More patients returned to running following HRA than THA with lower rates of revision.

In a recent systematic review, “Running Following Hip Arthroplasty” Harrington, Colin J et al. (2023) stated “more patients returned to running following Hip Resurfacing Arthroplasty (HRA) than Total Hip Arthroplasty (THA) with lower rates of revision." https://pubmed.ncbi.nlm.nih.gov/37185068/

The review highlights that with improved implants and younger patients undergoing THA and HRA, there are increased expectations to return to high-impact activities.

The review covered a vast range of publications referencing running following THA or HRA published between January 1, 2000, and September 1, 2020. Patient demographics, surgical variables, activity measures, and revision rates were recorded for each study. A total of 225 unique citations were identified, of which four manuscripts met the eligibility criteria. 89 of 121 (73.6%) preoperative runners returned to running postoperatively1.

Further research with longer postoperative follow-up is necessary to provide definitive recommendations for running following arthroplasty procedures.

JM Comments

The results of this study adds to the growing weight of published data supporting the biomechanical (2-6) benefits of hip resurfacing arthroplasty. We hope this data will assist clinicians with informed discussions with those patients with increased expectations to return to an unrestricted lifestyle following hip arthroplasty.

This is especially encouraging for younger patients who follow an active lifestyle, and those who wish to maintain their existing lifestyle habits.

References

1.      Harrington, Colin J et al. “Running Following Hip Arthroplasty: A Systematic Review.” Journal of surgical orthopaedic advances vol. 32,1 (2023): 1-4.

2.      Magan, A et al. “A meta-analysis assessing time for return to sport following hip resurfacing.” Archives of orthopaedic and trauma surgery vol. 143,6 (2023): 3575-3585. doi:10.1007/s00402-022-04592-1

3.      Gerhardt DMJM, Mors TGT, Hannink G, Van Susante JLC. Resurfacing hip arthroplasty better preserves a normal gait pattern at increasing walking speeds compared to total hip arthroplasty. Acta Orthop. 2019 Jun;90(3):231-236. doi 10.1080/17453674.2019.1594096. Epub 2019 Apr 1. PMID: 30931667; PMCID: PMC6534262.

4.      Ren R, Spaan J, Jordan A, Shafiro A, Su EP, Novel Use of an Accelerometer to Assess Load Asymmetry Over Time After Hip Resurfacing Arthroplasty, The Journal of Arthroplasty (2023), doi: https://doi.org/10.1016/j.arth.2023.04.015.

5.      Morse, Kyle W et al. “Return to Sport After Hip Resurfacing Arthroplasty.” Orthopaedic journal of sports medicine vol. 9,5 23259671211003521. 6 May. 2021, doi:10.1177/23259671211003521

6.      Girard, J et al. “High-impact sport after hip resurfacing: The Ironman triathlon.” Orthopaedics & traumatology, surgery & research : OTSR vol. 103,5 (2017): 675-678. doi:10.1016/j.otsr.2017.04.004