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Article

Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial

Department of Orthopaedic Surgery and Traumatology, Charité Berlin, University Hospital, Chariteplatz 1, 10117 Berlin, Germany
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J. Clin. Med. 2021, 10(1), 54; https://doi.org/10.3390/jcm10010054
Received: 24 November 2020 / Revised: 18 December 2020 / Accepted: 22 December 2020 / Published: 26 December 2020
(This article belongs to the Special Issue State-of-the-Art Research on Hip and Knee Arthroplasty)
(1) Background: Improved surgical techniques and implants in total knee arthroplasty (TKA) have led to broader indications for surgical interventions of osteoarthritis of the knee. There is a growing young and active patient subgroup with high return to sports (RTS) expectations after TKA. The current lack of evidence regarding RTS capacity in this patient cohort, requires the consolidation of experts’ opinions and experiences to address the special needs among these patients. The aim of this study was to assess current expert opinions in regard to preoperative patient assessment, surgical technique and decision-making and patient counseling for these patients. (2) Methods: We performed a survey among surgeons specialized in arthroplasty with a questionnaire designed to assess current recommendations, surgical techniques, and implant preferences as well as patient counseling in patients with high expectations for RTS after TKA. (3) Results: The majority of surgeons are in favor of return to low-impact sports after TKA within 3 to 6 months. Some even recommend return to high-impact sports. Despite improvement of surgical techniques and implants, we observed no clear preference for a single surgical technique or implant specification in active patients. (4) Conclusions: Current evidence for sports-associated complications after TKA is scarce. Despite a growing array of surgical techniques and implants, the available literature is still controversial with no single surgical technique or TKA design distinguishing itself clearly from others. Surgeons’ recommendations are mostly based on their experience and training. Nonetheless, we observed growing faith in modern implants with some surgeons even recommending high-impact sports after TKA. View Full-Text
Keywords: total knee arthroplasty; return to sports; joint replacement; physical activity; TKA design total knee arthroplasty; return to sports; joint replacement; physical activity; TKA design
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MDPI and ACS Style

Vu-Han, T.-L.; Gwinner, C.; Perka, C.; Hardt, S. Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial. J. Clin. Med. 2021, 10, 54. https://doi.org/10.3390/jcm10010054

AMA Style

Vu-Han T-L, Gwinner C, Perka C, Hardt S. Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial. Journal of Clinical Medicine. 2021; 10(1):54. https://doi.org/10.3390/jcm10010054

Chicago/Turabian Style

Vu-Han, Tu-Lan, Clemens Gwinner, Carsten Perka, and Sebastian Hardt. 2021. "Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial" Journal of Clinical Medicine 10, no. 1: 54. https://doi.org/10.3390/jcm10010054

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