Sport after Knee Replacement Surgery - a Review of Sport Habits and Key Surgical Aspects

TY - JOUR

T1 - Sport after Knee Replacement Surgery - a Review of Sport Habits and Key Surgical Aspects

AU - Hanreich, Carola

AU - Springer, Bernhard

AU - Waldstein, Wenzel

AU - Rueckl, Kilian

AU - Bechler, Ulrich

AU - Boettner, Friedrich

N1 - Thieme. All rights reserved.

PY - 2023/8

Y1 - 2023/8

N2 - As an increasing number of younger patients are undergoing total knee replacement (TKR) surgery, many wish to participate in sport, but still expect that the implant will survive for a extended period. Most of the current literature shows that patients predominantly participate in low impact activities, both before and after surgery. A few studies show that with appropriate previous experience, high-impact sports are possible and might not result in increased implant failure rates. These include a decrease in point loads on the polyethylene by using more conform bearing surfaces, avoidance of varus component alignment to minimise stresses at the implant bone interface and avoiding patella resurfacing to facilitate activities in deep knee flexion.A TKR is no longer an absolute contraindication for higher impact activities such as golf, tennis and ski. What is more important than implant specific factors seem to be patient specific factors, including preoperative activity level, and preoperative sport skills.The current review paper reports on the current sport habits of TKR patients, analyses biomechanical loads on the knee during different sport activities and reports on implant selection and technical considerations for the active patient undergoing TKR.

AB - As an increasing number of younger patients are undergoing total knee replacement (TKR) surgery, many wish to participate in sport, but still expect that the implant will survive for a extended period. Most of the current literature shows that patients predominantly participate in low impact activities, both before and after surgery. A few studies show that with appropriate previous experience, high-impact sports are possible and might not result in increased implant failure rates. These include a decrease in point loads on the polyethylene by using more conform bearing surfaces, avoidance of varus component alignment to minimise stresses at the implant bone interface and avoiding patella resurfacing to facilitate activities in deep knee flexion.A TKR is no longer an absolute contraindication for higher impact activities such as golf, tennis and ski. What is more important than implant specific factors seem to be patient specific factors, including preoperative activity level, and preoperative sport skills.The current review paper reports on the current sport habits of TKR patients, analyses biomechanical loads on the knee during different sport activities and reports on implant selection and technical considerations for the active patient undergoing TKR.

KW - Humans

KW - Arthroplasty, Replacement, Knee

KW - Sports

KW - Knee Joint/surgery

KW - Knee Prosthesis

KW - Polyethylene

U2 - 10.1055/a-1699-3403

DO - 10.1055/a-1699-3403

M3 - SCORING: Review article

C2 - 35196740

VL - 161

SP - 405

EP - 411

JO - Z ORTHOP UNFALLCHIR

JF - Z ORTHOP UNFALLCHIR

SN - 1864-6697

IS - 4

ER -