Participation in Sports After Hip and Knee Arthroplasty: Review of Literature and Survey of Surgeon Preferences
Section snippets
THE ISSUES
The goals of arthroplasty must be clearly determined before a hip or knee replacement procedure is recommended. In most patients, relief of pain is of paramount importance; in other patients, functional limitations are the primary problem. The expectations for activity after arthroplasty must be frankly discussed with each patient.
Sports activity and TJR can be analyzed in various ways. The question of how arthroplasty affects patient activities is pertinent to outcome measurements and has been
OVERVIEW OF PREVIOUS FINDINGS
A regular exercise program confers numerous benefits. Such common and important medical problems as anxiety, depression, obesity, coronary artery disease, hypertension, osteoporosis, and low-back pain have been either directly or indirectly linked with a lack of physical activity.3 Aerobic activity at least three times a week for a minimum of 20 minutes has been shown to be important for psychologic and physiologic well-being,6 and we believe that these recommendations apply as well to patients
Preliminary Investigation
We performed a computerized literature search to identify all citations that pertained to sports and prosthetic hip or knee surgical procedures published between 1966 and 1993. A copy of each original English-language article thus identified was reviewed, and the reference lists were analyzed to ensure complete examination of all pertinent references. This information was used to synthesize the salient issues about participation in sports after TJR procedures.
Design and Analysis
A single-page questionnaire that
DISCUSSION
This study is the first to provide a collective opinion about participation in sports for a comprehensive list of activities after hip and knee arthroplasty. Such information is important because an increasing number of active patients undergo such procedures and expect to return to sporting activities for fitness and enjoyment. Physicians must be able to advise patients about the risks and benefits of such behavior, preferably before offering surgical reconstruction.
The major risk of
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Current address: Massachusetts General Hospital, Boston, Massachusetts.