Return to work and sporting activities after high tibial osteotomy

Abstract

In total, 92.3 % returned to pre-operative sports activities after surgery. A shift away from high impact activities to lower impact activities, a significant decrease of the duration of sports activities and number of sports disciplines was detected. In summary, HTO allows the young, active patient with medial osteoarthritis of the knee to return to work with the same work intensity and to return to sports.

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

“…Duration of inability to work varied from 6 and 10 weeks for REFA grade 0 (lowest workload) to 17 and 22 weeks for REFA 4 (heaviest physical strain) ( p  < 0.05). In line with these findings, Faschingbauer et al [47] found that workers with the highest workload returned after 19.1 weeks and those with the lowest workload returned after 11.8 weeks, although this difference was not statistically significant. In terms of working capacity at follow-up, 72–100% of patients returned to the same or a higher workload.…”

“…tennis)8/410>100 Non-pivotal non-contact (e.g. cycling)3/410>100Definition of pre-op: both pre-injury and pre-surgeryTime to RTS unknownStudy: Fasching-bauer et al [47], 2015, GermanyDesign: Cross-sectional cohort study; FU 1.8 years ± 0.8Population: Pts with medial compartment OA and varus malalignment ( n  = 43); age 42 ± 11.2; sex 32 M (74%), 11 F (26%); BMI 26.9 ± 3.6; Co NS; concomitant procedures: 13 (OATS 6; partial meniscectomy 4; microfracturing 3)MOW HTOFixation: TomoFix20-kg partial weight-bearing for 2 weeks, swiftly increased from week 2 until full weight bearing. Daily PT was recommendedGeneral sports participation (at least 1 sport)39/43 (90.7%)36/43 (83.7%)92% (no inactive pts started new activities post-op)94% returned to pre-op workload.…”

Realignment osteotomy of the knee allows for return to work and sport activities in the young athletic population

“…In a French study, six professional rugby players all successfully returned to play 33. Faschingbauer et al included four competitive-level athletes: two football players, one rugby player and one squash player, of whom only the rugby player could return to competitive sport 19. In a study by Williams et al , two patients participated in (unspecified) competitive sports preoperatively, while four patients were participating in competitive sports at a mean follow-up of 46 months 34.…”

Sports and Physical Activities of Elderly Patients with Medial Compartment Knee Osteoarthritis after High Tibial Osteotomy

“…Thirteen patients continued SPA preoperatively and postoperatively in some way, and some of these patients performed two or three activities postoperatively. Faschingbauer et al 8) reported that patients with an average age of 42 and the highest work intensity returned to work 19.1±9.1 weeks after OWHTO. In the present study, the average time until resuming or starting SPA after surgery was more than 1 year.…”

“…The sports and physical activities (SPA) performed by patients with knee OA before and after valgus knee osteotomy have been investigated and several reports have been published. [6][7][8] These studies involved patients with a wide range of ages and included younger patients who resumed high-impact sports such as tennis and rugby postoperatively.…”