Predictors of participation in sports after hip and knee arthroplasty.
Background: While the primary objective of joint arthroplasty is to improve patient quality of life, pain, and function, younger active patients often demand a return to higher function that includes sporting activity. Knowledge of rates and predictors of return to sports will help inform expectatio...
| Publicado en: | Clinical Orthopaedics & Related Research® Vol. 470; no. 2; pp. 555 - 562 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Feb2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104624976&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104624976 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0009921X 23N jtl: Clinical Orthopaedics & Related Research® issn: 0009921X maglogo: N pubinfo: dt: Feb2012 vid: 470 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 104624976 104624976 NLM22125250 2011424040 10.1007/s11999-011-2198-y NLM22125250 104624976 ppf: 555 ppct: 7 formats: tig: atl: Predictors of participation in sports after hip and knee arthroplasty. aug: au: Williams DH Greidanus NV Masri BA Duncan CP Garbuz DS Williams, Daniel H Greidanus, Nelson V Masri, Bassam A Duncan, Clive P Garbuz, Donald S affil: Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Room 3114, 910 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada sug: subj: Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Hip Joint Surgery Knee Joint Surgery Sports Adult Age Factors Aged Aged, 80 and Over Body Mass Index British Columbia Chi Square Test Female Hip Joint Physiopathology Knee Joint Physiopathology Male Middle Age Odds Ratio Quality of Life Recovery Regression Reoperation Retrospective Design Risk Assessment Risk Factors Sex Factors Time Factors Treatment Outcomes Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background: While the primary objective of joint arthroplasty is to improve patient quality of life, pain, and function, younger active patients often demand a return to higher function that includes sporting activity. Knowledge of rates and predictors of return to sports will help inform expectations in patients anticipating return to sports after joint arthroplasty.Questions/purposes: We measured the rate of sports participation at 1 year using the UCLA activity score and explored 11 variables, including choice of procedure/prosthesis, that might predict return to a high level of sporting activity, when controlling for potential confounding variables.Methods: We retrospectively evaluated 736 patients who underwent primary metal-on-polyethylene THA, metal-on-metal THA, hip resurfacing arthroplasty, revision THA, primary TKA, unicompartmental knee arthroplasty, and revision TKA between May 2005 and June 2007. We obtained UCLA activity scores on all patients; we defined high activity as a UCLA score of 7 or more. We evaluated patient demographics (age, sex, BMI, comorbidity), quality of life (WOMAC score, Oxford Hip Score, SF-12 score), and surgeon- and procedural/implant-specific variables to identify factors associated with postoperative activity score. Minimum followup was 11 months (mean, 12.1 months; range, 11-13 months).Results: Preoperative UCLA activity score, age, male sex, and BMI predicted high activity scores. The type of operation and implant characteristics did not predict return to high activity sports.Conclusions: Our data suggest patient-specific factors predict postoperative activity rather than factors specific to type of surgery, implant, or surgeon factors.Level Of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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