University College London Hospital, 235 Euston Road, London, NW1 2BU, UK.
Bone Joint J. 2014 Jul;96-B(7):923-7. doi: 10.1302/0301-620X.96B7.31585.
In this systematic review, our aim was to explore whether or not patients are able to return to athletic activity following lower limb joint replacement. We also investigated any evidence as to whether participation in athletic activity post-joint replacement increases complications and reduces implant survival. A PubMed, Embase and Sports Discus search was performed using the MeSH terms 'Sport', 'Athletic', 'Athlete', 'Physical', 'Activity', 'Arthroplasty', 'Total Hip Replacement', 'Hip Resurfacing', 'Total Knee Replacement', 'Unicompartmental Knee Replacement' and 'Unicondylar Knee Replacement'. From this search, duplications were excluded, the remaining abstracts were reviewed and any unrelated to the search terms were excluded. The remaining abstracts had their full papers reviewed. Following joint replacement, participation in sporting activity is common principally determined by pre-operative patient activity levels, BMI and patient age. The type of joint replaced is of less significance. Total time spent performing activity does not change but tends to be at a lower intensity. There is little evidence in the literature of an association between high activity levels and early implant failure.
在这项系统评价中，我们旨在探讨下肢关节置换后患者是否能够恢复运动活动，同时还研究了关节置换后参与运动活动是否会增加并发症并降低植入物的存活率。我们使用 MeSH 术语“Sport”、“Athletic”、“Athlete”、“Physical”、“Activity”、“Arthroplasty”、“Total Hip Replacement”、“Hip Resurfacing”、“Total Knee Replacement”、“Unicompartmental Knee Replacement”和“Unicondylar Knee Replacement”在 PubMed、Embase 和 Sports Discus 上进行了搜索。排除重复项后，我们对其余的摘要进行了审查，并排除了与搜索词无关的摘要。然后，我们对其余的摘要全文进行了审查。关节置换后，参与运动活动很常见，主要取决于术前患者的活动水平、BMI 和年龄。所置换的关节类型的重要性较小。活动总时间不变，但活动强度往往较低。文献中几乎没有证据表明高水平活动与早期植入物失败之间存在关联。
