title: Return to sports and work after partial shoulder replacement surgery.
abstract: BACKGROUND
  Shoulder hemiarthroplasty is a particularly attractive treatment option in young active patients, where revision surgery is an issue and a glenoid replacement might be necessary in the long run. These patients often ask about the possibility of returning to sport and work after surgery.
  
  
  OBJECTIVE
  The purpose of this investigation was to analyze whether patients undergoing shoulder hemiarthroplasty (HSA) are able to successfully return to sports activities and work after surgery.
  
  
  METHODS
  This study included 42 patients treated with HSA. Two subgroups were built: patients who had participated in sports less than 5 years prior to surgery (group A: n = 29, 69%) and those who had not done so (group B: n = 13, 31%). Evaluation was based on a questionnaire asking about types of sports, frequency of sports activity, and the time taken to return to sports and work, as well as about limitations in occupational life.
  
  
  RESULTS
  Patients' mean age at the time of surgery was 56.3 ± 12.7 years in group A and 66.9 ± 13.8 years in group B. Mean follow-up was 5.5 years (range 2.5-12 years). In group A, 18 patients (62%) had participated in sports up to the time of surgery and 12 (41%) had returned to the same level of sports activity at final follow-up. The rate of return to preoperative sports activity was 67%. Swimming was one of the most favorable sports (92%). Of the cohort patients, 2 (5%) had to change their profession due to surgery. Most patients were retired at follow-up.
  
  
  CONCLUSIONS
  Patients who were sportingly active prior to HSA were able to return to sports after surgery in 67% of cases. This study confirms that patients treated by hemiarthroplasty of the shoulder joint can return to sports and work, even at medium-term follow-up.
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Bülhoff
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Sowa
authors.affiliation: Institut für Medizinische Biometrie und Informatik, Universität Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Bruckner
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Zeifang
authors.affiliation: Orthopädische Chirurgie München, Steinerstr. 6, 81369, Munich, Germany. patric.raiss@ocm-muenchen.de.
authors.forename: P
authors.initials: P
authors.lastname: Rais
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000072228:Arthroplasty, Replacement, Shoulder / Q000523:psychology / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D062785:Hemiarthroplasty / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000523:psychology; D010809:Physical Fitness / Q000523:psychology; D011788:Quality of Life / Q000523:psychology; D000068958:Return to Sport / Q000523:psychology; D062707:Return to Work / Q000523:psychology; D012785:Shoulder Joint / Q000601:surgery; D011795:Surveys and Questionnaires
keywords: Database; Hemiarthroplasty; Pain; Quality of life; Questionnaires