{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T22:34:16Z","timestamp":1790980456341,"version":"4.1.0"},"reference-count":39,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Younger and physically active patients demand a return to sport after total hip arthroplasty (THA). However, because of the risk of implant wear and loosening, high-impact activities are often not recommended. The current study evaluates predictive factors and revision rates in patients with higher activity levels. Methods: This retrospective study included 4152 hips in 3828 patients aged 45\u201375 that underwent primary THA for primary osteoarthritis between 2009 and 2019 with a minimum follow-up of 2 years. Pain and Lower Extremity Activity Scale (LEAS) were assessed before and 2 years after surgery. Activity was classified as low (LEAS 1\u20136), moderate (LEAS 7\u201313), or high (LEAS 14\u201318). Results: Pain and LEAS improved from preoperative to 2-years postoperative (p &lt; 0.001). The activity level was low in 6.2%, moderate in 52.9%, and high in 40.9% of the patients. Younger age, lower BMI, ASA, and CCI, male sex, and higher preoperative LEAS correlated with higher activity at 2 years (p &lt; 0.001). The predicted revision-free survival rates between the activity groups were better for more highly active patients (p &lt; 0.001). Conclusions: High physical activity 2 years following THA, with participating in sports like jogging several times a week, did not increase the risk of revision surgery. THA patients should not be prevented from a highly active lifestyle.<\/jats:p>","DOI":"10.3390\/jcm12206482","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T12:46:13Z","timestamp":1697114773000},"page":"6482","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Activity Following Total Hip Arthroplasty: Which Patients Are Active, and Is Being Active Safe?"],"prefix":"10.3390","volume":"12","author":[{"given":"Laura Elisa","family":"Streck","sequence":"first","affiliation":[{"name":"Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Fen","family":"Chiu","sequence":"additional","affiliation":[{"name":"Biostats Core, Research Administration, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4175-8718","authenticated-orcid":false,"given":"Sebastian","family":"Braun","sequence":"additional","affiliation":[{"name":"Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"},{"name":"Center for Musculoskeletal Surgery, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Member of Freie Universit\u00e4t Berlin and Humboldt University Berlin, Chariteplatz 1, 10117 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisa","family":"Mujaj","sequence":"additional","affiliation":[{"name":"Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carola","family":"Hanreich","sequence":"additional","affiliation":[{"name":"Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"},{"name":"Department for Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7906-9486","authenticated-orcid":false,"given":"Friedrich","family":"Boettner","sequence":"additional","affiliation":[{"name":"Adult Reconstruction and Joint Replacement Department, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.cger.2012.05.003","article-title":"Physical activity participation among patients after total hip and knee arthroplasty","volume":"28","author":"Stevens","year":"2012","journal-title":"Clin. 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