Return to Sports after Unicompartmental Knee Arthroplasty: Reality or Utopia? A 48-Month Follow-Up Prospective Study

Presti, Mirco Lo; Costa, Giuseppe Gianluca; Cialdella, Sergio; Agrò, Giuseppe; Grassi, Alberto; Caravelli, Silvio; Mosca, Massimiliano; Muccioli, Giulio Maria Marcheggiani; Zaffagnini, Stefano

doi:10.1055/s-0038-1635111

Cited by 24 publications

(51 citation statements)

References 31 publications

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“…7 Previous studies have suggested a return-to-activity frequency as high as 88% for patients receiving a unicompartmental knee arthroplasty; however, the populations considered in these studies represent older populations returning to mostly low-impact activities. [27][28][29] In fact, a significant decrease of up to 88% was recognized for high-impact activities such as jogging and soccer in the study by Naal et al 27 Our study suggests that DFVO and MAT may offer an option to return to high-impact activities while prolonging the possible need for future knee arthroplasty.…”

Section: Discussionmentioning

confidence: 59%

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Puzzitiello

Liu

Garcia³

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionmentioning

confidence: 59%

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Puzzitiello

Liu

Garcia³

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…A systematic review and meta-analysis regarding RTS in elderly patients after UKA showed that higher return rates were observed for low-impact sports, whereas high-impact sports prevented a full return to activities [ 25 ]. Since there are risks of femoral component loosening and polyethylene wear in UKA [ 26 – 28 ], RTS after both surgical procedures needs to be assessed by long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Return to sports activity after opening wedge high tibial osteotomy in patients aged 70 years and older

et al. 2021

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Background The purpose of this study was to evaluate return to sports (RTS) after opening wedge high tibial osteotomy (OWHTO) in elderly patients and associated factors affecting RTS. Methods Seventy-four patients (mean age 68 years) who underwent OWHTO were enrolled. Clinical outcomes were evaluated using the Knee Society Score (KSS). Patients were asked regarding types of sports activities and their levels of participation within preoperative 1 year and postoperative 1 year. Levels of participation in sports and recreational activities were examined using the Tegner activity scale. The outcomes were compared between two age groups (≥ 70 years vs. < 70 years). Results Of the 74 patients overall, 59 participated in at least one sport preoperatively, and 55 returned to sports postoperatively (RTS 93%). The KSS knee score and function score were significantly improved after surgery in both age groups (P < 0.05), but no significant differences were found between the age groups. The Tegner activity scales for ≥ 70 years and < 70 years were 2.9 ± 1.1 and 4.0 ± 1.9 preoperatively (P < 0.01) and 2.7 ± 1.2 and 3.3 ± 1.4 postoperatively (P = 0.16), respectively. RTS was reported by 24 of 25 (96.0%) in the age < 70 years group and 31 of 34 (91.2%) in the age ≥ 70 years group. Majority of age ≥ 70 years participated in low-impact sports preoperatively and returned to the same impact level postoperatively. Conclusions The rate of RTS after OWHTO was high in patients aged 70 years and older with low-impact level. OWHTO is a preferred surgical option for elderly patients who desire RTS.

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“…A systematic review and meta-analysis regarding RTS in elderly patients after UKA showed that higher return rates were observed for low-impact sports, whereas high-impact sports prevented a full return to activities [20]. Since there are risks of femoral component loosening and polyethylene wear in UKA [21][22][23], RTS after both surgical procedures needs to be assessed by long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Return to Sports Activity After Opening Wedge High Tibial Osteotomy in Elderly Patients

Otoshi

Kumagai

Yamada

et al. 2021

Preprint

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Background: The purpose of this study was to evaluate return to sports (RTS) after opening wedge high tibial osteotomy (OWHTO) in elderly patients and associated factors affecting RTS.Methods: Seventy-four patients (mean age 68 years) who underwent OWHTO were enrolled. Clinical outcomes were evaluated using the Knee Society Score (KSS). Patients were asked regarding types of sports activities and their levels of participation within preoperative 1 year and postoperative 1 year. Levels of participation in sports and recreational activities were examined using the Tegner activity scale. The outcomes were compared between two age groups (≥70 years vs <70 years).Results: Of the 74 patients overall, 59 participated in at least one sport preoperatively, and 55 returned to sports postoperatively (RTS 93%). The KSS knee score and function score were significantly improved after surgery in both age groups (P<0.05), but no significant differences were found between the age groups. The Tegner activity scales for ≥70 years and <70 years were 2.9±1.1 and 4.0±1.9 preoperatively (P<0.01) and 2.7±1.2 and 3.3±1.4 postoperatively (P=0.16), respectively. RTS was reported by 24 of 25 (96.0%) in the age <70 years group and 31 of 34 (91.2%) in the age ≥70 years group. Of the patients who reported RTS, 66.7% in the age <70 years group and 77.4% in the age ≥70 years group could return to the same or higher level.Conclusions: The rate of RTS after OWHTO was high in elderly patients. OWHTO is a preferred surgical option for elderly patients who desire RTS.

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Return to Sports after Unicompartmental Knee Arthroplasty: Reality or Utopia? A 48-Month Follow-Up Prospective Study

Abstract: Prospective case series, level 4.

Cited by 24 publications

References 31 publications

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Return to sports activity after opening wedge high tibial osteotomy in patients aged 70 years and older

Return to Sports Activity After Opening Wedge High Tibial Osteotomy in Elderly Patients

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