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Sports Medicine
Published in: Sports Medicine 11/2017

Open Access 01-11-2017 | Systematic Review

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

Authors: Alexander Hoorntje, Suzanne Witjes, P. Paul F. M. Kuijer, Koen L. M. Koenraadt, Rutger C. I. van Geenen, Joost G. Daams, Alan Getgood, Gino M. M. J. Kerkhoffs

Published in: Sports Medicine | Issue 11/2017

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Abstract

Background

Knee osteotomies are proven treatment options, especially in younger patients with unicompartmental knee osteoarthritis, for certain cases of chronic knee instability, or as concomitant treatment for meniscal repair or transplantation surgery. Presumably, these patients wish to stay active. Data on whether these patients return to sport (RTS) activities and return to work (RTW) are scarce.

Objectives

Our aim was to systematically review (1) the extent to which patients can RTS and RTW after knee osteotomy and (2) the time to RTS and RTW.

Methods

We systematically searched the MEDLINE and Embase databases. Two authors screened and extracted data, including patient demographics, surgical technique, pre- and postoperative sports and work activities, and confounding factors. Two authors assessed methodological quality. Data on pre- and postoperative participation in sports and work were pooled.

Results

We included 26 studies, involving 1321 patients (69% male). Mean age varied between 27 and 62 years, and mean follow-up was 4.8 years. The overall risk of bias was low in seven studies, moderate in ten studies, and high in nine studies. RTS was reported in 18 studies and mean RTS was 85%. Reported RTS in studies with a low risk of bias was 82%. No studies reported time to RTS. RTW was reported in 14 studies; mean RTW was 85%. Reported RTW in studies with a low risk of bias was 80%. Time to RTW varied from 10 to 22 weeks. Lastly, only 15 studies adjusted for confounders.

Conclusion

Eight out of ten patients returned to sport and work after knee osteotomy. No data were available on time to RTS. A trend toward performing lower-impact sports was observed. Time to RTW varied from 10 to 22 weeks, and almost all patients returned to the same or a higher workload.
Appendix
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Metadata
Title
High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis
Authors
Alexander Hoorntje
Suzanne Witjes
P. Paul F. M. Kuijer
Koen L. M. Koenraadt
Rutger C. I. van Geenen
Joost G. Daams
Alan Getgood
Gino M. M. J. Kerkhoffs
Publication date
01-11-2017
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 11/2017
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-017-0726-y

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