Sports After Knee Arthroplasty: Partial Versus Total Knee Arthroplasty

Abstract

Osteoarthritis becomes more prevalent with increasing age, and currently is occurring more frequently in the "baby boomer" generation (ages 44-66 years). However, many individuals may be reluctant to undergo arthroplasty procedures because potential activity limitations. Thus, physicians must consider each patient's history and desired activity level after treatment. Osteoarthritis treatments include nonoperative measures such as weight reduction, injections, and nonsteroidal anti-inflammatory drugs, as well as operative options, including partial and total knee arthroplasty. Each treatment type will vary in its impact on activity levels. If arthroplasty is required, patients must be cautioned to minimize component overload, which may result in polyethylene wear and loosening; however, cardiopulmonary fitness and general conditioning benefits of activity can be maintained.

Physical activity perceptions and beliefs following total hip and knee arthroplasty: a qualitative study

“…Regular physical activity reduces risk of cardiovascular disease, thromboembolic stroke, hypertension, type 2 diabetes mellitus, osteoporosis, obesity, colon cancer, breast cancer and functional limitations from chronic illness such as OA (Nelson et al, 2007). Adults with arthritis are less active than those without (Hootman et al, 2003) and most do not meet guidelines recommended for good health (Farr and Jiranek, 2009). Pain associated with the physical effects of OA is the most frequently identified barrier limiting physical activity (Wilcox et al, 2006).…”

Aerobic Physical Fitness and Recreational Sports Participation After Total Knee Arthroplasty

“…15,18,29,31,50,54,66,70 However, in patients who wish to resume recreational and occupational activities after TKA, the high loads placed on the knee joint may result in chronic effusions and muscle dysfunction. This is especially true in patients who return to high-impact occupations that may preclude participation in recreational activities due to a mechanical overload of the joint that produces pain and swelling.…”

“…Important goals of TKA in younger active patients include maintaining a healthy lifestyle through physical fitness activities, returning to desired realistic recreational or sports activities, and returning to occupational activities if required. 15,18,29,31,50,54,66,70 However, in patients who wish to resume recreational and occupational activities after TKA, the high loads placed on the knee joint may result in chronic effusions and muscle dysfunction. This is especially true in patients who return to a Given as percentage of total available points (16).…”