Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Am J Sports Med. 2009 Nov;37(11):2201-4. doi: 10.1177/0363546509339009. Epub 2009 Aug 14.
Golf provides an opportunity for relatively low-impact exercise for nearly all age groups and is considered a recommended activity for patients after total knee arthroplasty.
We hypothesized that total knee arthroplasty would afford patients increased ability to participate in and enjoy golf, allowing a large percentage of these patients to walk the golf course.
Case series; Level of evidence, 4.
Surveys were sent to 151 golfers who had undergone primary total knee arthroplasty from 1995 to 2000. The detailed survey included 33 questions specific to the patients' golf performance, enjoyment of golf, frequency of participation, timing of return to play, presence of pain, use of a cart, and related golf-specific issues.
We received and evaluated 93 responses (62%). Fifty-seven percent reported they had returned to golf within 6 months after total knee arthroplasty. Eighty-one percent of respondents reported golfing as frequently, or more frequently, than before knee replacement. Notably, golfers reported less pain while golfing after total knee arthroplasty than before (13% vs 83%; P < .0001), and 94% of respondents reported currently enjoying golf as much as or more than before surgery. Twenty-eight percent of respondents stated that they walked the course, rather than using a motorized golf cart, before surgery, while only 14% walked the course after surgery (P = .02).
In this population of golfers, total knee arthroplasty reliably relieved pain that had been previously experienced while golfing, and increased or maintained this group's enjoyment of playing golf. However, 86% of these patients reported using a cart while golfing. Further patient education is needed regarding the potential health benefits of walking during golf after total knee arthroplasty.
高尔夫为各年龄段人群提供了低冲击运动的机会，被认为是全膝关节置换术后患者的推荐活动。
我们假设全膝关节置换术将使患者能够更好地参与和享受高尔夫运动，使很大一部分患者能够在高尔夫球场上行走。
病例系列；证据水平，4 级。
我们向 1995 年至 2000 年间接受初次全膝关节置换术的 151 名高尔夫球手发送了调查。详细的调查包括 33 个针对患者高尔夫表现、高尔夫享受、参与频率、恢复打球时间、疼痛存在、使用球车以及相关的高尔夫特定问题的具体问题。
我们收到并评估了 93 份回复（62%）。57%的患者报告说他们在全膝关节置换术后 6 个月内已恢复打高尔夫球。81%的受访者表示他们打高尔夫球的频率与膝关节置换前一样或更高。值得注意的是，高尔夫球手在全膝关节置换术后打高尔夫球时的疼痛比之前（13%比 83%；P <.0001）少，94%的受访者报告说他们现在像手术前一样或更喜欢打高尔夫球。28%的受访者表示，他们在手术前步行打球，而不是使用电动高尔夫球车，而手术后只有 14%的人步行打球（P =.02）。
在这群高尔夫球手中，全膝关节置换术可靠地减轻了以前打高尔夫球时经历的疼痛，并增加或维持了这群人对打高尔夫球的享受。然而，86%的患者在打高尔夫球时使用了球车。需要进一步对全膝关节置换术后在高尔夫球中步行的潜在健康益处进行患者教育。
