This study aims to evaluate the return to activity in younger patients under 50 years old after undergoing either total hip replacement (THR) or hip resurfacing, as performed in everyday practice. This research will be observational, meaning patients will not be randomly assigned to different treatment groups. To objectively assess participents; return to everyday, professional, and sports activities, validated questionnaires will be sent to participents in addition to routine clinical practice. The study will be prospective and comparative based on the type of prostheses used.
In order to capture the current practices of surgeons performing THR in participents under 50 years old in France, the study will be conducted at multiple centers across the country. Since hip resurfacing is performed only in certain centers, approximately half of the participating centers are experienced in this technique.
Participents typically resume activity between 3 and 6 months after THR. One year of post-operative follow-up allows for an accurate assessment of participents; recovery, unaffected by the surgery. Participents ; physical activity levels will be evaluated using the UCLA Activity Scale developed by surgeons to assess the activity levels of patients undergoing hip and arthroplasty.
Participant is male or female, aged 50 or under
Participant is indicated for a primary THA or resurfacing procedure
Participant agrees to complete and receive questionnaires by email
Participant has been informed and has not objected to the collection and use of their data
Participant is aged under 18 or over 50 years
Participant has had a previous THA or resurfacing procedure
Participant is scheduled for a THA on the other hip within the year
Participant has severe physical and/or psychological health problems that, in the investigators opinion, may affect the participant's compliance with the study
Patients will be recruited by surgeons during orthopedic surgery consultations at each of the participating centers in the study. These consultations will take place between 3 and 1 month before the intervention. The purpose of the research will be explained to all patients who meet the eligibility criteria by the surgeon and an information sheet will be given to them. The physician will obtain the patients consent to participate in the research and their non-opposition to the collection and use of their data at least 14 days before the intervention, allowing sufficient time for the participant to reflect.
Cohort
Prospective
total hip replacement
Procedure/SurgeryReplacement of the hip joint with a total prosthesis, a femoral stem, an acetabular cup, a joint head, in metal, ceramic, dual mobility or polyethylene
UCLA hip score
The UCLA Hip Score is a validated measurement tool used to assess the level of physical activity in patients undergoing hip arthroplasty. It consists of a single-item scale ranging from 10 to 1. A score of 10 indicates regular participation in impact sports, while a score of 1 indicates complete inactivity and dependency on others. This score is utilized to evaluate the patient's functional outcome and activity level following hip surgery.
Subjective Hip Value (SHV) Score
evaluate patients' subjective perception of their hip function following hip surgery. It's typically assessed on a scale from 0 to 100, where 100 represents a fully functional, pain-free hip similar to its pre-surgery state. Patients rate their hip function based on their comfort, mobility, and overall satisfaction with the outcome of the surgery. This assessment provides valuable insight into the patient's experience and satisfaction with their hip replacement procedure
The Forgotten Joint Score (FJS)
It measures how "forgotten" the joint feels, with higher scores indicating that patients are less aware of the replaced joint during daily activities. The score typically ranges from 0 to 100, with 100 indicating that the joint feels completely forgotten or normal. This assessment provides valuable information on the patient's perception of their hip replacement and its impact on their quality of life
Oxford Hip Score (OHS)
12 questions used to assess the functional status and pain level of patients following hip replacement surgery. The questions cover activities of daily living such as walking, dressing, and sleeping, and patients rate their difficulty or pain level on a scale from 0 to 4 for each question. The total score ranges from 0 to 48, with lower scores indicating greater pain and functional limitation.
The DEVANE Score
tool used to evaluate the level of activity or sedentariness in patients. It assesses both professional and recreational activities, providing an overall assessment of the patient's activity level rather than focusing solely on their athletic pursuits. The score ranges from 1 to 5 based on the patient's responses, with 5 indicating the most intense level of activity.
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Société Française de chirurgie de la Hanche et du Genou
Lead sponsor
Elsan
Collaborator
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