The purpose of this study was to characterize patients who play tennis afte
r undergoing hip arthroplasty in terms of their functional abilities and de
gree of satisfaction. A questionnaire was sent to all United States Tennis
Association member associations in a tri-state area to identify players who
had undergone a hip arthroplasty. The study group had 50 men and 8 women w
ith a mean age of 70 years (range, 47 to 89). Only 14% of the patients' sur
geons approved this tennis activity, with 34% of the surgeons recommending
only doubles. Three patients required revision surgery after a mean of 8 ye
ars. One year after arthroplasty, players played both singles and doubles a
pproximately three times per week. All tennis players were extremely satisf
ied with their hip arthroplasties and their increased ability to participat
e in their favorite sport. Because this study was confined to association m
embers, further studies are needed to assess the general effect of tennis o
n total hip arthroplasty. Until future studies are performed, the authors w
ould recommend that physicians advise caution in tennis activities and to c
arefully follow their patients yearly to see if osteolysis is occurring pre
maturely.