Sport and Physical Activity Following Unicompartmental Knee Arthroplasty: a Systematic Review

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2016 May 23

PMID 27209192

Citations 28

Authors

Wenzel Waldstein

Paul Kolbitsch

Ulrich Koller

Friedrich Boettner

Reinhard Windhager

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Revision of unicompartmental knee arthroplasty: a systematic review.

Migliorini F, Bosco F, Schafer L, Cocconi F, Kammer D, Bell A BMC Musculoskelet Disord. 2024; 25(1):985.

PMID: 39623393 PMC: 11610075. DOI: 10.1186/s12891-024-08112-7.

[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.

Understanding the impact of physical activity level and sports participation on implant integrity and failure in patients following unicompartmental and total knee arthroplasty: A scoping review.

Teoli A, Ippersiel P, Bussieres A, Antoniou J, Robbins S Osteoarthr Cartil Open. 2024; 6(3):100498.

PMID: 39055118 PMC: 11269905. DOI: 10.1016/j.ocarto.2024.100498.

High return to sport rate in patients undergoing image-based robotic arm assisted unicompartmental knee arthroplasty.

Daffara V, Zambianchi F, Festa E, Cuoghi Costantini R, Clemenza S, Catani F Arch Orthop Trauma Surg. 2023; 144(9):4037-4044.

PMID: 38071641 DOI: 10.1007/s00402-023-05141-0.

The Impact of Arthroscopy on Surgical Decision-Making and Outcomes in Osteoarthritis Patients Undergoing Unicompartmental Knee Arthroplasty.

Liang S, Zeng H, Yu M, Liu Y, Wang W Cureus. 2023; 15(10):e46684.

PMID: 37942366 PMC: 10629421. DOI: 10.7759/cureus.46684.

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