Mallon W J, Callaghan J J
Triangle Orthopaedic Associates, Durham, NC 27704.
J Arthroplasty. 1993 Jun;8(3):299-306. doi: 10.1016/s0883-5403(06)80093-8.
The results of total knee arthroplasty (TKA) in patients who actively exercise have not been previously studied. Golf is a frequent form of exercise for the older population in whom TKAs are usually performed. Members of The Knee Society permit their patients with TKA to play golf, if they desire to do so. They recommend waiting approximately 18 weeks after surgery before beginning to play. Most members of The Knee Society stated that they have no preferences as to the model of knee arthroplasties in golfers, although 35.2% did state that they would use a posterior-cruciate sparing model. After TKA, active golfers in the authors' study (83) invariably experienced a significant rise in their handicap (mean +4.6 strokes) and also a decrease in the length of their drives. Most (86.7%) use a cart while playing, but still a small percentage (15.7%) will have a mild ache in the knee while playing and a larger percentage (34.9%) will have a mild ache in the knee after playing. In addition, golfers with left TKAs have more difficulty with pain during and after play (P < .01) than do golfers with right TKAs. Radiolucencies were also common in our study, occurring in 53.7% of all knees studied and 79.1% of cemented TKAs.
此前尚未对积极锻炼的患者行全膝关节置换术（TKA）的结果进行研究。高尔夫是通常接受TKA手术的老年人群中常见的一种锻炼形式。膝关节协会的成员允许接受TKA手术的患者在有意愿时打高尔夫球。他们建议术后大约等待18周再开始打球。膝关节协会的大多数成员表示，他们对高尔夫球手所使用的膝关节置换模型没有偏好，不过35.2%的成员确实表示他们会使用保留后交叉韧带的模型。在TKA术后，作者研究中的活跃高尔夫球手（83名）无一例外地在差点上大幅上升（平均增加4.6杆），并且击球距离也缩短。大多数人（86.7%）打球时使用球车，但仍有一小部分人（15.7%）打球时膝盖会有轻度疼痛，而更大比例的人（34.9%）打球后膝盖会有轻度疼痛。此外，左膝接受TKA手术的高尔夫球手在打球期间及之后的疼痛程度比右膝接受TKA手术的高尔夫球手更严重（P < 0.01）。在我们的研究中，透亮区也很常见，在所研究的所有膝关节中占53.7%，在骨水泥固定的TKA中占79.1%。
