Return to physical activity after revision total knee arthroplasty: Comparative insights with primary procedure.

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-04-04 DOI:10.1002/ksa.12638

Louis-Paul Maugard, Constant Foissey, Cécile Batailler, Sebastien Lustig, Elvire Servien

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引用次数: 0

Abstract

Introduction: While the return to physical activity (RTPA) after primary total knee arthroplasty (TKA) is well-documented, research on RTPA after revision TKA remains limited. This retrospective study aimed to evaluate the resumption of physical activity following revision TKA by comparing outcomes with a control group of primary TKA patients.

Methods: A total of 110 revision TKA patients were matched 1:1 with 521 primary TKA patients with a minimum of 2 years of follow-up. Data collected included whether or not they had returned to physical activities, as well as the type of activity and time after surgery, pre- and post-operative University of California and Los Angeles Activity Scale (UCLA) and Forgotten Joint Score (FJS).

Results: Sixty-five and four tenths per cent of revision TKA patients returned to physical activities, with a mean delay of 8.9 months. The most common activities were walking (64.5%), biking (19.1%) and swimming (16.4%). Preoperative UCLA was the only significant predictor of RTPA. Comparatively, there were no significant differences in RTPA rates between primary TKA and revision TKA groups (72.7% vs. 65.4%, n.s), but primary TKA patients returned to activity sooner (6.3 vs. 8.9 months, p < 0.001).

Conclusion: This study showed that while RTPA is achievable after revision TKA in the same proportion as after primary TKA, it occurs later. These findings underline the importance of managing patient expectations regarding physical activity recovery following revision TKA.

Level of evidence: Level III, retrospective cohort study.

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全膝关节置换术后恢复体力活动：与初级手术的比较见解。

导读：虽然原发性全膝关节置换术（TKA）后恢复体力活动（RTPA）有充分的文献记载，但对改良TKA后RTPA的研究仍然有限。本回顾性研究旨在通过与对照组原发性TKA患者的结果比较，评估改良TKA后恢复体力活动的情况。方法：110例改型TKA患者与521例原发性TKA患者进行1:1匹配，随访时间至少2年。收集的数据包括他们是否恢复了体育活动，以及手术后的活动类型和时间，术前和术后加利福尼亚大学和洛杉矶活动量表（UCLA）和遗忘关节评分（FJS）。结果：65.4%的改良TKA患者恢复体力活动，平均延迟8.9个月。最常见的运动是散步（64.5%）、骑自行车（19.1%）和游泳（16.4%）。术前UCLA是RTPA的唯一显著预测因子。相比之下，原发性TKA组和改良TKA组的RTPA率没有显著差异（72.7% vs. 65.4%, n.s），但原发性TKA患者恢复活动的时间更早（6.3个月vs. 8.9个月，p）。结论：本研究表明，虽然改良TKA后RTPA可实现的比例与原发性TKA后相同，但发生时间更晚。这些发现强调了管理患者对改良TKA后身体活动恢复的期望的重要性。证据等级：III级，回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).