Department of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.
Department of Orthopaedic Surgery, The Princess Grace Hospital, 42-52 Nottingham Pl, Marylebone, W1U 5NY, London, UK.
Arch Orthop Trauma Surg. 2023 Jun;143(6):3575-3585. doi: 10.1007/s00402-022-04592-1. Epub 2022 Aug 30.
Hip resurfacing arthroplasty (HRA) is associated with excellent functional outcomes and return to pre-disease level of activity. The time for return to sport (RTS) following HRA remains unknown. The aim of this meta-analysis was to establish the time for RTS following HRA.
A search was performed on PUBMED, MEDLINE, EMBASE, and the Cochrane Library for trials on HRA and RTS, in the English language, published from the inception of the database to October 2020. In addition, a manual search was performed of relevant sports medicine and orthopaedic journals, and the bibliographies reviewed for eligible trials. All clinical trials reporting on time to RTS following HRA were included. Data relating to patient demographics, methodological quality, operation type, RTS, clinical outcomes, and complications were recorded by two independent reviewers. The PRISMA guidelines for reporting meta-analyses was used to undertake this study.
The initial literature search identified 1559 studies and nine further studies were found. Of these, 11 studies with a total of 659 patients matched the inclusion criteria. Two studies involving a total of 94 patients demonstrated an overall pooled proportion of 91.8% (95% CI 71.8-100) of patients RTS by three months post-operatively. Four studies including a total of 265 patients determined a pooled proportion of 96.8% (95% CI 91.0-99.7) of patients able to RTS by the 6-month post-operative stage. Pooled proportion analysis from all 11 studies comprising 659 patients showed 90.9% (95% CI 82.2-96.9) of patients were able to RTS by final follow up of 3 years.
Pooled proportion analysis showed an increasing number of patients were able to RTS after HRA over the first one year after surgery. There remains marked inter and intra-study variations in time for RTS but the pooled analysis shows that over 80% of patients were able to RTS at 6 to 12 months after HRA. The findings of this meta-analysis will enable more informed discussions between patients and healthcare professionals about time for RTS following HRA.
髋关节表面置换术（HRA）与出色的功能结果和恢复到疾病前的活动水平有关。髋关节表面置换术后恢复运动（RTS）的时间尚不清楚。本荟萃分析的目的是确定 HRA 后 RTS 的时间。
在 PUBMED、MEDLINE、EMBASE 和 Cochrane 图书馆中，以英文检索了髋关节表面置换术和 RTS 的试验，检索时间从数据库建立到 2020 年 10 月。此外，还对手册搜索了相关的运动医学和骨科期刊，并对审查的参考文献进行了研究。所有报告髋关节表面置换术后 RTS 时间的临床试验均被纳入。两名独立评审员记录了与患者人口统计学、方法学质量、手术类型、RTS、临床结果和并发症相关的数据。使用 PRISMA 指南报告荟萃分析来进行这项研究。
最初的文献检索确定了 1559 项研究，另外还发现了 9 项研究。其中，11 项研究共 659 例患者符合纳入标准。两项研究共 94 例患者的总体合并比例为术后 3 个月 91.8%（95%CI71.8-100）。四项研究共 265 例患者确定的合并比例为术后 6 个月时 96.8%（95%CI91.0-99.7）。包括 659 例患者的 11 项研究的汇总比例分析显示，90.9%（95%CI82.2-96.9）的患者在 3 年最终随访时能够 RTS。
汇总比例分析表明，髋关节表面置换术后，随着术后第一年的推移，能够 RTS 的患者数量逐渐增加。RTS 的时间在不同研究之间和研究内部仍然存在显著差异，但汇总分析表明，超过 80%的患者在髋关节表面置换术后 6 至 12 个月能够 RTS。本荟萃分析的结果将使患者和医疗保健专业人员能够更深入地讨论髋关节表面置换术后的 RTS 时间。
