Participation in Sports and Physical Activities After Total Joint Arthroplasty |
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| Institution: | 1. Department of Orthopedic Surgery, NYU Langone Health, New York, New York;2. Rothman Orthopaedic Institute, Philadelphia, Pennsylvania;1. University of Virginia School of Medicine, Charlottesville, Virginia;2. Department of Public Health Sciences and Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia;3. Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia;1. The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania;2. Florida Atlantic University College of Medicine, Boca Raton, Florida;3. Department of Orthopedic Surgery, NYU Langone Health, New York, New York;1. Duke University School of Medicine, Durham, North Carolina;2. Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina;3. Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts;4. Department of Orthopaedic Surgery, NYU Langone Health, New York, New York |
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| Abstract: | BackgroundQuality data on physical activity participation following total joint arthroplasty (TJA) are limited. The purpose of this study was to explore patient participation, outcomes, and limitations in sports/physical activities following TJA.MethodsPatients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA) at a single institution from 2015 to 2020 were surveyed on sports/physical activity participation before and after TJA. Data were correlated with perioperative demographic and outcome scores. In total, 2,366 patients were surveyed: 788 (33.3%) underwent THA, 1,175 (49.7%) underwent TKA, and 403 (17.0%) underwent both THA/TKA.ResultsParticipation rates were 69.2, 61.5, and 61.3% at one year prior and 86.8, 81.5, and 81.6% at five years prior to THA, TKA, and THA/TKA, respectively. Participation rates were 73.1, 72.0, and 60.8% at mean 4.0 years postoperatively. Weekly time spent (P < .05) and exertion levels (P < .001) increased postoperatively for all three cohorts. For all three cohorts, the most common sports/activities were recreational walking, cycling, swimming, and golf, while intermediate- and high-impact activity participation decreased postoperatively. Independent predictors of postoperative sports/physical activity participation were younger age THA (P < .001); TKA (P = .010)], lower body mass index THA (P < .001); TKA (P < .001)], fewer comorbidities THA (P < .001)], and higher postoperative Hip Injury and Osteoarthritis Outcome Score JuniorTHA (P = .012)], Knee Injury and Osteoarthritis Outcome Score JuniorTKA (P = .004)], 12-Item Short Form Physical Component ScoreTHA (P < .001); TKA (P < .001); THA/TKA (P = .004)], and 12-Item Short Form Mental Component ScoreTKA (P = .004)] scores. Activity restrictions were reported among 17.5, 20.9, and 25.1% of THA, TKA, and THA/TKA patients, respectively, and were more commonly self-imposed than surgeon-directed for all cohorts.ConclusionThough sports/physical activity participation may improve following TJA compared to one year preoperatively, participation is decreased compared to five years preoperatively, transitions to low-impact activities, and varies among subsets of patients. |
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| Keywords: | sport physical activity exercise arthroplasty joint replacement |
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