Department for Orthopaedic Surgery and Traumatology, Medical University Innsbruck, Innsbruck, Austria.
Department of Orthopaedic Surgery and Traumatology, Experimental Orthopaedics, Medical University of Innsbruck, Salurnerstrasse 35, 6020, Innsbruck, Austria.
Knee Surg Sports Traumatol Arthrosc. 2021 Mar;29(3):694-709. doi: 10.1007/s00167-020-06400-y. Epub 2021 Jan 6.
To elaborate recommendations for sports participation following TKA among the members of the European Knee Associates (EKA).
A prospective online survey was conducted among the members of the European Knee Associates (EKA). The European Knee Associates (EKA) are a section of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA). The survey investigated recommendations for 47 sports disciplines. Possible answers were: allowed, allowed if experienced, not allowed, no opinion. The survey was conducted separately for 4 specific time frames: within 6 weeks after TKA; 6-12 weeks after TKA; 3-6 months after TKA; and more than 6 months after TKA. Consensus among the respondents was then analyzed.
EKA members (N = 120) participated in the survey. A high level of consensus was reached for a recommendation to allow 5 different sports in the first 6 weeks after TKA, 7 sports 6-12 weeks after surgery, 14 sports 3-6 months after TKA, and 21 out of 47 activities 6 months after surgery. In the first 6 weeks after TKA walking, stair climbing, swimming, aqua fitness, and static cycling were recommended. Six to twelve weeks after TKA, cycling on level ground and yoga were recommended in addition to the aforementioned activities. Further sports activities recommended beyond 12 weeks after TKA were: tennis doubles, golf, fitness/weight lifting, aerobics, hiking, Nordic walking and sailing. The sport for which the recommendation was "not allowed" following TKA was squash.
The number of sports recommended by EKA surgeons increases stepwise over the postoperative time frames. The findings are regarded as clinically relevant as they may serve as a basis for answering patient questions on timing and giving recommendations for the resumption of sports activities following standard primary TKA and should be individualized by surgeons for their patients' expectations and goals.
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阐述欧洲膝关节协会（EKA）成员在 TKA 后参与运动的建议。
对欧洲膝关节协会（EKA）的成员进行了一项前瞻性在线调查。欧洲膝关节协会（EKA）是欧洲运动创伤学、膝关节外科和关节镜学会（ESSKA）的一个分支。该调查研究了对 47 项运动学科的建议。可能的答案是：允许、有经验者允许、不允许、无意见。该调查分别在 TKA 后 6 周内、TKA 后 6-12 周、TKA 后 3-6 个月和 TKA 后 6 个月以上进行。然后分析受访者之间的共识。
EKA 成员（N=120）参与了调查。在 TKA 后 6 周内，建议允许进行 5 项不同的运动，6-12 周后建议进行 7 项运动，3-6 个月后建议进行 14 项运动，6 个月后建议进行 21 项运动中的 47 项活动，达到了高度共识。在 TKA 后 6 周内，建议进行步行、爬楼梯、游泳、水中健身和静态自行车运动。TKA 后 6-12 周，建议在上述活动之外还进行平地骑自行车和瑜伽。TKA 后 12 周以上建议的其他运动活动包括：网球双打、高尔夫、健身/举重、有氧运动、徒步旅行、北欧式行走和帆船。TKA 后被推荐为“不允许”的运动是壁球。
EKA 外科医生推荐的运动数量随着术后时间的推移逐步增加。这些发现被认为具有临床相关性，因为它们可以作为回答患者关于时间安排问题的基础，并为标准初次 TKA 后恢复运动活动提供建议，并且应根据外科医生为患者的期望和目标对其进行个体化。
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