<scp>A</scp>lpine <scp>S</scp>kiing <scp>W</scp>ith total knee <scp>ArthroPlasty</scp> (<scp>ASWAP</scp>): clinical and radiographic outcomes

Hofstaedter, Thomas; Fink, Christian; Dorn, U.; Pötzelsberger, Birgit; Hepperger, Caroline; Gordon, Katharina; Müller, Erich

doi:10.1111/sms.12465

Cited by 15 publications

(15 citation statements)

References 45 publications

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“…Hence, as muscle fatigue is known to increase injury risk [10], there might be no additional high risk for injuries for TKA patients with pre-existing skiing experience. This lends support to a prior study on the clinical and radiographic outcome of alpine skiers after 80 days of skiing within three years, where the authors did not observe any significant injury [46]. Furthermore, the Knee Society Score, measured before and 14 days after the investigation, remained stable.…”

Section: Discussionsupporting

confidence: 85%

Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

Haslinger

Huber

Morawetz

et al. 2019

IJERPH

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Background: Total knee arthroplasty (TKA) is socially relevant due to its high prevalence, high incidence and the affected population. A subpopulation of TKA patients exists that strives to be active and also return to sports after total joint replacement. In this context, a further group of TKA patients is interested in high-impact physical activities and want to proceed with such activities even after surgery. Focusing on winter sports, there is still a lack of evidence on whether ski mountaineering is feasible for this subgroup of patients. Therefore, this feasibility study examines the effects of moderate ski mountaineering on strength, balance, functional abilities and mental health in persons following a TKA. Methods: Eight patients (six males, two females; median age, 63 ± Interquartile range 9 years) with TKA were included in this study. The volunteers, who were pre-selected for a 7-day holiday in Sankt Johann (Tyrol, Austria), participated in five guided ski mountaineering tours. Statistical analyses of non-parametric longitudinal data were performed using analysis of variance. For gait parameters and the Feeling Scale, one-factor longitudinal models were used. Statistical significance was set at the level of p < 0.05. Results: A significant decrease in the S3-Check MFT stability index (p = 0.04), a significant increase in general well-being (p = 0.05), and a trend towards a decrease in general stress (p = 0.1) were detected, while all other parameters were unaffected. Conclusion: A 7-day recreational ski mountaineering holiday had no negative effects on ski-experienced patients with TKA and seemed to increase well-being. Further studies should focus on larger groups and use controlled designs. Additionally, long-term effects should be evaluated.

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Section: Discussionsupporting

confidence: 85%

Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

Haslinger

Huber

Morawetz

et al. 2019

IJERPH

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“…The following exclusion criteria were used: severe arthritic involvement of other joints and systemic pathologies. Indication for TKA was primary degenerative osteoarthritis in all cases (Hofstaedter et al., ). In the present substudy, only participants with a unilateral TKA were included.…”

Section: Methodsmentioning

confidence: 99%

Alpine Skiing With total knee ArthroPlasty (ASWAP): effects on gait asymmetries

Pötzelsberger

Lindinger

Stöggl

et al. 2015

Scandinavian Med Sci Sports

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The aim of the study was to examine the effect of a 12-week recreational skiing intervention on functional gait performance in people with unilateral total knee arthroplasty (TKA). Twenty-three older adults (71 ± 5 years) were assigned to the intervention (IG) or control group (CG). Test time and ground reaction forces (GRF) were recorded at pre- and post-intervention and in the retention phase during functional gait tests. Ground contact was recorded bilaterally and divided into the weight acceptance and push-off phases. In IG, a faster stair descent time (16%) was observed at post-test with no further change at the retention test. The asymmetry indices for all analyzed variables were decreased in stair descent and during weight acceptance in stair ascent and level walking without further changes between post- and retention test. The reduced asymmetries occurred mainly because of increased loading of the operated leg. Most variables were unchanged in CG. Similar to the force data, the asymmetry index for temporal stride characteristics was reduced in all stair descent variables. These results demonstrate that alpine skiing as a leisure-time activity has a beneficial effect on gait performance and leads to a more balanced load distribution between the legs during daily activities.

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“…1,2 However, few studies have investigated the effects of higher-impact activities like skiing on the longevity of an artificial knee. [8][9][10] Although there are studies in the literature regarding the physiologic impact to implants from sports participation after arthroplasty, 11,12 surgeons' perspectives on return to specific sports are less well known. McGrory and colleagues 3 found that orthopedic surgeons, fellows and residents would recommend (based on 75% consensus) lowimpact sports such as swimming, golfing, bowling and cycling after knee replacement, but not higher-impact sports such as running, racquetball, basketball or football because of the perceived increased risk to the artificial joint.…”

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confidence: 99%

Downhill skiing following total knee arthroplasty: a survey of Alberta orthopedic surgeons

Buckley

Duffy

Korley

2021

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Background: In older adults facing knee arthroplasty, the ability to resume downhill skiing postoperatively is unclear. This study aimed to determine the perspectives of Alberta orthopedic surgeons and senior residents regarding downhill skiing after total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA). Methods: In May 2019, a Web-based survey was sent through the Alberta Orthopaedic Society to poll orthopedic surgeons performing arthroplasty and senior orthopedic residents (postgraduate year 4 or 5) in Alberta regarding the permissibility of downhill skiing after TKA or UKA. The survey also elicited information regarding under which conditions or restrictions, if any, surgeons would allow patients to return to downhill skiing, whether these recommendations were evidence based, and whether surgeons had seen complications from downhill skiing in their patients who had undergone knee arthroplasty. Results: Of the 41 respondents, 21 (51%) were full-time fellowship-trained orthopedic surgeons, 15 (37%) were specialists with some arthroplasty in their practice, and 5 (12%) were orthopedic residents. Ten of 40 respondents (25%) would allow unrestricted downhill skiing after TKA, and 1 (2%) would not allow any skiing at all. The remaining 29 (72%) indicated that they might allow downhill skiing under specific conditions, with the top 3 being limitations on speed and intensity (29 [71%]), return of full range of motion and strength in the operative knee (26 [63%]), and years of downhill ski experience (23 [56%]). Fourteen respondents (34%) would allow unrestricted downhill skiing after UKA, and 27 (66%) would allow skiing with the same top 3 conditions as for TKA. Thirty-two respondents (78%) reported that their decisions were not evidence based, and 35 (85%) had never seen complications from downhill skiing after TKA or UKA. Conclusion: Alberta orthopedic surgeons and senior residents are cautious regarding skiing after knee arthroplasty. The majority reported that their restrictions were not evidence based, which indicates the need for further investigation to develop an approach for surgeons to consistently and safely address return to downhill skiing after TKA or UKA.

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Alpine Skiing With total knee ArthroPlasty (ASWAP): clinical and radiographic outcomes

Cited by 15 publications

References 45 publications

Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

Alpine Skiing With total knee ArthroPlasty (ASWAP): effects on gait asymmetries

Downhill skiing following total knee arthroplasty: a survey of Alberta orthopedic surgeons

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