Hobusch Gerhard M, Keusch Florian, Tsuchiya Hiroyuki, Joyce Michael, Windhager Reinhard
Department of Orthopaedic and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Department of Sociology, University of Mannheim, 68131 Mannheim, Germany.
J Clin Med. 2020 Nov 12;9(11):3638. doi: 10.3390/jcm9113638.
Sports activity has many benefits in cancer survivors. A key one is having sport activity contribute to the well-being of the individual. However, there are no guidelines about the intensity and kind of postoperative mobility workouts after hip or knee megaprosthetic treatment. Opinion research about sports after modular bone and joint replacement may provide an understanding of surgeons' attitudes on sports activity after megaprostheses of the hip and knee joint. A web survey with members of three international professional organizations of orthopedic tumor reconstructive surgeons was conducted between September 2016 and January 2018. Members were invited via personalized emails by the European Musculoskeletal Oncology Society (EMSOS), the International Society of Limb Salvage (ISOLS), and the Musculoskeletal Tumor Society (MSTS). The questionnaire included 26 questions. A total of 149 surgeons started the survey, and 76 finished the entire survey (American Association for Public Opinion Research (AAPOR) second response rate (RR2) EMSOS: 12.3%; ISOLS: 21.9%; MSTS: n/a). More than half of the respondents encourage sarcoma survivors after megaprosthetic treatment to reach an activity level that would allow them to regularly participate in active sporting events of University of California, Los Angeles (UCLA) activity level 7 and higher. Orthopedic tumor reconstructive surgeons do fear a number of complications (periprosthetic fracture, allograft failure/fracture, loosening, prosthetic or bearing failure, and early polyethylene wear) due to sports activity after modular bone-joint replacement, but they actually witness fewer complications than they conceptually anticipated. According to the surgeons' opinions, between four to seven types of sports after surgery could reasonably be recommended depending on the type of hip or knee procedures. This survey provides insights into opinions on what could be recommended, what could be allowed if surgeons and their patients agree on the potential negative outcome, and which sports should definitely not be allowed after hip and knee megaprostheses.
体育活动对癌症幸存者有诸多益处。其中一个关键益处是体育活动有助于个人的幸福感。然而，对于髋部或膝部大型假体治疗后的术后活动锻炼强度和类型，目前尚无相关指南。关于模块化骨与关节置换术后运动的观点研究，可能有助于了解外科医生对髋膝关节大型假体术后体育活动的态度。2016年9月至2018年1月期间，对三个国际骨肿瘤重建外科专业组织的成员进行了一项网络调查。成员由欧洲肌肉骨骼肿瘤学会（EMSOS）、国际肢体挽救学会（ISOLS）和肌肉骨骼肿瘤学会（MSTS）通过个性化电子邮件邀请。问卷包含26个问题。共有149名外科医生开始参与调查，76人完成了全部调查（美国民意研究协会（AAPOR）二次回应率（RR2）：EMSOS为12.3%；ISOLS为21.9%；MSTS：无数据）。超过半数的受访者鼓励接受大型假体治疗后的肉瘤幸存者达到一定的活动水平，以便他们能够定期参加加州大学洛杉矶分校（UCLA）活动水平7及以上的体育赛事。骨肿瘤重建外科医生确实担心模块化骨-关节置换术后进行体育活动会引发一些并发症（假体周围骨折、同种异体移植失败/骨折、松动、假体或轴承故障以及早期聚乙烯磨损），但实际上他们所目睹的并发症比他们在概念上预期的要少。根据外科医生的意见，术后根据髋部或膝部手术类型，合理推荐的运动类型有四到七种。这项调查深入了解了关于哪些运动可以推荐、如果外科医生及其患者就潜在负面结果达成一致哪些运动可以允许以及髋膝关节大型假体术后绝对不允许哪些运动的观点。
