Skip to main content
Log in

Return to work and sports after total hip replacement

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

An Erratum to this article was published on 12 February 2014

Abstract

Introduction

Expectations of patients requiring total hip replacement have become higher than in the past and are often well beyond pain relief and improved mobility. Return to work and sporting activity are important factors to be considered when advising patients preoperatively. The objective of this study was to analyse the return to sports and work rates in patients still in employment and to analyse potential influencing factors.

Materials and methods

Patients under the age of 65 who had a total hip replacement performed at a university teaching hospital were identified from the local arthroplasty database and contacted. Pre and postoperative levels of sporting activity and work were recorded. We also recorded the time point at which they returned to these activities.

Results

285 total hip replacements were carried out on 239 patients. At the time of follow-up 170 of the patients were working. The mean length of time to return to work was 13.9 weeks (SD 7.7). 78 % returned to work without any restrictions, 18.6 % in heavy manual jobs. The mean time taken to return to sports or similar physical activities was 18.8 weeks (SD 8.8) weeks. Those with a lower body mass index returned to work and sporting activities faster.

Conclusions

Our data show that the majority of patients undergoing total hip replacement can expect to return to work and sporting activities within 4–6 months. Activities at work are often initially limited and physical performance may not fully return to the expected level. Patients with a high body mass index take longer to return to work and sporting activities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. No authors listed. National joint registry for England and Wales: 8th annual report, 2011. http://www.njrcentre.org.uk

  2. Charnley J (1961) Arthroplasty of the hip. A new operation. Lancet 1(7187):1129–1132

    Article  CAS  PubMed  Google Scholar 

  3. Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89(4):780–785

    Article  PubMed  Google Scholar 

  4. Crowninshield RD, Rosenberg AG, Sporer SM (2006) Changing demographics of patients with total joint replacement. Clin Orthop Relat Res 443:266–272

    Article  PubMed  Google Scholar 

  5. Wylde V, Hewlett S, Learmonth ID, Cavendish VJ (2006) Personal impact of disability in osteoarthritis: patient, professional and public values. Musculoskeletal Care 4(3):152–166

    Article  PubMed  Google Scholar 

  6. Chatterji U, Ashworth MJ, Lewis PL, Dobson PJ (2005) Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 75(6):405–408

    Article  PubMed  Google Scholar 

  7. Fisher N, Agarwal M, Reuben SF, Johnson DS, Turner PG (2006) Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty. Knee 13(4):296–300

    Article  CAS  PubMed  Google Scholar 

  8. Wylde V, Blom A, Dieppe P, Hewlett S, Learmonth I (2008) Return to sport after joint replacement. J Bone Joint Surg Br 90(7):920–923

    Article  CAS  PubMed  Google Scholar 

  9. Healy WL, Iorio R, Lemos MJ (2001) Athletic activity after joint replacement. Am J Sports Med 29(3):377–388

    CAS  PubMed  Google Scholar 

  10. Huch K, Muller KA, Sturmer T, Brenner H, Puhl W, Gunther KP (2005) Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis 64(12):1715–1720

    Article  CAS  PubMed  Google Scholar 

  11. Naal FD, Maffiuletti NA, Munzinger U, Hersche O (2007) Sports after hip resurfacing arthroplasty. Am J Sports Med 35(5):705–711

    Article  PubMed  Google Scholar 

  12. Nunley RM, Ruh EL, Zhang Q, la Valle CJ, Engh CA Jr, Berend ME et al (2011) Do patients return to work after hip arthroplasty surgery. J Arthroplasty 26(6 Suppl):92–98

    Article  PubMed  Google Scholar 

  13. Grimby G (1986) Physical activity and muscle training in the elderly. Acta Med Scand Suppl 711:233–237

    CAS  PubMed  Google Scholar 

  14. Judge A, Arden NK, Kiran A, Price A, Javaid MK, Beard D et al (2012) Interpretation of patient-reported outcomes for hip and knee replacement surgery: identification of thresholds associated with satisfaction with surgery. J Bone Joint Surg Br 94(3):412–418

    Article  CAS  PubMed  Google Scholar 

  15. Ross CE, Mirowsky J (1995) Does employment affect health? J Health Soc Behav 36(3):230–243

    Article  CAS  PubMed  Google Scholar 

  16. Kuijer PP, de Beer MJ, Houdijk JH, Frings-Dresen MH (2009) Beneficial and limiting factors affecting return to work after total knee and hip arthroplasty: a systematic review. J Occup Rehabil 19(4):375–381

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Bohm ER (2010) The effect of total hip arthroplasty on employment. J Arthroplasty 25(1):15–18

    Article  PubMed  Google Scholar 

  18. Mobasheri R, Gidwani S, Rosson JW (2006) The effect of total hip replacement on the employment status of patients under the age of 60 years. Ann R Coll Surg Engl 88(2):131–133

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Tanavalee A, Jaruwannapong S, Yuktanandana P, Itiravivong P (2006) Early outcomes following minimally invasive total hip arthroplasty using a two-incision approach versus a mini-posterior approach. Hip Int 16(Suppl 4):17–22

    PubMed  Google Scholar 

  20. Weingarten S, Riedinger MS, Sandhu M, Bowers C, Ellrodt AG, Nunn C et al (1998) Can practice guidelines safely reduce hospital length of stay? Results from a multicenter interventional study. Am J Med 105(1):33–40

    Article  CAS  PubMed  Google Scholar 

  21. Peak EL, Parvizi J, Ciminiello M, Purtill JJ, Sharkey PF, Hozack WJ et al (2005) The role of patient restrictions in reducing the prevalence of early dislocation following total hip arthroplasty. A randomized, prospective study. J Bone Joint Surg Am 87(2):247–253

    Article  PubMed  Google Scholar 

  22. Namba RS, Paxton L, Fithian DC, Stone ML (2005) Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty 20(7 Suppl 3):46–50

    Article  PubMed  Google Scholar 

  23. Kessler S, Kafer W (2007) Overweight and obesity: two predictors for worse early outcome in total hip replacement? Obesity (Silver Spring) 15(11):2840–2845

    Article  Google Scholar 

  24. Aderinto J, Brenkel IJ, Chan P (2005) Weight change following total hip replacement: a comparison of obese and non-obese patients. Surgeon 3(4):269–272, 305

    Google Scholar 

  25. Vincent HK, Weng JP, Vincent KR (2007) Effect of obesity on inpatient rehabilitation outcomes after total hip arthroplasty. Obesity (Silver Spring) 15(2):522–530

    Article  Google Scholar 

  26. Davis AM, Wood AM, Keenan AC, Brenkel IJ, Ballantyne JA (2011) Does body mass index affect clinical outcome post-operatively and at five years after primary unilateral total hip replacement performed for osteoarthritis? A multivariate analysis of prospective data. J Bone Joint Surg Br 93(9):1178–1182

    Article  CAS  PubMed  Google Scholar 

  27. Moran M, Walmsley P, Gray A, Brenkel IJ (2005) Does body mass index affect the early outcome of primary total hip arthroplasty? J Arthroplasty 20(7):866–869

    Article  PubMed  Google Scholar 

  28. Visuri T, Honkanen R (1980) Total hip replacement: its influence on spontaneous recreation exercise habits. Arch Phys Med Rehabil 61(7):325–328

    CAS  PubMed  Google Scholar 

  29. Mallon WJ, Callaghan JJ (1992) Total hip arthroplasty in active golfers. J Arthroplasty 7(Suppl):339–346

    Article  PubMed  Google Scholar 

  30. Hall DP, Srikantharajah D, Anakwe RE, Gaston P, Howie CR (2009) Patient-reported outcome following metal-on-metal resurfacing of the hip and total hip replacement. Hip Int 19(3):245–250

    PubMed  Google Scholar 

  31. Kilgus DJ, Dorey FJ, Finerman GA, Amstutz HC (1991) Patient activity, sports participation, and impact loading on the durability of cemented total hip replacements. Clin Orthop Relat Res 269:25–31

    PubMed  Google Scholar 

  32. Schmalzried TP, Szuszczewicz ES, Northfield MR, Akizuki KH, Frankel RE, Belcher G et al (1998) Quantitative assessment of walking activity after total hip or knee replacement. J Bone Joint Surg Am 80(1):54–59

    Article  CAS  PubMed  Google Scholar 

  33. Murray DW, Carr AJ, Bulstrode C (1993) Survival analysis of joint replacements. J Bone Joint Surg Br 75(5):697–704

    CAS  PubMed  Google Scholar 

  34. Le Duff MJ, Amstutz HC, Dorey FJ (2007) Metal-on-metal hip resurfacing for obese patients. J Bone Joint Surg Am 89(12):2705–2711

    Article  PubMed  Google Scholar 

  35. Dubs L, Gschwend N, Munzinger U (1983) Sport after total hip arthroplasty. Arch Orthop Trauma Surg 101(3):161–169

    Article  CAS  PubMed  Google Scholar 

  36. Widhalm R, Hofer G, Krugluger J, Bartalsky L (1990) Is there greater danger of sports injury or osteoporosis caused by inactivity in patients with hip prosthesis? Sequelae for long-term stability of prosthesis anchorage. Z Orthop Ihre Grenzgeb 128(2):139–143

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. G. Cowie.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cowie, J.G., Turnball, G.S., Ker, A.M. et al. Return to work and sports after total hip replacement. Arch Orthop Trauma Surg 133, 695–700 (2013). https://doi.org/10.1007/s00402-013-1700-2

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-013-1700-2

Keywords

Navigation