Sport and physical activity following unicompartmental knee arthroplasty: a systematic review
| Autor: | Wenzel Waldstein, Reinhard Windhager, Ulrich Koller, Friedrich Boettner, Paul Kolbitsch |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment MEDLINE Physical activity Review 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Unicompartmental knee arthroplasty medicine High activity Humans Orthopedics and Sports Medicine Knee Postoperative Period Arthroplasty Replacement Knee Exercise Sport 030222 orthopedics Lysholm Knee Score business.industry 030229 sport sciences Osteoarthritis Knee Arthroplasty Tegner Activity Score Orthopedic surgery Physical therapy Surgery business Sports |
| Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy |
| ISSN: | 1433-7347 |
| Popis: | Purpose Unicompartmental knee arthroplasty (UKA) can be a surgical treatment option for patients with high expectations regarding the post-operative level of physical activity. A systematic review was undertaken to answer three research questions: (1) is there an improvement of physical activity based on validated activity scores following UKA? (2) What are the sport disciplines and the sport patterns of UKA patients? (3) What are the pre- and post-operative sport participation rates and the return to activity rates of UKA patients? Methods Following the PRISMA guidelines, EMBASE, MEDLINE, ISI Web of Science and the Cochrane Central Register of Controlled Trials were searched for studies reporting the level of sport and/or physical activity before and after UKA, and/or included at least one activity score before and after UKA. Results Seventeen studies were identified reporting on 2972 UKAs, of which 89 % were medial UKAs and 92 % were mobile-bearing implants, respectively. Ten studies reported a statistically significant improvement of physical activity following UKA according to the UCLA activity score, the Tegner activity score or the High Activity Arthroplasty Score, respectively. Hiking, cycling and swimming are the most common activities following UKA. Sport participation before the onset of restricting symptoms ranged from 64 to 93 % and slightly decreased by 2–9 % following UKA. The return to activity rate ranged from 87 to 98 %. Conclusion Patients following UKA are physically active according to validated activity scores. A significant increase in low-impact activities and a decrease in high-impact activities after UKA was observed. Patients with a UKA regularly participate in sports; however, sport participation slightly decreased compared to pre-arthritic levels. This systematic review helps physicians to manage the expectations of patients regarding the level of physical activity following UKA. Level of evidence III. |
| Databáze: | OpenAIRE |
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