Effect of Total Knee Arthroplasty on Recreational and Sporting Activity

Chatterji, Urjit; Ashworth, Mark; Lewis, Peter L.; Dobson, Peter J.

doi:10.1111/j.1445-2197.2005.03400.x

Cited by 125 publications

(93 citation statements)

References 8 publications

(16 reference statements)

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“…Similar to our findings, Chatterji et al [5] reported that those who did more sports before TKA were more active postoperatively (r = 0.482, p \ 0.001). One explanation is that patients performing sports before surgery were more likely to return to sports because they were motivated to participate in athletic activity in the first place.…”

Section: Discussionsupporting

confidence: 81%

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Lang

Hobusch

Funovics

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Advances in multimodal treatment have improved survival of patients with nonmetastatic osteosarcoma. At the same time, implant design has improved the outcomes of limb salvage with modular endoprostheses. However, little is known about sports activity in longterm survivors with osteosarcoma. Questions/purposes We wanted to evaluate (1) sports activity levels in long-term survivors of osteosarcoma about the knee who received a modular tumor endoprosthesis; (2) to determine if activity level changed over time from initial reconstruction or (3) was predicted from sports activity level before diagnosis; and (4) if complications that occurred affected sports or contributed to prosthetic failures. Methods Between 1995 and 2005, we treated 120 patients for osteosarcoma about the knee with resection and modular endoprosthetic reconstruction; of those, 25 (21%) have died, six (5%) had an amputation, 39 (32%) did not speak German and so were ineligible, and 14 (12%) were either lost to followup or refused to participate, leaving 27 patients (14 females, 13 males; median age 19 years [range, 12-60 years); average followup 11 ± 4 years) (54% of the living, German-speaking cohort) for this analysis. Tumors were located in the distal femur (n = 16) and the proximal tibia (n = 11). Sports participation as well as the UCLA Activity Score and the modified Weighted Activity Score were assessed retrospectively. Moreover, postoperative complications were evaluated. Results Before the diagnosis of osteosarcoma and 1, 3, and 5 years and at the latest followup, respectively, after their reconstructions, 24 (89%), nine (33%), 20 (74%), and 24 patients (89%) were able to perform sports activities. There was a reduction in high-impact activities. Those patients with followup longer than 5 years had no changes in sports activity at their latest followup. Patients who had higher levels of sports activity levels before surgery generally had higher levels of activity at last followup (UCLA Activity Score: r = 0.62, p \ 0.0005; modified Weighted Activity Score r = 0.49, p \ 0.01). Fourteen patients (51%) underwent revision surgery. With the numbers available, complications had no effect on sports activity. No sports activity-related complications were found. Conclusions Some long-term survivors of osteosarcoma can achieve high levels of sports activity. Preoperative activity levels seem to influence the postoperative activity levels. This information is important to give realistic expectations for long-term survivors of osteosarcoma of the knee.

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Section: Discussionsupporting

confidence: 81%

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Lang

Hobusch

Funovics

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…Not significantly worse were the levels of megaprosthetic methods of the knee and hip. These findings were in line with previous studies about sports activity and elective joint arthroplasty of the hip and the knee [5], in which patients returned to moderate sports levels. Some patients after implantation of megaprostheses of the proximal femur, distal femur, and proximal tibia were able to practice sports not even recommended by the Hip and Knee Society Survey 2005 (skiing, jogging) for THA and TKA [17].…”

supporting

confidence: 92%

Do Patients With Ewing's Sarcoma Continue With Sports Activities After Limb Salvage Surgery of the Lower Extremity?

Hobusch

Lang

Schuh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Limb salvage surgery has evolved to become the standard method of treating sarcomas of the extremities with acceptable oncologic results. However, little information exists relative to the activity level or ability to participate in sports after tumor reconstructions. Questions/purposes The aims of the study were to answer the following questions: (1) Which sports activity levels and what types of sports can be expected in the long term after tumor reconstruction? (2) Which frequency durations are patients with Ewing's sarcoma able to perform in longterm followup after local control? (3) Do surgical complications affect sports activity level? Methods Thirty patients (13 females, 17 males; mean age, 18 ± 8 years; range, 2-36 years at diagnosis; mean followup 16 ± 6 years [minimum, 5 years]) were included. Tumors were located in the pelvis, femur, tibia, and fibula. Surgical procedures included surgical resections alone (n = 8), surgical resection with biological reconstruction (n = 9), or endoprosthetic reconstruction (n = 13). We assessed UCLA sports activity levels, kinds of sports as well as the frequency per week and the duration of each training unit at long term (minimum followup, 5 years). Results In long-term followup 83% patients (25 of 30) were performing athletic activity regularly. The hours/ week of sports depended on type of surgery and were highest after resections in the pelvis and femur (5.8) and were lowest after megaprosthetic reconstruction of the pelvis (1.0). Patients undergoing biologic reconstructions were able to perform high-impact sports. UCLA sports activity levels were high after joint-preserving vascularized fibula for tibia reconstruction (7.4) and after megaprosthetic reconstruction of the lower extremity (6.3-6.4) and were low after tumors located in the fibula (4.2). Complications during followup did not significantly influence sports activity in long-term survivors.

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“…Naal et al [26] reported a return to activity rate of 95 % 18 months after the [17] reported a return to activity rate of 96.7 % 22 months after implantation of the medial Oxford UKA as well. In general, these reported return to activity rates are much higher when compared to rates demonstrated after TKR [3,8,17,25,33].…”

Section: Discussionmentioning

confidence: 65%

Return to sports, recreational activity and patient-reported outcomes after lateral unicompartmental knee arthroplasty

Walker

Gotterbarm

Brückner

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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Effect of Total Knee Arthroplasty on Recreational and Sporting Activity

Abstract: The present study has shown that patients are adopting lower impact activities to participate in after TKA. The total number of patients performing a sport decreases postoperatively and the total amount of sport played decreases. These data will help to counsel patients.

Cited by 125 publications

References 8 publications

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Do Patients With Ewing's Sarcoma Continue With Sports Activities After Limb Salvage Surgery of the Lower Extremity?

Return to sports, recreational activity and patient-reported outcomes after lateral unicompartmental knee arthroplasty

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