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Int J Sports Med
DOI: 10.1055/a-2542-9124
Review

Biomechanical changes after total vs. resurfacing hip replacement: a systematic review

Jung-Ha Sung
1   Physical Education, Kyung Hee University, Yongin-si, Korea (the Republic of) (Ringgold ID: RIN26723)
,
Geon-Tak Kim
1   Physical Education, Kyung Hee University, Yongin-si, Korea (the Republic of) (Ringgold ID: RIN26723)
,
Jaemoo Lee
2   Sport Science, Center for Sport Science in Gyoungbuk, Andong, Korea (the Republic of)
,
HyunChul Jung 
3   Sports Coaching, Kyung Hee University – Global Campus, Yongin, Korea (the Republic of) (Ringgold ID: RIN34983)
,
Junsig Wang
4   Sports Medicine, Kyung Hee University, Yongin-si, Korea (the Republic of) (Ringgold ID: RIN26723)
› Author AffiliationsSupported by: This work was supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT) (No. 2022R1G1A1011236).
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Abstract

The purpose of this systematic review was to provide a comprehensive understanding of changes in kinematics, kinetics, and muscle activity between total hip arthroplasty and resurfacing hip arthroplasty during activities of daily living. Relevant articles were selected through MEDLINE, Scopus, Web of Science, and Embase. Articles were included if they met the following inclusion criteria: (1) participants underwent total hip arthroplasty or resurfacing hip arthroplasty without restriction on the arthroplasty design, (2) involved either kinematic, kinetic, or muscle activity variables as the primary outcome measure, (3) evaluated daily activities such as gait, sit-to-stand, stair negotiation, and balancing, and (4) were written in English. A total of 18 articles were included in the current systematic review. The resurfacing hip arthroplasty group exhibited faster functional recovery after surgery compared to total hip arthroplasty by improving the hip range of motions, peak vertical ground reaction force, and peak hip abduction moment. Evaluation of the biomechanical changes during stair negotiation and sit-to-stand transfers is further needed to evaluate comprehensive aspects of functional ability. The findings of this review provide a comprehensive overview and help to understand the biomechanical changes for patients with total hip arthroplasty vs. resurfacing hip arthroplasty during daily activities. Therefore, this review may serve as a basis for future studies potentially aiding in optimizing hip joint replacement.

Keywords

total hip arthroplasty - resurfacing hip arthroplasty - THA - RHA - biomechanics - activities of daily living


Publication History

Received: 19 October 2024

Accepted after revision: 18 February 2025

Article published online:
19 March 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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