact of noise on QoL was low for both groups (1.0 ± 1.4 vs. 1.3 ± 2.2, <i>p =</i> 0.862).</p><p><strong>Conclusions: </strong>The present study on primary CoC THA reported an overall prevalence of articular noise of 24% for 2 designs of short stems. Clinical outcomes and satisfaction rates were high for most patients, with noise having little impact on QoL and no noise-related clinical complications being observed. Risk factors for articular noise may be better preoperative WOMAC, younger age, and larger femoral head and cup diameter.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251346917"},"PeriodicalIF":1.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective cohort study on the effect of low back pain in patients undergoing total hip arthroplasty.","authors":"Ansu T John, Sumant Samuel, Abel Livingston, Thomas Matthai, Alfred J Daniel","doi":"10.1177/11207000251348644","DOIUrl":"https://doi.org/10.1177/11207000251348644","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of patients with hip arthritis for total hip arthroplasty (THA) may be confounded by concomitant low back pain (LBP).</p><p><strong>Purpose: </strong>To study the prevalence and outcome of LBP in THA patients. To evaluate the outcome of THA in patients with dysfunctional low back pain (DLBP).</p><p><strong>Methods: </strong>In patients undergoing THA, low back pain was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS) scores preoperatively and 1 year postoperatively. Patients were categorised as suffering from DLBP if their RMDQ score was >4. Hip function was assessed using the modified Harris Hip Score (mHHS).</p><p><strong>Results: </strong>26 of 79 (33%) patients had DLBP before THA. At 1 year follow-up, 19 of them either no longer suffered from DLBP (RMDQ ⩽ 4) or at least had improvement in their RMDQ scores ⩾ 5 suggesting discerning clinical improvement. The mean NPRS scores for LBP at one year also improved (1.5 vs. 0.7, <i>p</i> <i><</i> 0.01). The mean mHHS at 1 year in patients without DLBP was significantly higher than those with DLBP (85.15 vs. 75.81, <i>p</i> <i>=</i> 0.003) implying that patients without DLBP had better hip outcomes following THA.</p><p><strong>Conclusions: </strong>DLBP improves considerably after THA. The outcome of THA may be adversely affected by the presence of DLBP.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251348644"},"PeriodicalIF":1.3,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A value-based evaluation of cefazolin and vancomycin for prosthetic joint infection prophylaxis in total hip arthroplasty.","authors":"Victoria E Bergstein, Lauren C Lesser, Walter L Taylor, Aaron I Weinblatt, William J Long","doi":"10.1177/11207000251348434","DOIUrl":"https://doi.org/10.1177/11207000251348434","url":null,"abstract":"<p><strong>Background: </strong>The most cost-effective intravenous antibiotic prophylaxis for preventing prosthetic joint infection (PJI) in total hip arthroplasty (THA) has been a matter of debate. The aim of this study was to compare the cost differential between cefazolin and vancomycin as prophylactic options with a particular focus on costs associated with PJI management.</p><p><strong>Methods: </strong>Using previously published data on PJI rates associated with cefazolin and vancomycin, we modelled the cost of each prophylactic option. This model included unit prices for each drug obtained from our hospital's pharmacy service, as well as the labor costs associated with the hour-long period required for vancomycin administration. Cost of PJI accounted for the price of a 2-stage septic THA revision procedure. National projections were obtained to account for future THA volume.</p><p><strong>Results: </strong>The average per-patient cost associated with cefazolin PJI prophylaxis was $1025.59, accounting for a PJI rate of 0.75%. The average per-patient cost associated with vancomycin PJI prophylaxis was $2710.82, accounting for a 1.47% PJI rate. The annual cost difference could amount to $2.4 billion by 2040 given projections of THA incidence.</p><p><strong>Conclusions: </strong>The per-patient cost associated with vancomycin PJI prophylaxis is 164% higher than that associated with cefazolin due to increased cost of primary treatment, labor costs associated with prolonged infusion time, and most importantly differential PJI rates (number needed to treat = 1.39). In an era of value-based care, the use of cefazolin has been consistently shown to be the gold standard for THA PJI prophylaxis and is associated with significant cost advantages.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251348434"},"PeriodicalIF":1.3,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of pain catastrophising on subjective function and pain following total hip arthroplasty: a prospective comparative study of 531 patients with 2-year follow-up.","authors":"Margot B Aalders, Jelle P van der List, Lucien C M Keijser, Olivier P P Temmerman, Joyce L Benner","doi":"10.1177/11207000251325230","DOIUrl":"10.1177/11207000251325230","url":null,"abstract":"<p><strong>Background and purpose: </strong>Considering dissatisfaction rates of around 10% after total hip arthroplasty (THA), this study aimed to investigate the role of pain catastrophising (PC) on functional outcomes, pain, and quality of life following THA in a large prospective study. PC is the tendency to focus on and exaggerate painful stimuli combined with a decreased ability to deal with pain.</p><p><strong>Patients and methods: </strong>A prospective comparative study was performed with 531 patients undergoing primary unilateral THA between 2019 and 2020. Patients were considered PC with a preoperative score ⩾30 on the PC Scale, resulting in 57 (11%) PC-patients. Patient-reported outcome measures (PROMs) were collected preoperatively, at 3 months, 1 year, and 2 years postoperatively and consisted of Hip disability and Osteoarthritis Outcome Score-Physical Function (HOOS-PS), Oxford Hip Score (OHS), pain (NRS), and quality of life (EQ-5D), including minimal clinical important differences (MCIDs) and patient acceptable symptom state (PASS), as well as length of stay and aseptic revisions.</p><p><strong>Results: </strong>PC-patients reported inferior preoperative scores on all PROMs and had longer hospital stay (<i>p</i> = 0.02). Although PC-patients had more improvement in all scores and a higher proportion generally reached MCID, they still reported lower OHS, more pain, and lower EQ-5D at 2-year follow-up (all <i>p</i> < 0.03), and fewer PC-patients reached PASS for OHS and EQ-5D at final follow-up. No difference in aseptic revisions was seen (<i>p</i> = 0.95).</p><p><strong>Conclusions: </strong>PC-patients had worse preoperative subjective function and more pain. Although they showed more improvement than non-PC patients at all outcomes, less patients reached PASS for OHS and EQ-5D at 2-year follow-up.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"290-300"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can customised total hip arthroplasty without femoral shortening osteotomy improve functional outcome and long-term stem survivorship in developmental dysplasia of the hip?","authors":"Arthur Barbaret, Philippe Laisne, Xavier Flecher, Christophe Jacquet, Jean-Noel Argenson","doi":"10.1177/11207000251331192","DOIUrl":"10.1177/11207000251331192","url":null,"abstract":"<p><strong>Aims: </strong>Total hip arthroplasty (THA) combined with a shortening osteotomy of the femur has proved to be an effective treatment for patients with developmental dysplasia of the hip (DDH). Advances in surgical technique and implant design have led to the introduction of customised THA, without the inconvenience of femoral shortening osteotomy, as an alternative option.The purpose of this retrospective study was to determine if customised THA without femoral shortening osteotomy improves the functional outcome and long-term survivorship in total hip arthroplasty for DDH.</p><p><strong>Methods: </strong>We carried out a retrospective analysis of 77 hips in 62 patients with DDH of all Crowe types who had been treated by customised THA without shortening osteotomy and who had a minimum of 20 years follow-up. Clinical evaluation was undertaken using the Harris Hip Score (HHS) at 6 weeks postoperatively and at final follow-up. Kaplan-Meier survivorship analysis was carried out with femoral revision due to aseptic loosening as the endpoint.</p><p><strong>Results: </strong>The average HHS score at the 6 weeks postoperative assessment (86 ± 13) showed a significant improvement from the preoperative assessment (49 ± 22 points) as did the final follow-up examination (82 ± 12). The mean postoperative leg-length discrepancy was 7 ± 11 mm (-20-80 mm). 5 transient (6%) nerve palsies (1 sciatic and 4 femoral) were identified. The stem was revised in 12 hips (16%), 9(12%) for aseptic loosening at 4, 16, 70, 96, 165, 176, 177, 191 and 235 months, 2 (3%) for fracture and 1 (1%) for late infection.The Kaplan-Meier survivorship analysis at 20-year follow-up was 88% (95% confidence interval [0.81-0.96]). 7 patients (9 hips) were lost to follow-up (12%). 10 patients (11 hips) died during the study period (14%) but according to their general physician, none had undergone revision hip surgery.</p><p><strong>Conclusions: </strong>Customised THA with 3-dimensional planning and a custom-made femoral stem may improve functional outcomes and long-term survivorship after THA for DDH.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"308-314"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative psychotherapy for primary total hip arthroplasty patients: an evaluation of its modifiability on readmissions and implant complications in patients who have depression.","authors":"Adam M Gordon, Patrick Nian, Joydeep Baidya, Michael A Mont","doi":"10.1177/11207000251317655","DOIUrl":"https://doi.org/10.1177/11207000251317655","url":null,"abstract":"<p><strong>Introduction: </strong>Few studies have evaluated nonpharmacologic interventions, including preoperative psychotherapy, in patients who have depression. We studied whether psychotherapy visits prior to total hip arthroplasty (THA) in patients with depression were associated with lower: (1) readmissions; and (2) implant complications in patients who have depression.</p><p><strong>Methods: </strong>A nationwide database was queried from 2010 to 2021. Patients who had depression were 1:1 propensity score matched based on those who had (<i>n</i> <i>=</i> 16,143) and did not have (<i>n</i> <i>=</i> 16,140) preoperative psychotherapy visits within 3 months of primary THA. These depression patients were 1:5 ratio-matched to a control cohort of patients without comorbid depression (<i>n</i> <i>=</i> 80,627). A 90-day and 2-year follow-up surveillance period was used to evaluate readmissions and implant complications, respectively. Logistic regression models computed the odds ratios (OR) of psychotherapy on readmissions and implant complications. Patients without comorbid depression served as the reference cohort. <i>p</i>-Values less than 0.001 were significant.</p><p><strong>Results: </strong>Of patients who had depression, a stepwise increase in odds of readmissions occurred for patients who had psychotherapy (6.2 vs. 5.0%, OR 1.25; <i>p</i> < 0.0001) and did not have psychotherapy (6.7 vs. 5.0%, OR 1.36; <i>p</i> < 0.0001) compared to patients who did not have depression. Compared to patients who did not have depression, patients who had depression and did not have psychotherapy experienced greater odds of aseptic loosening (1.7 vs. 0.7%, OR 2.31; <i>p</i> <i><</i> 0.0001), periprosthetic fractures (0.5 versus 0.2%, OR 2.44; <i>p</i> < 0.0001), dislocations (3.7 vs. 1.6%, OR 2.39; <i>p</i> < 0.0001), periprosthetic joint infections (PJIs) (3.1 vs. 1.7%, OR 1.93; <i>p</i> < 0.0001), and all-cause THA revisions (3.6 vs. 1.5%, OR 2.44; <i>p</i> < 0.0001).</p><p><strong>Discussion: </strong>Preoperative psychotherapy may provide a modifiable benefit among patients who had depression for 2-year implant complications. This intervention may aid arthroplasty surgeons in optimising patients potentially at higher risk for adverse events.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":"35 3","pages":"239-246"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term impact of physical activity and sports participation on implant integrity in resurfacing hip arthroplasty versus total hip arthroplasty: a systematic review.","authors":"Jordan J Levett, Abdulrhman Alnasser, Anthony Teoli, Simon Martel, Shawn Robbins, Olga L Huk, David J Zukor, John Antoniou","doi":"10.1177/11207000251315941","DOIUrl":"10.1177/11207000251315941","url":null,"abstract":"<p><strong>Objectives: </strong>Total hip arthroplasty (THA) and resurfacing hip arthroplasty (RHA) offer promising therapeutic solutions to physically active patients with hip osteoarthritis (OA). The impact of physical activity on long-term implant integrity in this population remains unknown. This systematic review compares the impact of physical activity and sports participation on implant integrity in THA versus RHA.</p><p><strong>Methods: </strong>A comprehensive search of Medline, Embase (both via Ovid), Scopus, and CINAHL was conducted from inception to May 2023 following the Cochrane Handbook for Systematic Reviews of Interventions. Data were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The quality of included studies was assessed using the Newcastle-Ottawa Scale. Implant integrity was measured either radiographically, via serum metal ion levels or revision rates.</p><p><strong>Results: </strong>A total of 16 studies with 4676 patients (THA: 3146; RHA: 1530) met the inclusion criteria. The median age at surgery was 60 years (range 49 to 86) in THA and 54 (range 49-61) years in RHA. At a median follow-up of 7.1 (range 4.8-13.1) years in THA and 10 (range 2.8-11.7) years in RHA, 3 studies out of 12, including 65.7% of the patients who underwent THA, and 2 studies out of 5, including 30.1% of the patients who underwent RHA, demonstrated that increased physical activity was associated with poor implant survivorship.</p><p><strong>Conclusions: </strong>Patients undergoing THA or RHA should be counselled to participate in moderate physical activity and may benefit from avoiding sports that exert an excessive load on their implants. On average, the quality of the studies was moderate. The outcome measures used to quantify physical activity and implant integrity are heterogenous.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"264-272"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}