Golf After Total Knee Arthroplasty

Jackson, Jean; Smith, Jay; Shah, Jay P.; Wisniewski, Stephen J.; Dahm, Diane L.

doi:10.1177/0363546509339009

Cited by 62 publications

(29 citation statements)

References 15 publications

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“…6,8,21 In a study by Huch et al, 21 the majority of patients cited “precaution” as the reason for their decreased postoperative athletic activity, which is most likely influenced by surgeons counseling patients to protect the life span of their prostheses. In contrast, there have been studies in the literature reporting that patients may actually increase their sports involvement after surgery 22,56 and that there may be little to no adverse effects of high activity on TKA or THA. 41 In light of these contradictory findings and increasing patient desires to engage in a highly active lifestyle, many surgeons now promote a more liberal level of athletic activity after TJA.…”

Section: Discussionmentioning

confidence: 99%

“…Worldwide, more than 500 000 total joints are implanted yearly 27 with approximately 300 000 knee replacements performed each year in the United States alone. 22 Although pain relief has historically been the primary indication for TJA, more and more individuals are now seeking TJA to maintain an active lifestyle; specifically, patients are seeking surgical interventions to restore their ability to participate in various athletics. 54 Many patients have embraced higher expectations for an active lifestyle, incorporating athletic activities as part of their functional goals following surgery.…”

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confidence: 99%

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Physical Activity After Total Joint Arthroplasty

Vogel

Carotenuto

Basti

et al. 2011

Sports Health: A Multidisciplinary Approach

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Context:Total joint arthroplasty (TJA) is a common surgical option to treat painful degenerative joint disease. However, there is currently no consensus on the appropriate intensity of physical activity after TJA or how physical activity level affects the rate of revision surgery.Materials and Methods:A systematic review of the literature regarding physical or athletic activity after TJA was performed to determine current clinical opinion and recommendations regarding appropriate activity levels after TJA, as well as variables affecting successful surgery and improved outcomes.Results:Many studies in the literature regarding athletic activity after TJA focus on total hip arthroplasty and total knee arthroplasty. The literature reports contradictory results regarding rates of physical activity after TJA as well as the relationship between physical activity and rates of revision surgery. The current trend in expert opinion shows more liberal recommendations for patients to engage in athletic activity after TJA.Conclusions:Individual characteristics, lifestyle, and patient preferences must be taken into account when one considers appropriate recommendations for athletic activity after TJA. Current trends in clinical opinion favor a higher level of athletic activity after TJA, but clinicians should caution patients not to participate in contact sports or sports that create high joint loads in the replaced joint.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Physical Activity After Total Joint Arthroplasty

Vogel

Carotenuto

Basti

et al. 2011

Sports Health: A Multidisciplinary Approach

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“…Of these, 3 studies 26,48,49 only included patients who were active in athletics. The studies reported a wide range of patients who returned to recreational activities (34%-100%; Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…4 Pain in the knee was reported during activity in 16% in 1 study 24 and in 17% in another. 26 One investigation 23 reported that 26% of patients had pain in their knee and 26% had a feeling of instability during participation.…”

Section: Resultsmentioning

confidence: 99%

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Aerobic Physical Fitness and Recreational Sports Participation After Total Knee Arthroplasty

Barber-Westin

Noyes

2016

Sports Health: A Multidisciplinary Approach

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Context:Total knee arthroplasty (TKA) is routinely performed in younger patients who desire to be active in fitness and recreational sports. The activities patients can participate in without symptoms and the level of aerobic fitness routinely maintained are important to investigate.Objective:To determine physical activity (PA) and recreational sports resumed after primary TKA, symptoms or limitations with these activities, and the effect of postoperative rehabilitation on achieving fitness and sports goals.Data Sources:A systematic review of the literature from 2005 through 2015 was conducted using the PubMed database.Study Selection:Original investigations that were conducted at least 1 year after primary TKA and reported the percentage of patients who returned to recreational activities or routinely participated in aerobic PA recommended by the American Heart Association (AHA) were included in this study.Study Design:Systematic review.Level of Evidence:Level 4.Data Extraction:Data were extracted as available from 19 eligible studies. Assessment of study quality was rated using the MINORS (Methodological Index for Non-Randomized Studies) instrument.Results:There were 5179 knees (mean age, 67.5 years) followed for a mean 4.8 years postoperatively. Marked variability was present between studies regarding the percentage of patients who resumed recreational activities (34%-100%), most of which were low impact. Only 2 studies used accelerometers to measure PA; these reported a low range (0%-16.5%) of patients who met AHA guidelines. Few studies determined whether symptoms or limitations were experienced during PA. None described rehabilitation exercises or factors that would influence patients’ ability to return to recreational or fitness activities.Conclusion:Little evidence is available regarding the effect of TKA on return to recreational and (objectively measured) aerobic fitness. The extent of symptoms or limitations during PA and the long-term effects of such problems remain unclear. Valid predictions cannot be made on factors that may affect return to recreational sports or other aerobic PA after TKA.

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