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Return to sports and physical activities following total or unicompartimental knee arthroplasty.
Author(s):
Ventura A. (Italy)
,
Ventura A. (Italy)
Affiliations:
Macchi V.
,
Macchi V.
Affiliations:
Legnani C.
,
Legnani C.
Affiliations:
Borgo E.
Borgo E.
Affiliations:
ESSKA Academy. Ventura A. 05/09/18; 209586; P09-1855
Alberto Ventura
Alberto Ventura
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Abstract
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Objectives: The purpose of this study was to evaluate and assess the sporting and physical activities of patients who had undergone total knee arthroplasty (TKA) or unicompartimental knee arthroplasty (UKA).

Methods: 103 patients, undergone either TKA (69 patients) or UKA (34 patients) between 2013 and 2015, were retrospectively reviewed and divided into two groups: group A with patients undergone to TKA and group B with patients undergone to UKA. The mean age was 72,3 years (range 64 to 83). Average follow-up time was 2 years (2+/- 0,8).
Knee Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) as well as Tegner activity level ratings were determined for each patient. Sporting and physical activities of all patients were reported.
The statistical analysis was performed using SPSS for Windows (version 19.0; SPSS Inc., Chicago, Illinois, USA). Wilcoxon's signed ranks test was used for comparison between pre-operative and follow-up data. The significant level was set at P<0.05.

Results: Both KOOS score and IKDC improved significantly after surgery (p < 0.001). There was a significant improvement in Tegner activity level scores both in TKA group (from 3,3 to 4,1) and in UKA group (from 4,0 to 5,3).
In the group A (TKA), before surgery 45 patients (65,4,%) were involved in practiced sport. After surgery, a total number of 36 patients (53,2%) successfully returned to their regular sporting and recreational activities, such as cycling, hiking, dancing and swimming.
In the group B (UKA), the patients involved in sport before surgery were 30 (88,2%). After surgery 27 (79,4%) were able to come back to sports activity like jogging, cycling, hiking. One patient returned to skiing.

Conclusions: Most of the patients returned to sports and recreational activities after total or unicompartmental knee arthroplasty. However, overall level of activity decreased and most patients returned to low- or midimpact sports.

Keywords:
Sport TKA UKA joint arthroplasty
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