Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?

Background: The purpose of this study is to evaluate survivorship and outcomes of high-activity patients compared to low-activity patients after total hip arthroplasty. Methods: A retrospective review identified 2002 patients (2532 hip) that underwent a primary total hip arthroplasty with vitamin E–...

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Autores principales:	David A. Crawford, MD, Joanne B. Adams, BFA, CMI, Gerald R. Hobbs, PhD, Michael J. Morris, MD, Keith R. Berend, MD, Adolph V. Lombardi, Jr., MD, FACS
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Activity Total hip arthroplasty Survivorship Polyethylene Sports Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/47a1fe423c034c3691aad100133d3989
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spelling	oai:doaj.org-article:47a1fe423c034c3691aad100133d39892021-11-14T04:33:49ZDoes Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?2352-344110.1016/j.artd.2021.07.005https://doaj.org/article/47a1fe423c034c3691aad100133d39892021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001230https://doaj.org/toc/2352-3441Background: The purpose of this study is to evaluate survivorship and outcomes of high-activity patients compared to low-activity patients after total hip arthroplasty. Methods: A retrospective review identified 2002 patients (2532 hip) that underwent a primary total hip arthroplasty with vitamin E–infused highly crosslinked polyethylene liner. Patients were divided into 2 groups based on their University of California Los Angeles (UCLA) activity level: low activity (LA) (UCLA ≤5) and high activity (HA) (UCLA ≥6). Outcomes included Harris Hip Score, UCLA activity score, and reoperations. A multivariate nominal regression analysis was performed to evaluate the significance of postoperative activity level on survivorship. Results: The mean follow-up duration was 4.5 years (range, 0.3 to 9.9 years). HA group had significantly higher improvements in Harris Hip Score (HHS) (P < .001) and UCLA activity score (P < .001). Aseptic revisions were performed in 2.1% of the LA group and in 0.4% hips of the HA group (P < .001). After controlling for age, gender, preoperative pain, HHS, and body mass index, a higher postoperative activity level remained a significant factor for improved aseptic survivorship with an odds ratio of 4.9 (95% confidence interval, 1.1 to 21.2, P = .03). The all-cause 5-year survivorship was 99% for the HA group and 96% to for the LA group (P < .001). The aseptic 5-year survivorship was 99.6% for the HA group and 98% for the LA group (P < .001). Conclusions: This study found that a higher activity level after primary THA was not deleterious to survivorship at short to midterm follow-up with modern implants.David A. Crawford, MDJoanne B. Adams, BFA, CMIGerald R. Hobbs, PhDMichael J. Morris, MDKeith R. Berend, MDAdolph V. Lombardi, Jr., MD, FACSElsevierarticleActivityTotal hip arthroplastySurvivorshipPolyethyleneSportsOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 68-72 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Activity Total hip arthroplasty Survivorship Polyethylene Sports Orthopedic surgery RD701-811
spellingShingle	Activity Total hip arthroplasty Survivorship Polyethylene Sports Orthopedic surgery RD701-811 David A. Crawford, MD Joanne B. Adams, BFA, CMI Gerald R. Hobbs, PhD Michael J. Morris, MD Keith R. Berend, MD Adolph V. Lombardi, Jr., MD, FACS Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
description	Background: The purpose of this study is to evaluate survivorship and outcomes of high-activity patients compared to low-activity patients after total hip arthroplasty. Methods: A retrospective review identified 2002 patients (2532 hip) that underwent a primary total hip arthroplasty with vitamin E–infused highly crosslinked polyethylene liner. Patients were divided into 2 groups based on their University of California Los Angeles (UCLA) activity level: low activity (LA) (UCLA ≤5) and high activity (HA) (UCLA ≥6). Outcomes included Harris Hip Score, UCLA activity score, and reoperations. A multivariate nominal regression analysis was performed to evaluate the significance of postoperative activity level on survivorship. Results: The mean follow-up duration was 4.5 years (range, 0.3 to 9.9 years). HA group had significantly higher improvements in Harris Hip Score (HHS) (P < .001) and UCLA activity score (P < .001). Aseptic revisions were performed in 2.1% of the LA group and in 0.4% hips of the HA group (P < .001). After controlling for age, gender, preoperative pain, HHS, and body mass index, a higher postoperative activity level remained a significant factor for improved aseptic survivorship with an odds ratio of 4.9 (95% confidence interval, 1.1 to 21.2, P = .03). The all-cause 5-year survivorship was 99% for the HA group and 96% to for the LA group (P < .001). The aseptic 5-year survivorship was 99.6% for the HA group and 98% for the LA group (P < .001). Conclusions: This study found that a higher activity level after primary THA was not deleterious to survivorship at short to midterm follow-up with modern implants.
format	article
author	David A. Crawford, MD Joanne B. Adams, BFA, CMI Gerald R. Hobbs, PhD Michael J. Morris, MD Keith R. Berend, MD Adolph V. Lombardi, Jr., MD, FACS
author_facet	David A. Crawford, MD Joanne B. Adams, BFA, CMI Gerald R. Hobbs, PhD Michael J. Morris, MD Keith R. Berend, MD Adolph V. Lombardi, Jr., MD, FACS
author_sort	David A. Crawford, MD
title	Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
title_short	Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
title_full	Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
title_fullStr	Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
title_full_unstemmed	Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?
title_sort	does activity level after primary total hip arthroplasty affect aseptic survival?
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/47a1fe423c034c3691aad100133d3989
work_keys_str_mv	AT davidacrawfordmd doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival AT joannebadamsbfacmi doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival AT geraldrhobbsphd doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival AT michaeljmorrismd doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival AT keithrberendmd doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival AT adolphvlombardijrmdfacs doesactivitylevelafterprimarytotalhiparthroplastyaffectasepticsurvival
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Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?

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