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Return to Sport After Short-Stem Total Hip Arthroplasty

Ortmaier, Reinhold MD*,†; Pichler, Hannes MD*; Hitzl, Wolfgang MMag, DrPD; Emmanuel, Katja MD§; Mattiassich, Georg MD*; Plachel, Fabian MD; Hochreiter, Josef MD*

Clinical Journal of Sport Medicine: November 2019 - Volume 29 - Issue 6 - p 451–458
doi: 10.1097/JSM.0000000000000532
Original Research

Objectives: Information about sport activity after short-stem total hip arthroplasty (THA) is scarce in the literature. We therefore aimed to evaluate the rate of return to sport after short-stem THA.

Methods: We evaluated the sport pattern, rate of return to sport, activity level, extent of sport activity, and subjective rating and sense of well-being in 137 patients (137 hips) after short-stem THA. The minimum follow-up time was 18 months. All results were analyzed according to gender (male and female) and age (≤60, >60-≤70, and >70 years).

Results: Ninety-two percent of all patients practiced sport before surgery, and 91% of the patients returned to sport. Most patients returned to sport within the first 6 months after surgery. There was a decline in the number of sport disciplines from preoperatively to postoperatively, which was from 2.9 to 2.6 (P = 0.025). High-impact activities decreased postoperatively, but most low-impact activities did not change significantly. Eighty percent of all patients were involved in recreational sports.

Conclusion: In this study, we observed an excellent rate of return to sport after short-stem THA. Most patients returned to the same level of sport activity that they had before the onset of restricting symptoms, with the majority of patients having a great sense of well-being during and after sports, and almost no pain in the affected hip.

*Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University, Salzburg, Linz, Austria;

Research Unit for Orthopedic Sports Medicine and Injury Prevention, ISAG/UMIT, Hall in Tirol, Austria;

Department of Biostatistics, Paracelsus Medical University, Salzburg, Austria;

§Department of Orthopaedics and Traumatology, Paracelsus Medical University, Salzburg, Austria; and

Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Corresponding Author: Reinhold Ortmaier, MD, Department of Orthopaedics Ordensklinikum Linz, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, A-4020 Linz, Austria (

The authors report no conflicts of interest.

The study was approved by the Ethics Committee of the institution (EK 8/16).

Received April 10, 2017

Accepted August 23, 2017

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