Habitual Physical Activity and Sports Participation after Total Ankle Arthroplasty

Naal, Florian D.; Impellizzeri, Franco M.; Loibl, Markus; Huber, Martin; Rippstein, Pascal

doi:10.1177/0363546508323253

Cited by 84 publications

(80 citation statements)

References 26 publications

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“…In total ankle arthroplasty, the tenyear implant survival rate was 77% (95% confidence interval, 63.3-90.8%) [5][6][7][8][9][10][11][12][13][14][15][16]. A revision during the follow-up period was required in 9.8% (95% confidence interval, 3.1-16.5%) of patients who had undergone total ankle arthroplasty [17,18], which meant clinical failure.…”

Section: Model Designmentioning

confidence: 99%

“…A revision during the follow-up period was required in 9.8% (95% confidence interval, 3.1-16.5%) of patients who had undergone total ankle arthroplasty [17,18], which meant clinical failure. A total of 63% of failure cases were salvaged with a revision of the total ankle arthroplasty, and 36% were converted to arthrodeses [5][6][7][8][9][10][11][12][13][14][15][17][18][19][20]. A below-knee amputation was performed in 1% of patients treated with total ankle arthroplasty [5-15, 17, 18, 20].…”

Section: Model Designmentioning

confidence: 99%

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Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model

Kwon

Chung

Park

et al. 2011

International Orthopaedics (SICOT)

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Background Total ankle arthroplasty and arthrodesis are the two mainstreams of treatment for end-stage ankle arthritis. This study was performed to determine which is a better choice for ankle arthritis, using a decision analysis and Markov model to reflect the repetitive nature of revision arthroplasty. Methods Based on current published evidence, a decision tree was constructed to compare the clinical outcomes of total ankle arthroplasty and arthrodesis, which contained the possible clinical events and the probabilities. Total ankle arthroplasty was subject to revision arthroplasty, and a Markov model was adopted for this branch to reflect this repetitive trait of the procedure. Arthrodesis could cause adjacent arthritis, and a conventional decision analysis model was adopted for this branch. Quality well-being index score was used for clinical outcome assessment, which was the utility in the decision tree. Sensitivity analysis was performed to test the stability of the decision tree and the threshold values. Results The model favoured total ankle arthroplasty over arthrodesis in terms of quality well-being index score.Sensitivity analysis showed that the model was considerably stable, unaffected by the changes in probabilities of failure after total ankle arthroplasty and adjacent arthritis after arthrodesis. Conclusions Based on current evidence, total ankle arthroplasty was found to be a better treatment than arthrodesis for ankle arthritis. Future development in the implant materials, improved understanding of ankle biomechanics, and surgical techniques will further enhance the clinical outcome of total ankle arthroplasty.

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Section: Model Designmentioning

confidence: 99%

Section: Model Designmentioning

confidence: 99%

Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model

Kwon

Chung

Park

et al. 2011

International Orthopaedics (SICOT)

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“…This questionnaire has been translated into Portuguese and validated for use in Brazil 40 . This instrument has been successfully applied to assess levels of physical activity in different populations 41 , including a multicenter study analyzing physical activity in individuals from 20 countries 42 , a study of patients with multiple sclerosis 43 , a comparative pre-and postoperative study of arthroplasty 44 in women after the diagnosis of breast cancer 45 , and a study of schizophrenic patients 46 .…”

Section: Methodsmentioning

confidence: 99%

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

Neto¹,

Moreira²,

Resende³

et al. 2012

Rev. Bras. Cir. Plást.

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Physical activity in women undergoing mastectomy and breast reconstructionNível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária ABSTRACT Background: Regular physical activity has been recommended for the prevention and treat ment of coronary heart disease, diabetes mellitus, and hypertension. Besides being a pro tective factor against breast cancer, physical activity following the diagnosis of breast cancer has been associated with an improved quality of life and survival. The aim of this study was to assess levels of physical activity in women who had undergone mastectomy without breast reconstruction and in women who had undergone breast reconstruction after breast cancer treatment. Methods: Two groups, each with 18 patients, comprised the patient series. One group comprised women who had undergone mastectomy without breast reconstruction, and the other group comprised women who had undergone mastectomy and breast reconstruction. All patients were aged between 18 and 60 years. The exclusion criteria were physical disability; illiteracy; ongoing chemotherapy, radiation therapy, or psychiatric therapy; and surgery performed within the previous 12 months. Study participants completed the International Physical Activity Questionnaire. Statistical analysis was performed by applying the chi-square and Student's t tests, adopting a significance level of P < 0.05. Results: In the group of women who had undergone mastectomy without breast reconstruction, 16.7% were very active, 61.1% were active, and 22.2% were insufficiently active. In the group of women who had undergone mastectomy with breast reconstruction, 55.6% were very active, 33.3% were active, and 11.1% were insufficiently active. The difference between the groups was statistically significant (P < 0.0001). Conclusions: In this study, the level of physical activity among women who underwent breast reconstruction was higher than that among women who underwent mastectomy without breast reconstruction.Keywords: Mammaplasty. Breast neoplasms. Quality of life. Questionnaires. RESUMOIntrodução: A prática regular de atividade física tem sido recomendada para prevenção e tratamento de doenças coronárias, diabetes melito e hipertensão arterial. Além de fator protetor, a atividade física após o diagnóstico de câncer de mama tem sido correlacionada a aumento da qualidade de vida e da sobrevida. O objetivo deste estudo é avaliar o nível de atividade física de mulheres mastectomizadas sem reconstrução mamária e de mulheres submetidas a reconstrução mamária pós-tratamento de câncer de mama. Método: A casuística foi composta por 2 grupos, um de mulheres mastectomizadas sem reconstrução mamária e outro de mulheres mastectomizadas e submetidas a reconstrução mamária pós-mastectomia, ambos com 18 pacientes. Todas as pacientes tinham idade entre 18 anos e 60 anos. Os critérios de exclusão foram: deficiência física, analfabetismo, vigência de tratamento de quimioterapia, radioterapia ou psiquiátrico, e tratamento cirúrgico realizado em período...

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“…Autores como Naal et al (15)(16)(17) , Visuri & Honkanen (18) , Chatterji et al (19) , Bradbury et al (20) , Mallon & Callaghan (21) , Huch et al (22) , Healy et al (23) apontam que após a artroplastia de quadril há manutenção ou retorno à atividade física, inclusive com aumento no número de modalidades realizadas. O retorno à atividade física após a artroplastia de quadril acontece em cerca de 50% (Scholz & Freiherr (3) e Wylde et al (24) ) a 80% dos pacientes (Naal et al) (17) .…”

Section: Artroplastia De Quadrilunclassified

“…Já o Hospital Universitário de Cambridge (36) e Naal et al (15,16) aconselham o retorno às atividades físicas após três meses de pós-operatório. Malon & Callaghan (21) são mais cautelosos, orientando que os pacientes aguardem seis messes para retomar a atividade física.…”

Section: Artroplastia De Quadrilunclassified

Atividade física e esportiva após artroplastia de quadril

Melo

2009

Rev Bras Med Esporte

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A artroplastia é utilizada para reconstrução da articulação do quadril, visando minimizar a dor e possibilitar o retorno às atividades de vida diária, esportivas e de lazer. O objetivo deste artigo é analisar na literatura as indicações e contraindicações referentes à prática de atividade física, esportiva e lazer após a artroplastia de quadril. Essa revisão aborda estudos publicados entre os anos de 1980 e 2009, obtidos por buscas em bancos de dados eletrônicos Medline, Scielo, Ovid, Infomaworld, Sciencedirect, Springerlink, Interscience, Sportdiscuss, Bireme, Informglobal, Opas, Ovid, Diseasedex, Eric, que totalizaram 39 artigos. Os artigos analisados apontam para a utilização de atividade física, esportiva e de lazer de baixo impacto. como a caminhada, natação, boliche, ciclismo, dentre outras. Outra indicação constatada na literatura é a utilização da atividade física e esportiva visando à manutenção do condicionamento físico, qualidade óssea e controle do peso corporal. Há ressalvas na literatura sobre a utilização de atividades de alto impacto, esporte com giro como o basquete e futebol ou com grande intensidade como tênis e a corrida, bem como os esportes de luta. As atividades físicas, esportivas e de lazer mais indicadas após uma atroplastia de quadril são as de baixo impacto como a hidroginástica, natação, caminhada, dentre outras. O início dessas atividades deve aguardar a liberação do médico, mas em média iniciam 60 dias após a cirurgia.Palavras-chave: artroplastia de quadril, atividade motora, esporte, atividade de lazer. aBStRaCtHip arthroplasty is used for reconstruction of the hip joint to reduce pain and to make the return to daily life, physical, sports and leisure activities possible. The objective of this article was to analyze in the literature the indications and counter-indications referring to practice of physical, sportive and leisure activities after hip arthroplasty. This revision approaches studies published between 1980 and 2009, obtained in searches in the Medline, Scielo, Ovid, Infomaworld, Sciencedirect, Springerlink, Interscience, Sportdiscuss, Bireme, Informglobal, Opas, Ovid, Diseasedex and Erics electronic databases with a total of 39 articles. The analyzed articles point to the use of physical, leisure and sports of low impact activities such as walking, swimming, bowling, cycling and others. Another indication evidenced in the literature is the use of physical and sportive activity aiming at the maintenance of physical fitness, bone quality and body weight control. The literature shows concerns with the use of activities of high impact or with great intensity like tennis and jogging, as well as fights.Keywords: hip arthroplasty, motor activity, sport, leisure activities. intRodUÇÃoA reconstrução da articulação do quadril através da colocação de uma prótese total ou parcial, devido à degeneração completa ou parcial dessa articulação é denominada artroplastia de quadril. Essa reconstrução é realizada por ocorrência de dor intensa, dificuldade ou impossibilidade em realizar a...

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Habitual Physical Activity and Sports Participation after Total Ankle Arthroplasty

Cited by 84 publications

References 26 publications

Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model

Arthroplasty versus arthrodesis for end-stage ankle arthritis: decision analysis using Markov model

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

Atividade física e esportiva após artroplastia de quadril

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