{"id":5216,"date":"2021-08-30T19:11:35","date_gmt":"2021-08-30T17:11:35","guid":{"rendered":"https:\/\/giosbejournal.com\/?page_id=5216"},"modified":"2022-01-27T16:36:41","modified_gmt":"2022-01-27T15:36:41","slug":"la-total-hip-arthroplasty-tha-validita-prescrittiva-dellesercizio-fisico-sportivo-stato-dellarte-e-aspetti-clinici-specifici","status":"publish","type":"page","link":"https:\/\/www.giosbejournal.com\/index.php\/la-total-hip-arthroplasty-tha-validita-prescrittiva-dellesercizio-fisico-sportivo-stato-dellarte-e-aspetti-clinici-specifici\/","title":{"rendered":"La Total Hip Arthroplasty (THA). Validit\u00e0 prescrittiva dell\u2019esercizio fisico-sportivo: stato dell\u2019arte e aspetti clinici specifici"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;Sezione&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#f4f4f4&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;off&#8221; custom_width_px=&#8221;1080px&#8221; custom_width_percent=&#8221;80%&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221; disabled=&#8221;off&#8221;][et_pb_fullwidth_header admin_label=&#8221;Intestazione a Larghezza Piena&#8221; subhead=&#8221;Advertisement&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; header_fullscreen=&#8221;off&#8221; header_scroll_down=&#8221;off&#8221; scroll_down_icon=&#8221;;&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; content_orientation=&#8221;center&#8221; image_orientation=&#8221;center&#8221; title_font_size=&#8221;30px&#8221; content_font_size=&#8221;14px&#8221; custom_button_one=&#8221;off&#8221; button_one_text_size=&#8221;20&#8243; button_one_letter_spacing=&#8221;0&#8243; button_one_use_icon=&#8221;default&#8221; button_one_icon_placement=&#8221;right&#8221; button_one_on_hover=&#8221;on&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; custom_button_two=&#8221;off&#8221; button_two_text_size=&#8221;20&#8243; button_two_letter_spacing=&#8221;0&#8243; button_two_use_icon=&#8221;default&#8221; button_two_icon_placement=&#8221;right&#8221; button_two_on_hover=&#8221;on&#8221; button_two_letter_spacing_hover=&#8221;0&#8243; disabled=&#8221;off&#8221;]<\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 29px; left: 40px;\">Salva<\/span><\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section admin_label=&#8221;section&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; custom_padding=&#8221;0px|0px|54px|0px&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;off&#8221; custom_width_px=&#8221;1080px&#8221; custom_width_percent=&#8221;80%&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; disabled=&#8221;off&#8221;][et_pb_row admin_label=&#8221;row&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;off&#8221; custom_width_px=&#8221;1080px&#8221; custom_width_percent=&#8221;80%&#8221; use_custom_gutter=&#8221;off&#8221; gutter_width=&#8221;3&#8243; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;on&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;on&#8221; parallax_3=&#8221;off&#8221; parallax_method_3=&#8221;on&#8221; parallax_4=&#8221;off&#8221; parallax_method_4=&#8221;on&#8221; disabled=&#8221;off&#8221;][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Testo&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_style=&#8221;solid&#8221; disabled=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221;]<\/p>\n<h3>REVIEW | <span style=\"color: #e02b20;\">OPEN ACCESS<\/span><\/h3>\n<h3><span style=\"color: #e02b20;\"><a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\"><img loading=\"lazy\" class=\"alignnone\" src=\"https:\/\/i.creativecommons.org\/l\/by-nc-sa\/4.0\/80x15.png\" alt=\"Licenza Creative Commons\" width=\"80\" height=\"15\" \/><\/a><\/span><\/h3>\n<p style=\"text-align: justify;\"><strong>Copyright:<\/strong> \u00a92021\u00a0 Questo \u00e8 un articolo open-access, distribuito con licenza Creative Commons Attribution, che ne consente l\u2019utilizzo, la distribuzione e la riproduzione su qualsiasi supporto esclusivamente per fini non commerciali, a condizione di riportare sempre autore e citazione originale. 4.0 Internazionale<\/p>\n<h3><\/h3>\n<h3><strong>La Total Hip Arthroplasty (THA). Validit\u00e0 prescrittiva dell&#8217;esercizio fisico-sportivo: stato dell&#8217;arte e aspetti clinici specifici<br \/>\n<\/strong><\/h3>\n<p><strong><a href=\"https:\/\/orcid.org\/0000-0002-8995-3072\"><img loading=\"lazy\" class=\"alignnone wp-image-4949 size-full\" src=\"https:\/\/giosbejournal.com\/wp-content\/uploads\/2017\/11\/ORCIDiD_icon16x16.png\" alt=\"orcidid_icon16x16\" width=\"16\" height=\"16\" \/><\/a><a href=\"https:\/\/orcid.org\/0000-0002-8995-3072\"> Rosario <\/a><a href=\"https:\/\/orcid.org\/0000-0002-8995-3072\">D\u2019Onofrio<\/a><\/strong>, Marcello Luca Marasco, <a href=\"http:\/\/orcid.org\/0000-0002-9181-9358\"><strong class=\"alignnone\"><img loading=\"lazy\" class=\"alignnone wp-image-4949 size-full\" src=\"https:\/\/giosbejournal.com\/wp-content\/uploads\/2017\/11\/ORCIDiD_icon16x16.png\" alt=\"orcidid_icon16x16\" width=\"16\" height=\"16\" \/> Claudio Civitillo,\u00a0<\/strong><\/a> <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Tamburrino+P&amp;cauthor_id=27973762\">Pasquale Tamburrino<\/a><\/strong>, <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Castellacci+E&amp;cauthor_id=27973762\">Enrico Castellacci<\/a><\/strong><\/p>\n<p><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>BACKGROUND<\/strong> La Total Hip Arthroplasty (THA-Artroprotesi Totale d\u2019Anca) \u00e8 una procedura chirurgica in costante incremento soprattutto in pazienti giovani e sportivi. La possibilit\u00e0 di svolgere attivit\u00e0 fisica \u00e8 una delle principali aspettative di questa popolazione. <strong>M<\/strong><strong>ETODI<\/strong> Questa revisione narrativa, basata come struttura sulla metodologia Arksey &amp; O\u2019Malley, valuta gli aspetti specifici in merito ai questi clinici: <em>A)<\/em> Esistono linee guida sulla <em>\u201cthe last phase rehabilitation\u201d<\/em> e sulla ripresa dell\u2019attivit\u00e0 fisico-sportiva dopo THA ? <em>B)<\/em> Vi sono tipi di sport raccomandati della comunit\u00e0 scientifica, dopo THA, con il relativo timing di accesso allo sport ? La letteratura \u00e8 stata ricercata sul database PubMed. <strong>RISULTATI<\/strong> Dalla letteratura emerge come la chirurgia mini invasiva e una maggiore qualit\u00e0 dei materiali hanno adoperato, rispetto al passato, ad un sicuro e precoce ritorno alle attivit\u00e0 lavorative quotidiane. I chirurghi ortopedici Europei raccomandano una moderata attivit\u00e0 fisica, gi\u00e0 a partire dal 3 mese, con la partecipazione a sport a basso impatto a 6 mesi dalla THA. <strong>LIMITI DELLO STUDIO<\/strong> Questo studio ha utilizzato il solo database bibliografico PubMed, non esplorando ulteriori database bibliografici per la ricerca della letteratura. <strong>DISCUSSIONE<\/strong> La partecipazione ad una attivit\u00e0 sportiva, prima della chirurgia e la giovane et\u00e0, sono predittivi di un ritorno agevolato alla pratica fisico-sportiva. Rimane sconosciuta, ad oggi, l\u2019influenza che lo sport esercita sull\u2019usura dei materiali e sui rischi di mobilizzazione dell\u2019impianto. <strong>CONCLUSIONE<\/strong> Non vi sono, a nostra conoscenza, linee guida in merito alla <em>\u201cthe last phase rehabilitation<\/em>\u201d e sulla ripresa dell\u2019attivit\u00e0 fisico-sportiva dopo THA. Nella comunit\u00e0 ortopedica Europea \u00e8 in corso una discussione aperta e il ritorno allo sport rimane ancora un tema controverso. Esiste tuttavia, rispetto al passato, un maggior indirizzo prescrittivo per le attivit\u00e0 fisiche a basso impatto.<\/p>\n<p><strong><em>Key Words:<\/em><\/strong><em> Total Hip Arthroplasty ; Total Joint Replacement ; Return to sport after total hip arthroplasty<\/em><\/p>\n<p><a href=\"r.donofrio@alice.it\">\u2709<\/a>\u00a0<a href=\"mailto:r.donofrio@alice.it\">r.donofrio@alice.it<\/a><\/p>\n<p>\u00a9 Author(s) 2021; GIOSBE Journal 2021 | Vol\u00a0 <strong>7<\/strong>: 2<\/p>\n<p>Riceived: 9 Luglio 2021| Accepdet 15 Luglio 2021:\u00a0 | Published 1 Settembre 2021<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243;][et_pb_toggle admin_label=&#8221;PDF&#8221; open=&#8221;off&#8221; closed_toggle_background_color=&#8221;#0c71c3&#8243; closed_toggle_text_color=&#8221;#ffffff&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; disabled=&#8221;off&#8221; title=&#8221;PDF&#8221;]<\/p>\n<p><strong><a href=\"https:\/\/drive.google.com\/file\/d\/107ewSwWspKGouB3qm_zk6tFb-1CX4Qq0\/view?usp=sharing\">PDF<\/a><br \/>\n<\/strong><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 43px; left: 40px;\">PSalva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 29px; left: 40px;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 36px; left: 40px;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 36px; left: 40px;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer;\">Salva<\/span><\/p>\n<p><span style=\"border-radius: 2px; text-indent: 20px; width: auto; padding: 0px 4px 0px 0px; text-align: center; font: bold 11px\/20px 'Helvetica Neue',Helvetica,sans-serif; color: #ffffff; background: #bd081c no-repeat scroll 3px 50% \/ 14px 14px; position: absolute; opacity: 1; z-index: 8675309; display: none; cursor: pointer; top: 36px; left: 40px;\">Salva<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_blurb admin_label=&#8221;View all articles&#8221; title=&#8221;View all articles&#8221; url_new_window=&#8221;off&#8221; use_icon=&#8221;off&#8221; font_icon=&#8221;%%38%%&#8221; icon_color=&#8221;#7EBEC5&#8243; use_circle=&#8221;off&#8221; circle_color=&#8221;#7EBEC5&#8243; use_circle_border=&#8221;off&#8221; circle_border_color=&#8221;#7EBEC5&#8243; icon_placement=&#8221;top&#8221; animation=&#8221;top&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_icon_font_size=&#8221;off&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;] [\/et_pb_blurb][et_pb_post_nav admin_label=&#8221;Navigazione post articoli&#8221; in_same_term=&#8221;off&#8221; hide_prev=&#8221;off&#8221; hide_next=&#8221;off&#8221; title_font_size=&#8221;14px&#8221; title_letter_spacing=&#8221;0px&#8221; title_line_height=&#8221;1em&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_width=&#8221;1px&#8221; border_style=&#8221;solid&#8221; disabled=&#8221;off&#8221;] [\/et_pb_post_nav][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Sezione&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#f2f2f2&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;off&#8221; custom_width_px=&#8221;1080px&#8221; custom_width_percent=&#8221;80%&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; disabled=&#8221;off&#8221;][et_pb_row admin_label=&#8221;Riga&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;off&#8221; custom_width_px=&#8221;1080px&#8221; custom_width_percent=&#8221;80%&#8221; use_custom_gutter=&#8221;off&#8221; gutter_width=&#8221;3&#8243; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;on&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;on&#8221; parallax_3=&#8221;off&#8221; parallax_method_3=&#8221;on&#8221; parallax_4=&#8221;off&#8221; parallax_method_4=&#8221;on&#8221; disabled=&#8221;off&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Testo&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_style=&#8221;solid&#8221; disabled=&#8221;off&#8221;]<\/p>\n<h4><em><strong>GJ Open Access<br \/>\n<\/strong><\/em><\/h4>\n<p style=\"text-align: justify;\">[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Testo&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_style=&#8221;solid&#8221; disabled=&#8221;off&#8221;]<\/p>\n<h4><em>Contact<\/em><\/h4>\n<h4><em><strong>Support email<\/strong><\/em><\/h4>\n<p><a href=\"mailto:segreteria.giosbe@gmail.com\">segreteria.giosbe@gmail.com<\/a><\/p>\n<h4><em><strong>Editorial email<\/strong><\/em><\/h4>\n<p><a href=\"mailto:info@giosbejournal.com\">info@giosbejournal.com<\/a><\/p>\n<p style=\"text-align: justify;\">[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Salva Salva Salva Salva REVIEW | OPEN ACCESS Copyright: \u00a92021\u00a0 Questo \u00e8 un articolo open-access, distribuito con licenza Creative Commons Attribution, che ne consente l\u2019utilizzo, la distribuzione e la riproduzione su qualsiasi supporto esclusivamente per fini non commerciali, a condizione di riportare sempre autore e citazione originale. 4.0 Internazionale La Total Hip Arthroplasty (THA). Validit\u00e0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/pages\/5216"}],"collection":[{"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/comments?post=5216"}],"version-history":[{"count":32,"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/pages\/5216\/revisions"}],"predecessor-version":[{"id":5514,"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/pages\/5216\/revisions\/5514"}],"wp:attachment":[{"href":"https:\/\/www.giosbejournal.com\/index.php\/wp-json\/wp\/v2\/media?parent=5216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}