Yun Andrew G, Qutami Marilena, Carles Eric
Hip and Knee Replacement/Orthopaedic Surgery, Providence Saint John's Health Center, Santa Monica, USA.
Hip and Knee Replacement/Orthopaedic Surgery, Providence Saint John's Health Cener, Santa Monica, USA.
Cureus. 2021 Sep 2;13(9):e17669. doi: 10.7759/cureus.17669. eCollection 2021 Sep.
Patients who practice yoga are motivated to return to practice after total hip arthroplasty (THA). With case reports of dislocations during yoga, the safety of such a return is unclear. The purpose of this study is to examine the timing and feasibility of a return in a subset of highly experienced and motivated patients. Between 2010 and 2019, a total of 19 THA's performed in 14 patients who self-identified as yoga instructors were retrospectively reviewed. Patients who practiced yoga but were not teachers were excluded from this series. The primary outcome measures were the ability to return to yoga, to resume teaching, and fluency with 14 classic poses. Secondary outcomes measured were patient-reported Hip Disability and Osteoarthritis Outcome Score (HOOS, Jr.), complications, and radiographic position of the implants. After surgery, all patients returned to practicing and teaching yoga, and the mean time to each was 2 months. All patients were able to perform all 14 classic poses. At a mean follow-up of 5 years (SD ± 4), there were no complications, and the mean HOOS, JR score was 92 points (SD ± 15). This study demonstrates that a return to yoga in an experienced population is not only possible but also safe after a direct anterior THA. Limitations in performing the poses should be understood, and appropriate modifications should be incorporated when needed.
进行全髋关节置换术（THA）后，练习瑜伽的患者有动力恢复瑜伽练习。鉴于有瑜伽过程中出现脱位的病例报告，这种恢复的安全性尚不清楚。本研究的目的是探讨一部分经验丰富且积极性高的患者恢复瑜伽练习的时间和可行性。在2010年至2019年期间，对14名自称瑜伽教练的患者进行的19例全髋关节置换术进行了回顾性研究。本系列排除了练习瑜伽但不是教练的患者。主要结局指标是恢复瑜伽练习、重新开始教学以及流畅完成14种经典体式的能力。测量的次要结局包括患者报告的髋关节残疾和骨关节炎结局评分（HOOS，Jr.）、并发症以及植入物的影像学位置。术后，所有患者都恢复了瑜伽练习和教学，平均恢复时间为2个月。所有患者都能够完成所有14种经典体式。平均随访5年（标准差±4），无并发症发生，平均HOOS，JR评分为92分（标准差±15）。本研究表明，对于经验丰富的人群，直接前路全髋关节置换术后恢复瑜伽练习不仅是可能的，而且是安全的。应了解体式练习中的限制，并在需要时进行适当调整。
