Pre-operative function, motivation and duration of symptoms predict sporting participation after total hip replacement
Pre-operative function, motivation and duration of symptoms predict sporting participation after total hip replacement
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DOI：
10.1302/0301-620x.96b8.32813
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发表时间：
2014-08-01
影响因子：
4.6
通讯作者：
Argenson, J. N.
中科院分区：
文献类型：
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作者：
Ollivier, M.;Frey, S.;Argenson, J. N.
关于全髋关节置换术(THR)后患者的运动参与程度的文献很少。本研究的目的是：第一，运动活动的水平；第二，重返运动活动的预测因素；第三，参与运动与THR术后满意度的相关性。我们回顾了1995至2005年间接受THR的815名患者。所有人都被要求完成一份关于他们体育活动的自填式问卷。共有571名患者(71%)符合纳入标准并完成评估。平均随访9.8年(SD2.9%)，366名患者(%)恢复了加州大学洛杉矶分校(UCLA)5分的体育活动。患者避免运动的主要原因是害怕脱位(65；31.6%)，避免磨损(52；25.4%)，以及外科医生的建议(34；16.6%)。术前髋关节Harris评分高(p=0.0074)、运动动机强(p=0.00022)和症状持续时间短(p=0.0034)的患者术后运动参与度高(p=0.0034)。最后，年龄(p=0.00013)、加州大学洛杉矶分校(p=0.012)和术前HHS(p=0.00091)与满意度之间存在相关性。结论：我们发现大多数患者在全髋关节置换术后参与体育活动，而不考虑外科医生的建议，参与程度与术前功能、动机、症状持续时间和术后满意度之间存在相关性。
There is little in the literature on the level of participation in sports which patients undertake after total hip replacement (THR). Our aims in this study were to determine first, the level of sporting activity, second, the predictive factors for returning to sporting activity, and third, the correlation between participation in sports and satisfaction after THR. We retrospectively identified 815 patients who had undergone THR between 1995 and 2005. All were asked to complete a self-administered questionnaire regarding their sporting activity. A total of 571 patients (71%) met the inclusion criteria and completed the evaluation. At a mean follow-up of 9.8 years (SD 2.9), 366 patients (64%) returned to sporting activity as defined by a University of California at Los Angeles (UCLA) score of > 5. The main reasons that patients had for refraining from sports were fear of dislocation (65; 31.6%), avoiding wear (52; 25.4%), and the recommendation of the surgeon (34; 16.6%). There was a significant relationship between higher post-operative participation in sport in those patients with a higher pre-operative Harris hip score (HHS) (p = 0.0074), motivation to participate in sporting activities (p = 0.00022) and a shorter duration of symptoms (p = 0.0034). Finally, there was a correlation between age (p = 0.00013), UCLA score (p = 0.012) and pre-operative HHS (p = 0.00091) and satisfaction.In conclusion, we found that most patients participate in sporting activity after THR, regardless of the advice of their surgeon, and that there is a correlation between the level of participation and pre-operative function, motivation, duration of symptoms and postoperative satisfaction.