Dagneaux Louis, Bourlez Julien, Degeorge Benjamin, Canovas François
Lapeyronie University Hospital of Montpellier, France.
EFORT Open Rev. 2017 Dec 15;2(12):496-501. doi: 10.1302/2058-5241.2.170037. eCollection 2017 Dec.
Knee arthroplasty survival rate - either UKA or TKA - is currently 95%, greater than it was ten years ago, but has not been specifically evaluated in very active patients practicing sport at a high intensity.The terms and conditions of return to physical activities are decided by the surgeon, the rehabilitation or Sports Medicine doctor, who needs to make sure that postoperative rehabilitation has been conducted optimally. Specifically, range of movement must be complete, muscular strengthening has to be sufficient and balance must be recovered by proprioception. Only after this stage (i.e. three to six months after surgery) can physical activities be resumed.Return to sport must be gentle and progressive, with moderate activities limited to short sessions. Progressively the patient will be able to return to intermediate activities, provided that he/she possesses the adequate level of technique for the sport.This up-to-date review for young surgeons and residents aims to provide an informative guide for patients regarding sport following knee arthroplasty. Cite this article: 2017;2:496-501. DOI: 10.1302/2058-5241.2.170037.
膝关节置换术（无论是单髁膝关节置换术还是全膝关节置换术）的生存率目前为95%，高于十年前，但对于高强度运动的活跃患者尚未进行专门评估。恢复体育活动的条款和条件由外科医生、康复或运动医学医生决定，他们需要确保术后康复已得到最佳实施。具体而言，活动范围必须完全恢复，肌肉力量必须足够，并且必须通过本体感觉恢复平衡。只有在此阶段之后（即手术后三到六个月）才能恢复体育活动。恢复运动必须循序渐进，适度活动仅限于短时间进行。只要患者具备足够的运动技术水平，逐渐地患者将能够恢复中等强度的活动。这篇为年轻外科医生和住院医师撰写的最新综述旨在为膝关节置换术后运动的患者提供信息指南。引用本文：2017；2：496 - 501。DOI：10.1302/2058 - 5241.2.170037。
