title: Sports activity after short-stem hip arthroplasty.
abstract: BACKGROUND
  No data are available about the sports activity of patients with bone-conserving short-stem hip implants.
  
  
  OBJECTIVE
  Patients can return to a good level of sports activity after implantation of a short-stem hip implant.
  
  
  METHODS
  Case series; Level of evidence, 4.
  
  
  METHODS
  The sports activity level of 68 patients (76 hips) after short-stem hip arthroplasty was assessed for a minimum of 2 years after implantation. In addition to the clinical examination, a detailed evaluation of the patients' sports pattern was obtained. Furthermore, the results were analyzed with regard to gender (female and male) and age (≤55 and >55 years).
  
  
  RESULTS
  After a mean of 2.7 years, patients showed a Harris Hip Score (HHS) of 93.6, a Western Ontario and McMaster Universities Arthritis Index (WOMAC) score of 9.5, and a University of California, Los Angeles (UCLA) activity score of 7.6, with each individual participating on average in 3.5 different disciplines after surgery compared with 3.9 before surgery. High-impact activities decreased significantly postoperatively, whereas low-impact activities increased significantly. The duration of the sports activities remained stable, while the frequency actually increased. In contrast, men participated preoperatively in more sports than women (4.3 men vs 3.3 women). However, because of a pronounced decrease in high-impact activities by men, both genders participated in an equal number of sports postoperatively (3.5 men vs 3.5 women). Finally, 45% (n = 31) reported at least one activity that they missed. Most of them were disciplines with an intermediate- or high-impact level.
  
  
  CONCLUSIONS
  Patients with a short-stem hip implant can return to a good level of activity postoperatively. Participation in sports almost reached similar levels as preoperatively but with a shift from high- to low-impact activities. This seems desirable from a surgeon's point of view but should also be communicated to the patient before hip replacement.
authors: Department of Orthopedic Surgery, University of Munich, Campus Grosshadern, Germany. florian.schmidutz@med.uni-muenchen.de
authors: Florian
authors: F
authors: Schmidutz
authors: Stefan
authors: S
authors: Grote
authors: Matthias
authors: M
authors: Pietschmann
authors: Patrick
authors: P
authors: Weber
authors: Farhad
authors: F
authors: Mazoochian
authors: Andreas
authors: A
authors: Fottner
authors: Volkmar
authors: V
authors: Jansson
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D018771:Arthralgia / Q000209:etiology*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D005239:Fear; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012737:Sex Factors; D013177:Sports / Q000523:psychology; D018709:Statistics, Nonparametric; D055815:Young Adult