title: Athletic activity after lower limb arthroplasty: a systematic review of current evidence.
abstract: In this systematic review, our aim was to explore whether or not patients are able to return to athletic activity following lower limb joint replacement. We also investigated any evidence as to whether participation in athletic activity post-joint replacement increases complications and reduces implant survival. A PubMed, Embase and Sports Discus search was performed using the MeSH terms 'Sport', 'Athletic', 'Athlete', 'Physical', 'Activity', 'Arthroplasty', 'Total Hip Replacement', 'Hip Resurfacing', 'Total Knee Replacement', 'Unicompartmental Knee Replacement' and 'Unicondylar Knee Replacement'. From this search, duplications were excluded, the remaining abstracts were reviewed and any unrelated to the search terms were excluded. The remaining abstracts had their full papers reviewed. Following joint replacement, participation in sporting activity is common principally determined by pre-operative patient activity levels, BMI and patient age. The type of joint replaced is of less significance. Total time spent performing activity does not change but tends to be at a lower intensity. There is little evidence in the literature of an association between high activity levels and early implant failure.
authors.affiliation: University College London Hospital, 235 Euston Road, London, NW1 2BU, UK.
authors.forename: S S
authors.initials: SS
authors.lastname: Jassim
authors.affiliation: University College London Hospital, 235 Euston Road, London, NW1 2BU, UK.
authors.forename: S L
authors.initials: SL
authors.lastname: Douglas
authors.affiliation: University College London Hospital, 235 Euston Road, London, NW1 2BU, UK.
authors.forename: F S
authors.initials: FS
authors.lastname: Haddad
mesh_terms: D000367:Age Factors; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation; D015992:Body Mass Index; D006305:Health Status Indicators; D006801:Humans; D057071:Patellofemoral Joint / Q000601:surgery; D011184:Postoperative Period; D020127:Recovery of Function; D013177:Sports; D016896:Treatment Outcome
keywords: Arthroplasty; Hip resurfacing; Sports; Total Hip Replacement; Total Knee Replacement; Unicompartmental Knee Replacement