Bellerich Jochen, Stemmler Sebastian, Franz Alexander
Medical Park Chiemsee, Birkenallee 41, 83233, Bernau am Chiemsee, Deutschland.
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.
Orthopadie (Heidelb). 2024 Nov;53(11):840-844. doi: 10.1007/s00132-024-04545-z. Epub 2024 Aug 14.
Total knee arthroplasty (TKA) is one of the most common and successful operations in the field of orthopaedics, with a steadily increasing number of patients. However, as the patient population becomes younger, expectations regarding the outcome of the surgery are also changing. In addition to pain reduction and improved mobility, the longevity of the implant and the recovery of (everyday) activity in general (return-to-activity, RtA) and sporting activity in particular (return-to-sports, RtS) are becoming increasingly important.
RtS with a tendency towards low-impact sports seems generally possible but is highly dependent on the individual characteristics of the patient. Despite comprehensive studies on treatment with TKA, there are no systematic studies and reliable conclusions on the key factors that enable patients to return to sports after TKA. Any recommendation by the responsible surgeons remains dependent on their subjective experience due to the lack of standardized implementation of an RtA/RtS assessment and the necessary long-term follow-up observation under control of patient-related confounding factors.
全膝关节置换术（TKA）是骨科领域最常见且最成功的手术之一，患者数量在稳步增加。然而，随着患者群体日益年轻化，对手术效果的期望也在发生变化。除了减轻疼痛和改善活动能力外，植入物的使用寿命以及总体（日常）活动的恢复（恢复活动，RtA），尤其是体育活动的恢复（恢复运动，RtS）变得越来越重要。
进行低冲击性运动倾向的RtS一般看来是可行的，但高度依赖于患者的个体特征。尽管对TKA治疗进行了全面研究，但对于使患者在TKA后能够恢复运动的关键因素，尚无系统研究和可靠结论。由于缺乏RtA/RtS评估的标准化实施以及在患者相关混杂因素控制下进行必要的长期随访观察，负责的外科医生的任何建议仍依赖于他们的主观经验。
