Department of Orthopedic Surgery, NYU Langone Health, 301 East 17th Street, 15th Fl Suite 1518, New York, NY, 10003, USA.
Arch Orthop Trauma Surg. 2024 Sep;144(9):4115-4124. doi: 10.1007/s00402-024-05364-9. Epub 2024 May 22.
Postoperative return to recreational activity is a common concern among the increasingly active total knee arthroplasty (TKA) patient population, though there is a paucity of research characterizing sport-specific return and function. This study aimed to assess participation level, postoperative return to activity, sport function, and limitations for recreational athletes undergoing TKA.
A survey of recreational sports participation among primary, elective TKA patients from a single academic center between June 2011 and January 2022 was conducted. Of the 10,777 surveys administered, responses were received from 1,063 (9.9%) patients, among whom 784 indicated being active in cycling (273 [34.8%]), running (33 [4.2%]), jogging (68 [8.7%]), swimming (228 [29.1%]), tennis (63 [8.0%]), skiing (55 [7.0%]), or high-impact team sports (64 [8.2%]) between two years preoperatively and time of survey administration, and were included for analyses.
Cycling (62.3% at two years preoperatively vs. 59.0% at latest follow-up) and swimming (62.7% at two years preoperatively vs. 63.6% at latest follow-up) demonstrated the most favorable participation rate changes, while running (84.0% at two years preoperatively vs. 48.5% at latest follow-up) and skiing (72.7% at two years preoperatively vs. 45.5% at latest follow-up) demonstrated the least favorable participation rate changes. The majority of respondents were "satisfied" or "very satisfied" with their return across all sports, though dissatisfaction was highest among runners and joggers. For cycling, running, jogging, and swimming, respondents most commonly reported no change in speed or distance capacity, though among these cyclists reported the highest rates of improved speed and distance. The majority of returning skiers reported improved balance, form, and ability to put on skis.
Return to sport is feasible following TKA with high satisfaction. Swimming and cycling represent manageable postoperative activities with high return-rates, while runners and joggers face increased difficulty returning to equal or better activity levels. Patients should receive individualized, sports-specific counseling regarding their expected postoperative course based on their goals of treatment.
术后恢复娱乐活动是日益活跃的全膝关节置换术（TKA）患者群体共同关注的问题，尽管针对特定运动的恢复和功能的研究很少。本研究旨在评估接受 TKA 的娱乐运动员的参与水平、术后活动恢复、运动功能和活动限制。
对 2011 年 6 月至 2022 年 1 月期间一家学术中心的原发性、择期 TKA 患者进行了一项关于娱乐运动参与的调查。在 10777 份调查中，收到了 1063 名（9.9%）患者的回复，其中 784 名表示在手术前两年至调查管理期间积极参加自行车运动（273 名[34.8%]）、跑步（33 名[4.2%]）、慢跑（68 名[8.7%]）、游泳（228 名[29.1%]）、网球（63 名[8.0%]）、滑雪（55 名[7.0%]）或高冲击团队运动（64 名[8.2%]）。
自行车运动（手术前两年为 62.3%，最新随访时为 59.0%）和游泳运动（手术前两年为 62.7%，最新随访时为 63.6%）显示出最有利的参与率变化，而跑步运动（手术前两年为 84.0%，最新随访时为 48.5%）和滑雪运动（手术前两年为 72.7%，最新随访时为 45.5%）显示出最不利的参与率变化。大多数受访者对所有运动的恢复都“满意”或“非常满意”，尽管跑步者和慢跑者的不满程度最高。对于自行车运动、跑步运动、慢跑运动和游泳运动，受访者最常报告速度或距离能力没有变化，尽管这些自行车运动员报告速度和距离提高的比例最高。大多数返回滑雪的人报告说平衡、姿势和穿滑雪板的能力有所提高。
TKA 后恢复运动是可行的，且患者满意度较高。游泳和骑自行车是术后可管理的活动，恢复率较高，而跑步者和慢跑者则面临着恢复到同等或更好活动水平的困难。应根据患者的治疗目标，为他们提供个体化的、特定于运动的咨询，了解他们术后的预期进程。
