I advise patients not to return to
impact sport for 1 year after surgery. For those
patients who want to road run, I get them
running on a treadmill at 10 months post-op and
they resume road running at 12 months post-op.
My unit published on activity level after
resurfacing some years ago in a group of
patients who followed those rules. In young men
with a single osteoarthritic hip resurfaced, 92
% played sport and 62 % played impact sport. The ladies were
not quite as active, but you can see from the publication
that they still had an impressive activity level. In the
total group their 10 year implant survival is 99.8 % showing
that high activity introduced at a sensible time does not
deteriorate the results.
The bone is well healed at 6-12 weeks. I allow running
at 6 months. I do not use cementless resurfacing. I use
Smith and Nephew Birmingham hip.
I remove activity
restrictions at 6 months. I would ideally like the hip
resurfacing implant to last as long as possible, and I feel
that repetitive running on hard surfaces may be detrimental
to the implant and it’s connection with the bone. If a
patient feels strongly about running, I would prefer it be
done on a softer surface.
Patients have returned to such activities
as: marathons, rugby, volleyball, mountain climbing, hiking,
ballroom dancing, performance dance, Thai kickboxing, mixed
martial arts, judo, tae kwon doe, soccer, baseball,
pitching, basketball, golf, tennis, among others.