Farr Jack, Arendt Elizabeth, Dahm Diane, Daynes Jake
Department of Orthopaedic Surgery, Cartilage Restoration Center of Indiana, 1260 Innovation Parkway, Suite 100, Greenwood, IN 46143, USA.
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue, Suite R200, Minneapolis, MN 55454, USA.
Clin Sports Med. 2014 Jul;33(3):547-52. doi: 10.1016/j.csm.2014.03.003. Epub 2014 Apr 19.
Patellofemoral arthritis is multifactorial and more prevalent in women and in those with high patellofemoral loading (eg, from athletics and obesity). More patients are presenting with end-stage patellofemoral arthritis at earlier ages, which is increasingly being treated with patellofemoral arthroplasty. However, these patients often desire to continue with some level of sporting activities. The goal of the surgeon is to allow the highest postoperative activity level, with safety being paramount. Unfortunately, current guidelines for sports participation after arthroplasty are based primarily on literature for total joint arthroplasty, which is largely derived from laboratory findings and level 5 evidence.
髌股关节炎是多因素导致的，在女性以及髌股负荷较高的人群（如运动员和肥胖者）中更为普遍。越来越多的患者在较年轻时就出现终末期髌股关节炎，髌股关节置换术对其治疗的应用也日益增多。然而，这些患者通常希望继续进行一定程度的体育活动。外科医生的目标是使术后活动水平达到最高，同时将安全性置于首位。不幸的是，目前关于关节置换术后运动参与的指南主要基于全关节置换术的文献，而这些文献大多来自实验室研究结果和5级证据。
