Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.
European Tour Performance Institute, Virginia Water, Surrey, UK.
Am J Sports Med. 2023 May;51(6):1644-1651. doi: 10.1177/03635465211064292. Epub 2022 Jan 12.
The physical and mental health benefits of golf are well recognized, and as a moderate-intensity activity, it is an ideal sport for patients after joint arthroplasty.
To assess the rate and timing of returning to golf and the factors associated with these after hip, knee, or shoulder arthroplasty.
Meta-analysis; Level of evidence, 4.
A search of PubMed and Medline was performed in March 2021 in line with the 2009 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Search terms included , , and . The criterion for inclusion was any published research article studying return to golf after arthroplasty. Random-effects modeling was used to measure rates of returning to golf for each type of arthroplasty.
A total of 23 studies were included for review. All studies were retrospective in their methodology. The mean age of patients was 66.8 years (SD, 3.37). Four studies reported on hip arthroplasty, 6 on knee arthroplasty, and 13 on shoulder arthroplasty. Among 13 studies, the mean rate of returning to golf was 80% (95% CI, 70%-89.9%). Hip, knee, and shoulder arthroplasty had mean return rates of 90% (95% CI, 82%-98%), 70% (95% CI, 39%-100%), and 80% (95% CI, 68%-92%), respectively. Among 9 studies, the mean time to return to golf was 4.4 months (95% CI, 3.2-6). Change in handicap was reported in 8 studies (35%) with a mean change of -0.1 (95% CI, -2.4 to +2.2). There were no studies presenting factors associated with return to golf.
This is the first meta-analysis of returning to golf after joint arthroplasty. The study reports a high rate of returning to golf, which was greatest after hip arthroplasty. However, the study highlights the paucity of prospective data on demographic, surgical, and golf-specific outcomes after arthroplasty. Future prospective studies are required to eliminate response bias and accurately capture golf and patient-specific outcomes.
高尔夫运动对身心健康有益，作为一种中等强度的运动，它是关节置换术后患者的理想运动项目。
评估髋、膝或肩关节炎置换术后患者返回高尔夫球场的比例和时间，以及与这些因素相关的因素。
荟萃分析；证据水平，4 级。
2021 年 3 月，根据 2009 年 PRISMA（系统评价和荟萃分析的首选报告项目）声明，对 PubMed 和 Medline 进行了检索。检索词包括“golf”“return to golf”“return to sport”和“arthroplasty”。纳入标准为研究关节置换术后返回高尔夫球场的任何已发表的研究文章。使用随机效应模型测量每种类型的关节置换术后返回高尔夫球场的比例。
共有 23 项研究纳入综述。所有研究在方法学上均为回顾性研究。患者的平均年龄为 66.8 岁（标准差，3.37）。4 项研究报告了髋关节置换术，6 项研究报告了膝关节置换术，13 项研究报告了肩关节置换术。在 13 项研究中，返回高尔夫球场的平均比例为 80%（95%CI，70%-89.9%）。髋关节、膝关节和肩关节置换术的平均返回率分别为 90%（95%CI，82%-98%）、70%（95%CI，39%-100%）和 80%（95%CI，68%-92%）。在 9 项研究中，返回高尔夫球场的平均时间为 4.4 个月（95%CI，3.2-6）。有 8 项研究（35%）报告了差点的变化，平均变化为-0.1（95%CI，-2.4 至+2.2）。没有研究报告与返回高尔夫球场相关的因素。
这是第一份关于关节置换术后返回高尔夫球场的荟萃分析。该研究报告了返回高尔夫球场的比例很高，髋关节置换术后的比例最高。然而，该研究强调了关节置换术后关于人口统计学、手术和高尔夫特定结果的前瞻性数据缺乏。需要进行未来的前瞻性研究，以消除反应偏差并准确捕捉高尔夫和患者特定的结果。
