Return to Competitive Level of Play and Performance in Regular Golfers After Total Hip Arthroplasty: Analysis of 599 Patients at Minimum 2-Year Follow-Up.


Journal

The Journal of arthroplasty
ISSN: 1532-8406
Titre abrégé: J Arthroplasty
Pays: United States
ID NLM: 8703515

Informations de publication

Date de publication:
08 2021
Historique:
received: 10 02 2021
revised: 26 03 2021
accepted: 06 04 2021
pubmed: 1 5 2021
medline: 6 8 2021
entrez: 30 4 2021
Statut: ppublish

Résumé

Total hip arthroplasty (THA) is performed in an increasingly younger and athletic population. Regular and competitive golfers are concerned with the likelihood of recovering their preoperative level of play. The purpose of this study was to assess the impact of primary THA on golfers' game, with a minimum follow-up of two years. Questionnaires were sent to the French Golf Federation's golfing members. Those who were older than 40 years and had undergone a unilateral primary THA provided information on the timing of return to play, pain during golfing, transportation mode, drive length, handicap and weekly playtime, before hip replacement, and postoperatively. In addition, data relating to the surgical procedure were collected. Surveys were completed by 883 competitive golfers of which 599 were eligible for inclusion. The mean time to return to a complete 18-hole course was 4.73 months (SD 4.15, range: 0.7-36). Participants surveyed at a minimum 2 years after THA played at a higher level than before surgery with a handicap improvement of 1.8 (P < .01) and increased their mean weekly playtime from 8.8 to 9.3 hours (P = .24, NS). Eighty-eight percent reported an increased or no change in drive distance. Hip pain while playing golf decreased after surgery (6.8 to 2.5 on the visual analog scale, P < .001). This study highlighted that hip arthroplasty allowed regular and competitive golfers to return to the course with better golfing comfort than before surgery and with an objective improvement in driving distance and level of play.

Sections du résumé

BACKGROUND
Total hip arthroplasty (THA) is performed in an increasingly younger and athletic population. Regular and competitive golfers are concerned with the likelihood of recovering their preoperative level of play. The purpose of this study was to assess the impact of primary THA on golfers' game, with a minimum follow-up of two years.
METHODS
Questionnaires were sent to the French Golf Federation's golfing members. Those who were older than 40 years and had undergone a unilateral primary THA provided information on the timing of return to play, pain during golfing, transportation mode, drive length, handicap and weekly playtime, before hip replacement, and postoperatively. In addition, data relating to the surgical procedure were collected.
RESULTS
Surveys were completed by 883 competitive golfers of which 599 were eligible for inclusion. The mean time to return to a complete 18-hole course was 4.73 months (SD 4.15, range: 0.7-36). Participants surveyed at a minimum 2 years after THA played at a higher level than before surgery with a handicap improvement of 1.8 (P < .01) and increased their mean weekly playtime from 8.8 to 9.3 hours (P = .24, NS). Eighty-eight percent reported an increased or no change in drive distance. Hip pain while playing golf decreased after surgery (6.8 to 2.5 on the visual analog scale, P < .001).
CONCLUSION
This study highlighted that hip arthroplasty allowed regular and competitive golfers to return to the course with better golfing comfort than before surgery and with an objective improvement in driving distance and level of play.

Identifiants

pubmed: 33926777
pii: S0883-5403(21)00345-4
doi: 10.1016/j.arth.2021.04.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2858-2863.e2

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Charles Pioger (C)

Department of Orthopaedic Surgery, Lariboisiere Hospital, Paris 7 University, Paris, France; Department of Orthopaedic Surgery, Ambroise Paré Hospital, Boulogne, France.

Christophe Jacquet (C)

Department of Orthopaedic Surgery, Lariboisiere Hospital, Paris 7 University, Paris, France.

Jonathan P Bellity (JP)

Department of Orthopaedic Surgery, Hôpital des Peupliers, Ramsay Générale de Santé, Paris, France.

Jérôme Delambre (J)

Clinique Geoffroy Saint-Hilaire, Ramsay Générale de Santé, Paris, France.

Olivier Rouillon (O)

Department of Orthopaedic Surgery, Lariboisiere Hospital, Paris 7 University, Paris, France.

Rémy Nizard (R)

Department of Orthopaedic Surgery, Lariboisiere Hospital, Paris 7 University, Paris, France.

Didier Hannouche (D)

Department of Orthopaedic Surgery, Lariboisiere Hospital, Paris 7 University, Paris, France; Department of Orthopaedic Surgery, Geneva University Hospitals & Faculty of Medicine, Geneva, Switzerland; ReFORM IOC Research Centre for Prevention of Injury and Protection of Athletes Health.

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