Resuming Sports and Leisure Activities after a Total Knee Replacement Is Influenced By a Number of Factors
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 5, Pages 183-190
AbstractBackground: The number of patients who undergo total knee replacements (TKR) is on the rise, and with that rise comes higher patient expectations and higher functional needs. As a result of the declining average age at which orthopaedic surgeons may recommend TKR, patients frequently have the expectation that they will be able to return to sport (RTS) after TKR. The purpose of this research was to investigate the mid-term RTS, satisfaction level, forgotten joint level, and recreational activities after total knee replacement surgery (TKR).
Materials and Methods: 536 TKR (same implant design, same procedure) were performed in our centre between June 2020 and June 2022. The survey sample had a mean age of 69 years and a mean follow-up of 43 months. We called every patient who hadn't followed up in the previous six months. The analysis of 443 TKR was completed. The University of California Los Angeles Scale (UCLA), Forgotten Joint Score (FJS), and Satisfaction Score were used to evaluate RTS.
Results: 85% of the patients in this study experienced RTS following TKR, with a mean UCLA score rising from 4.48 to 5.92 and a high level of patient satisfaction. 93% of patients reported being satisfied or extremely satisfied with their level of activity. Higher preoperative UCLA scores and lower American Society of Anesthesiologists scores are associated with greater importance of the RTS. Each additional point in the ASA score results in a 52% lower chance of experiencing RTS.
Conclusion: With such a high happiness score, it was anticipated that RTS and recreational activities would come following TKR. Condition and activity levels prior to surgery are the two most important criteria in determining the likelihood of RTS. The evidence level for this type of study is a level IV retrospective case series
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