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Hauer, G; Sadoghi, P; Smolle, M; Zaussinger, S; Friesenbichler, J; Leithner, A; Maurer-Ertl, W.
Sexual activity after short-stem total hip arthroplasty. Does stem size matter?
Arch Orthop Trauma Surg. 2023; 143(6):3613-3619 Doi: 10.1007/s00402-022-04614-y [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Hauer Georg
Sadoghi Patrick
Co-Autor*innen der Med Uni Graz
Friesenbichler Jörg
Leithner Andreas
Maurer-Ertl Werner
Smolle Maria Anna
Zaußinger Sabrina
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Abstract:
BACKGROUND: Sexual activity is an important component of quality of life. To date, no studies have examined the impact of stem design on return to sexual activity (RTS) and quality of sex life after total hip arthroplasty (THA). METHODS: A questionnaire was designed to assess preoperative and postoperative sexual habits, joint awareness and physical activity in working-age patients undergoing short-stem (n = 176) or straight-stem (n = 97) THA. RESULTS: No differences were noted in time until RTS based on the stem design (short stems vs. straight stems; 6 [IQR: 4-10] vs. 6 [4-10] weeks; p = 0.996). Multivariate analysis revealed that higher patient BMI (p = 0.04), female gender (p < 0.001) and lower FJS-12 (p = 0.006) were significantly associated with delayed RTS. Improved hip mobility and reduced pain mainly contribute to improved quality of sexual activity postoperatively. CONCLUSION: This study, hence, indicates that stem design has no impact on time until resumption of sexual activity in patients < 65 years. Female obese individuals who are aware of their artificial joint in daily life are at increased risk of delayed RTS after surgery. LEVEL OF EVIDENCE: Level III, retrospective cohort study.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Female - administration & dosage
Arthroplasty, Replacement, Hip - adverse effects
Hip Joint - surgery
Quality of Life - administration & dosage
Retrospective Studies - administration & dosage
Sexual Behavior - administration & dosage
Hip Prosthesis - administration & dosage

Find related publications in this database (Keywords)
Total hip arthroplasty
Total hip replacement
Short-stem
Return to sexual activity
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