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Protocol for a systematic review of the outcomes, including return to play (RTP), for tennis players undergoing total
Apoorva Khajuria1,2, Hashim Hameed3, Mazin Ibrahim1,2
1Whittington Health NHS Trust, Magdala Ave, London, N19 5NF, UK, UK.
Background:
With a surge in younger, more active individuals undergoing hip surgery, both recreational players and elite athletes seek to break free from post-surgery limitations. Despite advancements, the safety of returning to tennis following Total Hip Arthroplasty (THA) remains underexplored. This systematic review aims to explore the insights which may guide informed decision-making concerning return to the sport.
Methods:
This systematic review aims to assess the clinical and functional outcomes of THA in tennis players. A protocol has been registered with PROSPERO, adhering to PRISMA-P guidelines. A comprehensive literature search will be carried out and this will include PubMed, MEDLINE, Embase, Google Scholar, Cochrane Reviews and SPORTDiscus databases for the last 20 years. The search terms focus on tennis and hip replacement, without language or study design restrictions. Studies featuring recreational or professional tennis players post-THA will be considered for inclusion. A team of independent reviewers will screen extracted studies for inclusion based on pre-defined criteria.
Discussion:
The review aims to consolidate evidence on post-THA outcomes in tennis players, identifying variables such as implant types, pre and post-surgery play levels, and return-to-play timeframes. Divergent opinions among Orthopaedic surgeons about post-THA tennis participation warrants a comprehensive analysis. Moreover, the differentiation between singles and doubles tennis in post-THA recommendations is a critical but underexplored area. The systematic review seeks to bridge these gaps and establish a foundation for consensus-based guidelines, aiding patient counselling and decision-making regarding surgical treatment and post-surgery recommendations, specifically concerning returning to tennis.
Systematic Review Registration:
This systematic review protocol is registered with the National Institute of Health Research (NIHR) Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42024495730.
