Clinical trial NCT05470634: Trail-running After Knee or Hip Arthroplasty
Official title: Trail-running après Arthroplastie du Genou ou de la Hanche/Trail-running After Knee or Hip Arthroplasty
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Arthropathy of Knee
Arthropathy of Hip
Lead sponsor: Centre Hospitalier Universitaire de la Réunion
Sponsor class: OTHER
First posted: 2022-07-22
Enrollment: 31
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The recruitment process will involve a pre-recruitment informing runners that we are looking for trail runners of all levels who have undergone hip and knee replacement surgery. This information will be disseminated via social networks, trail clubs, and via the organisers of major trail races (Diagonale des Fous, UTMB). We will then send the questionnaires to all the runners who have replied to us and mentioned their willingness to participate in the study.

Brief summary: The incidence of indications for hip and knee arthroplasty is constantly increasing due to an increase in arthrogenic risk factors and life expectancy.

In younger patients, with a higher functional demand, resumption of physical activity and sport is a major objective after resumption of walking and pain management.

The repercussions of returning to sports after arthroplasty have been widely studied in the literature.

Few studies have looked specifically at high-impact activities, the possibility of resuming sport and its consequences. The recommendations are essentially based on expert opinion.

Detailed description: The incidence of indications for hip and knee arthroplasty is constantly increasing due to an increase in arthrogenic risk factors and life expectancy. Projections predict an increase in the number of prosthetic surgeries between 2020 and 2030 of 150% for total hip replacements (THR) and 230% for total knee replacements (TKR).

In younger patients, with a higher functional demand, resumption of physical activity and sport is a major objective after resumption of walking and pain management. They are also more likely to resume physical activities with high peak joint stresses, known as "high-impact sports", most often against the advice of their surgeon.

The repercussions of returning to sports after arthroplasty have been widely studied in the literature. These are essentially descriptive cross-sectional studies which show greater participation in low or medium impact sports activities in patients with prostheses.

Few studies have looked specifically at high-impact activities, the possibility of resuming sport and its consequences. The recommendations are essentially based on expert opinion.

Concerning trail running, a discipline in full expansion, particularly in the longest formats; a single study in 2019, involving 18 runners with a prosthesis, did not reveal any specific constraints compared to healthy runners during a 170 km ultratrail.

Eligibility criteria: Inclusion Criteria:

* Trail runner (declarative)
* Having been operated for a hip or knee arthroplasty
* No limit to the length of time or volume of trail riding

Exclusion Criteria:

* Refusal to participate
* Trailer not understanding French

Primary outcomes:
measure: To evaluate the impact of trail running on patients who have undergone prosthetic surgery (total or partial hip or knee arthroplasty) on the quality of life
timeFrame: Day 1
measure: To evaluate the impact of trail running on patients who have undergone prosthetic surgery (total or partial hip or knee arthroplasty) on physical activity
timeFrame: Day 1
measure: To evaluate the impact of trail running on patients who have undergone prosthetic surgery (total or partial hip or knee arthroplasty) on hip problems
timeFrame: Day 1
measure: To evaluate the impact of trail running on patients who have undergone prosthetic surgery (total or partial hip or knee arthroplasty) on knee problems
timeFrame: Day 1
Secondary outcomes:
measure: Functional scores of the hip and knee prostheses
timeFrame: Day 1
measure: Pain and satisfactory level
timeFrame: Day 1
measure: Rehabilitation and physical preparation
timeFrame: Day 1
Other outcomes:
Locations:
city: Saint-Pierre
country: Réunion
facility: CHU de la Réunion
Study officials:
affiliation: CHU La Réunion
name: Cédric MAILLOT, MD
role: PRINCIPAL_INVESTIGATOR
References: