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Can patients really do sport after TKA?

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Function and sport participation was analyzed via a self-administered questionnaire in 347 patients with unilateral noncomplicated TKA. It was 227 women and 120 men with a mean age of 75 (range, 28 to 94) and a mean follow-up of 44 months (range 13–71). Two hundred and thirty-seven patients (68%) reported that their knee was “normal”, 56% that their activities were limited by their knee, and 66% that they were as active as they expected to be before the intervention. Of them, 98% were satisfied. Of the patients who were insufficiently active, 52% were not satisfied with their outcome (P < 0.0001). Neither the duration of preoperative pain, the age at evaluation or the number of previous surgeries influenced the subjective result or the degree of patient satisfaction. Among patients under 75 years, 10% regularly participated in strenuous sports but only 13% felt that this ability was important. When participation was analyzed in the motivated patients subgroup, 63% regularly took part in at least one impact sport.

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Acknowledgments

The authors thank Pr Philip Noble for his support and his help in the redaction of this manuscript and other orthopedic surgeons who included their patients in this series: P. Chambat (Lyon France), P. Beaufils (Versailles France), J.N. Argenson (Marseille France), and J.F. Salreta (Lisbon Portugal). The authors thank ESSKA for its financial support for this study.

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Correspondence to Michel Bonnin.

Appendix

Appendix

Analysis of sport activities in our questionnaire using the Weiss methodology [27].

For each sport or activity, the patient specified on a discontinuous scale from 1 to 5: (1) how important doing this sport was, (2) how often it was done, and (3) the discomfort or pain experienced in the operated knee during the sports activity. The functional score, on a scale ranging from 0 to 10 (10 = best result), was calculated for each sport using the following formula:

Score = 5 + 1/10 (frequency of participation1 × importance score2 × pain score3) (1: 0 [never] to 5 [intensive]; 2: from 1 [not important] to 5 [very important]; and 3: from −2 [great discomfort] to 2 [no discomfort]). An overall score per patient was calculated by taking the mean of the patient’s scores in relation to the number of activities.

See Table 5.

Table 5 Circle appropriate number

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Bonnin, M., Laurent, J.R., Parratte, S. et al. Can patients really do sport after TKA?. Knee Surg Sports Traumatol Arthrosc 18, 853–862 (2010). https://doi.org/10.1007/s00167-009-1009-4

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  • DOI: https://doi.org/10.1007/s00167-009-1009-4

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