Sport after Knee Replacement Surgery - a Review of Sport Habits and Key Surgical Aspects
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Sport after Knee Replacement Surgery - a Review of Sport Habits and Key Surgical Aspects. / Hanreich, Carola; Springer, Bernhard; Waldstein, Wenzel; Rueckl, Kilian; Bechler, Ulrich; Boettner, Friedrich.
In: Z ORTHOP UNFALLCHIR, Vol. 161, No. 4, 08.2023, p. 405-411.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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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 -