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[髋关节和膝关节全关节置换后的高尔夫运动]

[Golf with total joint replacement of the hip and knee].

作者信息

Suckel A, Best R

机构信息

Orthopädische Universitätsklinik Tübingen.

出版信息

Sportverletz Sportschaden. 2006 Sep;20(3):127-31. doi: 10.1055/s-2006-926996.

DOI:10.1055/s-2006-926996
PMID:16998765
Abstract

Playing golf after THR and TKR is discussed controversially by orthopedic surgeons and Data of 16 patients receiving 22 THR (18 m/4f, 12 r/10 l) and of 11 patients receiving 12 TKR (9 m/3f, 6 r/6 l) were analysed using a questionnaire. The mean age of THR-/TKR-sportsmen was 65,7 (58 - 78)/67,8 (61-76) years. In THR-/TKR-patients surgery was done 59 (12-226)/39 (12-105) month ago. The best handicap (hcp) in their carrier/one year before/one year after surgery was in THR 15,7 (2-36)/18,5 (6-36)/17,7 (4-36), in TKR 18,4 (6-24)/22,1 (8-34)/20,3 (8-28). 11/7 sportsmen with THR/TKR could preserve the level of hcp following surgery, in 7/0 hcp became worse and in 4/5 hcp was even better. Patients with 21 THR and 12 TKR had less pain while playing golf in the operated joint one year after compared to one year before surgery, 1 patient with THR suffered more pain. During follow-up 13 THR/10 TKR reported of no problems playing golf, 7 THR/2 TKR had moderate pain, 2 THR/0 TKR had severe pain, no patients was unable playing golf following the joint replacement. Golf can be recommended as sporting activity after successful THR and TKR.

摘要

骨科医生对全髋关节置换术(THR)和全膝关节置换术(TKR)后打高尔夫球存在争议。我们使用问卷调查分析了16例接受22次THR手术的患者(18例男性/4例女性,12例右侧/10例左侧)以及11例接受12次TKR手术的患者(9例男性/3例女性,6例右侧/6例左侧)的数据。接受THR/TKR手术的运动员的平均年龄为65.7(58 - 78)/67.8(61 - 76)岁。THR/TKR患者的手术时间为59(12 - 226)/39(12 - 105)个月前。他们在职业生涯/手术前一年/手术后一年的最佳差点(hcp),THR分别为15.7(2 - 36)/18.5(6 - 36)/17.7(4 - 36),TKR分别为18.4(6 - 24)/22.1(8 - 34)/20.3(8 - 28)。11/7例接受THR/TKR手术的运动员术后能够保持差点水平,7/0例差点变差,4/5例差点甚至更好。与手术前一年相比,21例接受THR手术和12例接受TKR手术的患者在术后一年打高尔夫球时手术关节的疼痛减轻,1例接受THR手术的患者疼痛加重。在随访期间,13例接受THR手术/10例接受TKR手术的患者报告打高尔夫球没有问题,7例接受THR手术/2例接受TKR手术的患者有中度疼痛,2例接受THR手术/0例接受TKR手术患者有重度疼痛,没有患者在关节置换术后无法打高尔夫球。全髋关节置换术和全膝关节置换术成功后,高尔夫球可被推荐为一项体育活动。

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