{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:20:14Z","timestamp":1789669214039,"version":"4.0.1"},"reference-count":31,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.arth.2026.05.053","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T23:34:52Z","timestamp":1779492892000},"page":"2902-2907.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Return to Sport and Exercise After Direct Anterior Approach Total Hip Arthroplasty: Minimum Five-Year Outcomes"],"prefix":"10.1016","volume":"41","author":[{"given":"Jacob D.","family":"Mikula","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep R.","family":"Yanamala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"IV","given":"John J.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Eric","family":"Rohdenburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory G.","family":"Couch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Taunton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6208-878X","authenticated-orcid":false,"given":"Mario","family":"Hevesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.05.053_bib1","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1056\/NEJMoa2400141","article-title":"Total hip replacement or resistance training for severe hip osteoarthritis","volume":"391","author":"Frydendal","year":"2024","journal-title":"New Engl J Med"},{"key":"10.1016\/j.arth.2026.05.053_bib2","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/S0140-6736(18)31777-X","article-title":"Hip replacement","volume":"392","author":"Ferguson","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.arth.2026.05.053_bib3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0255888","article-title":"Direct anterior approach (DAA) vs. conventional approaches in total hip arthroplasty: a RCT meta-analysis with an overview of related meta-analyses","volume":"16","author":"Lazaru","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.05.053_bib4","doi-asserted-by":"crossref","first-page":"4443","DOI":"10.1007\/s00402-024-05547-4","article-title":"Efficacy of direct anterior approach versus posterolateral approach in total hip arthroplasty: a systematic review and meta-analysis","volume":"144","author":"Wang","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.05.053_bib5","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1186\/s12891-020-03318-x","article-title":"Clinical, functional and radiographic outcomes of primary total hip arthroplasty between direct anterior approach and posterior approach: a systematic review and meta-analysis","volume":"21","author":"Peng","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.arth.2026.05.053_bib6","doi-asserted-by":"crossref","first-page":"3704","DOI":"10.1016\/j.arth.2018.08.020","article-title":"Total hip arthroplasty in young patients in the Netherlands: trend analysis of >19,000 primary hip replacements in the Dutch arthroplasty register","volume":"33","author":"Kuijpers","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib7","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1002\/jor.23711","article-title":"Trends in hip replacements between 1999 and 2012 in Sweden","volume":"36","author":"Cnudde","year":"2018","journal-title":"J Orthop Res"},{"key":"10.1016\/j.arth.2026.05.053_bib8","doi-asserted-by":"crossref","first-page":"2074","DOI":"10.1016\/j.arth.2024.02.048","article-title":"Outpatient total hip arthroplasty volume up nearly 8-Fold after regulatory changes with expanding demographics and unchanging outcomes: a 10-Year analysis","volume":"39","author":"Pasqualini","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib9","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1007\/s00402-022-04357-w","article-title":"Evolution of total hip arthroplasty in patients younger than 30 years of age: a systematic review and meta-analysis","volume":"143","author":"Konopitski","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.05.053_bib10","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1007\/s40279-018-0924-2","article-title":"The effect of total hip arthroplasty on sports and work participation: a systematic review and meta-analysis","volume":"48","author":"Hoorntje","year":"2018","journal-title":"Sports Med"},{"key":"10.1016\/j.arth.2026.05.053_bib11","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.arth.2022.11.008","article-title":"Participation in sports and physical activities after total joint arthroplasty","volume":"38","author":"Arshi","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0261784","article-title":"Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty\u2014A systematic review","volume":"16","author":"Mooiweer","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.05.053_bib13","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/s13102-021-00366-1","article-title":"Motivation behind running among older adult runners","volume":"13","author":"Le\u00f3n-Guere\u00f1o","year":"2021","journal-title":"BMC Sports Sci Med Rehabil"},{"key":"10.1016\/j.arth.2026.05.053_bib14","doi-asserted-by":"crossref","first-page":"3060","DOI":"10.1007\/s11999-012-2362-z","article-title":"Does impact sport activity influence total hip arthroplasty durability?","volume":"470","author":"Ollivier","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.05.053_bib15","doi-asserted-by":"crossref","first-page":"446","DOI":"10.2340\/17453674.2024.41192","article-title":"Intensive physical activity following total hip arthroplasty increased the revision risk after 15 years: a cohort study of 973 patients from the Geneva Arthroplasty Register","volume":"95","author":"Zaballa","year":"2024","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.05.053_bib16","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-92788-7","article-title":"In vivo loading on the hip joint in patients with total hip replacement performing gymnastics and aerobics exercises","volume":"11","author":"Haffer","year":"2021","journal-title":"Sci Rep"},{"key":"10.1016\/j.arth.2026.05.053_bib17","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1111\/sms.12482","article-title":"Sports and physical activity after cementless total hip arthroplasty with a minimum follow-up of 10 years","volume":"26","author":"Innmann","year":"2016","journal-title":"Scand J Med Sci Sports"},{"key":"10.1016\/j.arth.2026.05.053_bib18","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1302\/0301-620X.96B8.32813","article-title":"Pre-operative function, motivation and duration of symptoms predict sporting participation after total hip replacement","volume":"96-B","author":"Ollivier","year":"2014","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2026.05.053_bib19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.csm.2004.08.009","article-title":"Sports after total joint replacement","volume":"24","author":"Clifford","year":"2005","journal-title":"Clin Sports Med"},{"key":"10.1016\/j.arth.2026.05.053_bib20","doi-asserted-by":"crossref","first-page":"2972","DOI":"10.1016\/j.arth.2019.06.054","article-title":"Return to sport after bilateral single stage total hip arthroplasty using the direct anterior approach: a case control study","volume":"34","author":"Batailler","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0202494","article-title":"Sport advice given by Dutch orthopaedic surgeons to patients after a total hip arthroplasty or total knee arthroplasty","volume":"13","author":"Meester","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.05.053_bib22","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.arth.2016.09.019","article-title":"Return to sporting activity after total hip arthroplasty\u2014A survey of members of the British hip society","volume":"32","author":"Bradley","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib23","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1016\/j.arth.2020.11.009","article-title":"Return to sports after total hip arthroplasty: a survey among members of the European Hip Society","volume":"36","author":"Thaler","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib24","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.arth.2025.06.045","article-title":"What sports are safe following total joint arthroplasty? An analysis of revision rates at a mean 5-year Follow-Up","volume":"41","author":"Cardillo","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.053_bib25","doi-asserted-by":"crossref","first-page":"h756","DOI":"10.1136\/bmj.h756","article-title":"Setting benchmark revision rates for total hip replacement: analysis of registry evidence","volume":"350","author":"Kandala","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.arth.2026.05.053_bib26","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0013520","article-title":"Population-based rates of revision of primary total hip arthroplasty: a systematic review","volume":"5","author":"Corbett","year":"2010","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2026.05.053_bib27","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1302\/0301-620X.103B3.BJJ-2020-0562.R2","article-title":"The lifetime risk of revision following total hip arthroplasty","volume":"103-B","author":"Nugent","year":"2021","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2026.05.053_bib28","doi-asserted-by":"crossref","DOI":"10.4103\/singaporemedj.SMJ-2021-125","article-title":"Functional outcome of direct anterior versus posterior approach in total hip arthroplasty: a propensity-matched Asian study","author":"Loh","year":"2024","journal-title":"Singapore Med J"},{"key":"10.1016\/j.arth.2026.05.053_bib29","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/s11999.0000000000000112","article-title":"John Charnley Award: randomized clinical trial of direct anterior and miniposterior approach THA: which provides better functional recovery?","volume":"476","author":"Taunton","year":"2018","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.05.053_bib30","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000002126","article-title":"Comparison of direct anterior and lateral approaches in total hip arthroplasty","volume":"94","author":"Yue","year":"2015","journal-title":"Medicine"},{"key":"10.1016\/j.arth.2026.05.053_bib31","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.3390\/jcm9061972","article-title":"Prospective short-term and return-to-sports results of a novel uncemented short-stem hip prosthesis with metaphyseal Anchorage","volume":"9","author":"Breuer","year":"2020","journal-title":"J Clin Med"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032600570X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032600570X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:45:28Z","timestamp":1789627528000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S088354032600570X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S088354032600570X"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.053","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Return to Sport and Exercise After Direct Anterior Approach Total Hip Arthroplasty: Minimum Five-Year Outcomes","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}