Cargando…

Shift to low-impact sports and recreational activities following total knee replacement

BACKGROUND: A growing number of physically active patients undergoing total knee replacement (TKR) desires to resume their preoperative activity levels and to be able to engage in sports after surgery. The purpose of this study was to assess the sporting and physical activities of patients who had u...

Descripción completa

Detalles Bibliográficos
Autores principales: Ventura, Alberto, Macchi, Vittorio, Borgo, Enrico, Legnani, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580033/
https://www.ncbi.nlm.nih.gov/pubmed/35993237
http://dx.doi.org/10.1177/03913988221119524
_version_ 1784812304890593280
author Ventura, Alberto
Macchi, Vittorio
Borgo, Enrico
Legnani, Claudio
author_facet Ventura, Alberto
Macchi, Vittorio
Borgo, Enrico
Legnani, Claudio
author_sort Ventura, Alberto
collection PubMed
description BACKGROUND: A growing number of physically active patients undergoing total knee replacement (TKR) desires to resume their preoperative activity levels and to be able to engage in sports after surgery. The purpose of this study was to assess the sporting and physical activities of patients who had undergone TKR. It was hypothesized that the majority of patients treated by TKR would have been able to return to amateur sports and recreational activity . METHODS: Ninety-seven patients who underwent TKR between 2014 and 2016, were retrospectively reviewed. Mean age was 70.1 years (range 64–83). Average follow-up time was 4.2 years (SD: 1.7). Assessment included Knee Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), and Tegner activity level. Sporting and physical activities of all patients were reported. Wilcoxon’s signed ranks test was used for comparison between pre-operative and follow-up data. Significance was set at p < 0.05. RESULTS: Both KOOS score and IKDC significantly improved after surgery (p < 0.001). No statistically significant differences were reported concerning Tegner activity level before and after surgery (p = n.s.). After surgery, a total number of 52 patients (53.6%) successfully returned to sporting and recreational activities, such as cycling, hiking, dancing and swimming. A return to activity rate of 81% of patients practicing sport before surgery was reported. CONCLUSIONS: TKR provides a high rate of return to sport postoperatively and confirms improved subjective results and reduced pain compared to preoperative status. However, most patients returned to low-impact activities, while a significant decrease was reported for mid- and high-impact sports.
format Online
Article
Text
id pubmed-9580033
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-95800332022-10-20 Shift to low-impact sports and recreational activities following total knee replacement Ventura, Alberto Macchi, Vittorio Borgo, Enrico Legnani, Claudio Int J Artif Organs Original Research Articles BACKGROUND: A growing number of physically active patients undergoing total knee replacement (TKR) desires to resume their preoperative activity levels and to be able to engage in sports after surgery. The purpose of this study was to assess the sporting and physical activities of patients who had undergone TKR. It was hypothesized that the majority of patients treated by TKR would have been able to return to amateur sports and recreational activity . METHODS: Ninety-seven patients who underwent TKR between 2014 and 2016, were retrospectively reviewed. Mean age was 70.1 years (range 64–83). Average follow-up time was 4.2 years (SD: 1.7). Assessment included Knee Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), and Tegner activity level. Sporting and physical activities of all patients were reported. Wilcoxon’s signed ranks test was used for comparison between pre-operative and follow-up data. Significance was set at p < 0.05. RESULTS: Both KOOS score and IKDC significantly improved after surgery (p < 0.001). No statistically significant differences were reported concerning Tegner activity level before and after surgery (p = n.s.). After surgery, a total number of 52 patients (53.6%) successfully returned to sporting and recreational activities, such as cycling, hiking, dancing and swimming. A return to activity rate of 81% of patients practicing sport before surgery was reported. CONCLUSIONS: TKR provides a high rate of return to sport postoperatively and confirms improved subjective results and reduced pain compared to preoperative status. However, most patients returned to low-impact activities, while a significant decrease was reported for mid- and high-impact sports. SAGE Publications 2022-08-22 2022-11 /pmc/articles/PMC9580033/ /pubmed/35993237 http://dx.doi.org/10.1177/03913988221119524 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Articles
Ventura, Alberto
Macchi, Vittorio
Borgo, Enrico
Legnani, Claudio
Shift to low-impact sports and recreational activities following total knee replacement
title Shift to low-impact sports and recreational activities following total knee replacement
title_full Shift to low-impact sports and recreational activities following total knee replacement
title_fullStr Shift to low-impact sports and recreational activities following total knee replacement
title_full_unstemmed Shift to low-impact sports and recreational activities following total knee replacement
title_short Shift to low-impact sports and recreational activities following total knee replacement
title_sort shift to low-impact sports and recreational activities following total knee replacement
topic Original Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580033/
https://www.ncbi.nlm.nih.gov/pubmed/35993237
http://dx.doi.org/10.1177/03913988221119524
work_keys_str_mv AT venturaalberto shifttolowimpactsportsandrecreationalactivitiesfollowingtotalkneereplacement
AT macchivittorio shifttolowimpactsportsandrecreationalactivitiesfollowingtotalkneereplacement
AT borgoenrico shifttolowimpactsportsandrecreationalactivitiesfollowingtotalkneereplacement
AT legnaniclaudio shifttolowimpactsportsandrecreationalactivitiesfollowingtotalkneereplacement