Department of Trauma and Orthopaedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Ostmerheimerstrasse 200, Cologne, Germany.
Am J Sports Med. 2010 Jun;38(6):1229-36. doi: 10.1177/0363546509357609. Epub 2010 Mar 11.
Little is known about sports activity after total hip resurfacing.
Patients undergoing total hip resurfacing can have a high level of sports activity.
Case series; Level of evidence, 4.
The authors evaluated the level of sports activities with a standardized questionnaire in 138 consecutive patients (152 hips) 2 years after total hip resurfacing. Range of motion, Harris hip score, and Oxford score were assessed, and radiological analysis was performed.
Preoperatively, 98% of all patients participated in sports activities. Two years postoperatively, 98% of the patients participated in at least 1 sports activity. The level of sports activity decreased after surgery. The number of sports activities per patient decreased from 3.6 preoperatively to 3.2 postoperatively. Intermediate- and high-impact sports, especially tennis, soccer, jogging, squash, and volleyball, showed a significant decrease while the low-impact sports (stationary cycling, Nordic walking, and fitness/weight training) showed a significant increase. Physical activity level at the time of follow-up as measured by the Grimby scale was significantly higher than in the year before surgery. Duration of sports participation per week increased significantly after surgery. Men had a significantly higher sport level than women before and after surgery. Eighty-two percent felt no restriction while performing sports. One-third missed certain sports activities such as jogging, soccer, tennis, and downhill skiing. The Harris hip and Oxford scores showed a significant increase postoperatively.
The results of this short-term follow-up study show that sports activity after total hip resurfacing surgery is still possible. Physical activity level increased with a shift toward low-impact sports. Duration of sports participation increased. High-impact sports activities decreased. These findings can be important for the decision-making process for hip surgery and should be communicated to the patient.
对于全髋关节表面置换术后的运动活动知之甚少。
接受全髋关节表面置换术的患者可以进行高水平的运动活动。
病例系列；证据水平，4 级。
作者通过标准化问卷评估了 138 例（152 髋）全髋关节表面置换术后 2 年的患者的运动活动水平。评估了关节活动度、Harris 髋关节评分和牛津评分，并进行了影像学分析。
术前，所有患者中有 98%参加了运动活动。术后 2 年，98%的患者至少参加了 1 项运动。手术后运动水平下降。每位患者的运动项目数量从术前的 3.6 项减少到术后的 3.2 项。中等和高强度运动，尤其是网球、足球、慢跑、壁球和排球，明显减少，而低强度运动（固定自行车、北欧式健走和健身/重量训练）则明显增加。随访时使用 Grimby 量表测量的身体活动水平明显高于手术前一年。术后每周运动参与时间明显增加。男性术前和术后的运动水平均明显高于女性。82%的人在进行运动时没有感到受限。三分之一的人错过了某些运动，如慢跑、足球、网球和下坡滑雪。术后 Harris 髋关节和牛津评分均显著增加。
这项短期随访研究的结果表明，全髋关节表面置换术后仍然可以进行运动活动。身体活动水平随着低强度运动的增加而提高。运动参与时间增加。高强度运动活动减少。这些发现对于髋关节手术的决策过程很重要，应告知患者。
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