Physical Activity After Total Joint Arthroplasty

Overview

Journal Sports Health

Publisher Sage Publications

Specialty Orthopedics

Date 2012 Sep 28

PMID 23016041

Citations 30

Authors

Laura A Vogel

Giuseppe Carotenuto

John J Basti

William N Levine

Affiliations

Soon will be listed here.

Abstract

Context: Total joint arthroplasty (TJA) is a common surgical option to treat painful degenerative joint disease. However, there is currently no consensus on the appropriate intensity of physical activity after TJA or how physical activity level affects the rate of revision surgery.

Materials And Methods: A systematic review of the literature regarding physical or athletic activity after TJA was performed to determine current clinical opinion and recommendations regarding appropriate activity levels after TJA, as well as variables affecting successful surgery and improved outcomes.

Results: Many studies in the literature regarding athletic activity after TJA focus on total hip arthroplasty and total knee arthroplasty. The literature reports contradictory results regarding rates of physical activity after TJA as well as the relationship between physical activity and rates of revision surgery. The current trend in expert opinion shows more liberal recommendations for patients to engage in athletic activity after TJA.

Conclusions: Individual characteristics, lifestyle, and patient preferences must be taken into account when one considers appropriate recommendations for athletic activity after TJA. Current trends in clinical opinion favor a higher level of athletic activity after TJA, but clinicians should caution patients not to participate in contact sports or sports that create high joint loads in the replaced joint.

Citing Articles

Accelerometer-based daily physical activity monitoring in patients with postpartum sacroiliac joint dysfunction: a case-control study.

Hermans S, Most J, Schotanus M, van Santbrink H, Curfs I, van Hemert W Int Biomech. 2024; 11(1):6-11.

PMID: 39244511 PMC: 11382714. DOI: 10.1080/23335432.2024.2396277.

[Return to activity and return to sports after total knee replacement].

Bellerich J, Stemmler S, Franz A Orthopadie (Heidelb). 2024; 53(11):840-844.

PMID: 39143387 DOI: 10.1007/s00132-024-04545-z.

Risk factors for liner wear and head migration in total hip arthroplasty: a systematic review.

Migliorini F, Maffulli N, Pilone M, Bell A, Hildebrand F, Konrads C Sci Rep. 2023; 13(1):15612.

PMID: 37730762 PMC: 10511625. DOI: 10.1038/s41598-023-42809-4.

A Scoping Review of Total Hip Arthroplasty Survival and Reoperation Rates in Patients of 55 Years or Younger: Health Services Implications for Revision Surgeries.

Negm A, Beaupre L, Goplen C, Weeks C, Jones C Arthroplast Today. 2022; 16:247-258.e6.

PMID: 36092132 PMC: 9458900. DOI: 10.1016/j.artd.2022.05.012.

Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty-Feasibility Study.

Negm A, Yavarai M, Jhangri G, Haennel R, Jones C Healthcare (Basel). 2022; 10(7).

PMID: 35885801 PMC: 9324868. DOI: 10.3390/healthcare10071274.

References

Sechriest 2nd V, Kyle R, Marek D, Spates J, Saleh K, Kuskowski M . Activity level in young patients with primary total hip arthroplasty: a 5-year minimum follow-up. J Arthroplasty. 2007; 22(1):39-47. DOI: 10.1016/j.arth.2006.02.083. View

Malchau H, Herberts P, Ahnfelt L . Prognosis of total hip replacement in Sweden. Follow-up of 92,675 operations performed 1978-1990. Acta Orthop Scand. 1993; 64(5):497-506. DOI: 10.3109/17453679308993679. View

Bergmann G, Graichen F, Rohlmann A . Hip joint loading during walking and running, measured in two patients. J Biomech. 1993; 26(8):969-90. DOI: 10.1016/0021-9290(93)90058-m. View

Dahm D, Barnes S, Harrington J, Berry D . Patient reported activity after revision total knee arthroplasty. J Arthroplasty. 2007; 22(6 Suppl 2):106-10. DOI: 10.1016/j.arth.2007.03.030. View

Seyler T, Mont M, Ragland P, Kachwala M, Delanois R . Sports activity after total hip and knee arthroplasty : specific recommendations concerning tennis. Sports Med. 2006; 36(7):571-83. DOI: 10.2165/00007256-200636070-00003. View

Mallon W, Callaghan J . Total hip arthroplasty in active golfers. J Arthroplasty. 1992; 7 Suppl:339-46. DOI: 10.1016/s0883-5403(07)80022-2. View

Kilgus D, Dorey F, Finerman G, Amstutz H . Patient activity, sports participation, and impact loading on the durability of cemented total hip replacements. Clin Orthop Relat Res. 1991; (269):25-31. View

Healy W, Sharma S, Schwartz B, Iorio R . Athletic activity after total joint arthroplasty. J Bone Joint Surg Am. 2008; 90(10):2245-52. DOI: 10.2106/JBJS.H.00274. View

McCarty E, Marx R, Maerz D, Altchek D, Warren R . Sports participation after shoulder replacement surgery. Am J Sports Med. 2008; 36(8):1577-81. DOI: 10.1177/0363546508317126. View

10.

DLima D, Steklov N, Patil S, Colwell Jr C . The Mark Coventry Award: in vivo knee forces during recreation and exercise after knee arthroplasty. Clin Orthop Relat Res. 2008; 466(11):2605-11. PMC: 2565055. DOI: 10.1007/s11999-008-0345-x. View

11.

Kuster M . Exercise recommendations after total joint replacement: a review of the current literature and proposal of scientifically based guidelines. Sports Med. 2002; 32(7):433-45. DOI: 10.2165/00007256-200232070-00003. View

12.

Magnussen R, Mallon W, Willems W, Moorman 3rd C . Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons. J Shoulder Elbow Surg. 2010; 20(2):281-9. DOI: 10.1016/j.jse.2010.07.021. View

13.

Kuster M, Stachowiak G . Factors affecting polyethylene wear in total knee arthroplasty. Orthopedics. 2002; 25(2 Suppl):s235-42. DOI: 10.3928/0147-7447-20020202-07. View

14.

Widhalm R, Hofer G, Krugluger J, Bartalsky L . [Is there greater danger of sports injury or osteoporosis caused by inactivity in patients with hip prosthesis? Sequelae for long-term stability of prosthesis anchorage]. Z Orthop Ihre Grenzgeb. 1990; 128(2):139-43. DOI: 10.1055/s-2008-1039489. View

15.

Hamai S, Miura H, Higaki H, Shimoto T, Matsuda S, Okazaki K . Three-dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty. J Orthop Res. 2008; 26(12):1556-61. DOI: 10.1002/jor.20671. View

16.

Liebs T, Herzberg W, Ruther W, Haasters J, Russlies M, Hassenpflug J . Ergometer cycling after hip or knee replacement surgery: a randomized controlled trial. J Bone Joint Surg Am. 2010; 92(4):814-22. DOI: 10.2106/JBJS.H.01359. View

17.

van den Bogert A, Read L, Nigg B . An analysis of hip joint loading during walking, running, and skiing. Med Sci Sports Exerc. 1999; 31(1):131-42. DOI: 10.1097/00005768-199901000-00021. View

18.

Chatterji U, Ashworth M, Lewis P, Dobson P . Effect of total hip arthroplasty on recreational and sporting activity. ANZ J Surg. 2004; 74(6):446-9. DOI: 10.1111/j.1445-1433.2004.03028.x. View

19.

Naal F, Impellizzeri F . How active are patients undergoing total joint arthroplasty?: A systematic review. Clin Orthop Relat Res. 2009; 468(7):1891-904. PMC: 2881985. DOI: 10.1007/s11999-009-1135-9. View

20.

Arbuthnot J, McNicholas M, Dashti H, Hadden W . Total hip arthroplasty and the golfer: a study of participation and performance before and after surgery for osteoarthritis. J Arthroplasty. 2007; 22(4):549-52. DOI: 10.1016/j.arth.2006.05.030. View