{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:15Z","timestamp":1787755575047,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of a young man who underwent total hip arthroplasty (THA) for osteonecrosis at the age of 20 years, and subsequently competed in collegiate long-distance running. The pinnacle of his career was setting the school record time of 3:47.64 (min:sec) in the 1,500-m \u201cmetric mile\u201d run (equivalent to 4:05.09 for the \u201cEnglish\u201d mile). This is the fastest known time for any patient who has undergone THA. Excellent clinical and radiographic outcomes had been maintained at 6 years postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients who undergo arthroplasty procedures may be capable of remarkable physical accomplishments, but pursuing such feats is not advised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00030","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T21:48:57Z","timestamp":1539121737000},"page":"e81-e81","source":"Crossref","is-referenced-by-count":2,"title":["Competitive Running After Total Hip Arthroplasty: The World\u2019s Fastest Total Hip"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4101-9555","authenticated-orcid":false,"given":"David D.","family":"Christensen","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery and Rehabilitation Department, University of Vermont, Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3248-4332","authenticated-orcid":false,"given":"Nathaniel J.","family":"Nelms","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Rehabilitation Department, University of Vermont, Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,12]]},"reference":[{"issue":"9597","key":"bib1-20230713","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","article-title":"The operation of the century: total hip replacement","volume":"370","author":"Learmonth","year":"2007","journal-title":"Lancet."},{"issue":"4","key":"bib2-20230713","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-200704000-00012","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib3-20230713","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.berh.2012.07.014","article-title":"The changing demographics of total joint arthroplasty recipients in the United States and Ontario from 2001 to 2007","volume":"26","author":"Ravi","year":"2012","journal-title":"Best Pract Res Clin Rheumatol."},{"issue":"362","key":"bib4-20230713","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1080\/17453674.2016.1193663","article-title":"Total joint replacement: a multiple risk factor analysis of physical activity level 1-2 years postoperatively","volume":"87","author":"Paxton","year":"2016","journal-title":"Acta Orthop."},{"issue":"8","key":"bib5-20230713","doi-asserted-by":"crossref","first-page":"487","DOI":"10.5435\/JAAOS-20-08-487","article-title":"Total hip arthroplasty in the very young patient","volume":"20","author":"Polkowski","year":"2012","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib6-20230713","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.arth.2006.02.083","article-title":"Activity level in young patients with primary total hip arthroplasty: a 5-year minimum follow-up","volume":"22","author":"Sechriest","year":"2007","journal-title":"J Arthroplasty."},{"issue":"2","key":"bib7-20230713","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.arth.2006.09.001","article-title":"Return to athletic activity after total hip arthroplasty. 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