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A meta-analysis assessing time for return to sport following hip resurfacing

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK

    A. Magan, W. Wignadasan, B. Kayani, G. Radhakrishnan & F. S. Haddad

  2. Department of Orthopaedic Surgery, The Princess Grace Hospital, 42-52 Nottingham Pl, Marylebone, W1U 5NY, London, UK

    A. Magan, G. Radhakrishnan & F. S. Haddad

  3. Institute of Sports, Health and Exercise, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK

    F. Ronca & F. S. Haddad

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Contributions

AM: manuscript preparation and data interpretation. WW: manuscript preparation and data interpretation. BK: manuscript preparation and data interpretation. GR: data interpretation. FR: manuscript preparation. FSH: hypothesis generation and manuscript preparation.

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Correspondence to W. Wignadasan.

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Conflict of interest

The authors declare that they have no conflict of interest. A Magan, W Wignadasan, B Kayani, G Radhakrishnan, and F Ronca did not receive any financial support and do not have any conflicts of interest. FS Haddad reports board membership of the Bone and Joint Journal and the Annals of the Royal College of Surgeons; consultancy for Smith & Nephew, Corin, MatOrtho and Stryker; payment for lectures including service on speakers’ bureaus for Smith & Nephew and Stryker; royalties paid by Smith & Nephew, MatOrtho, Corin and Stryker, all outside the submitted work.

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Magan, A., Wignadasan, W., Kayani, B. et al. A meta-analysis assessing time for return to sport following hip resurfacing. Arch Orthop Trauma Surg 143, 3575–3585 (2023). https://doi.org/10.1007/s00402-022-04592-1

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  • DOI: https://doi.org/10.1007/s00402-022-04592-1

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