Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 11/2022

26-09-2021 | Knee Arthroplasty

Time for return to sport following total knee arthroplasty: a meta-analysis

Authors: A. Magan, J. Baawa-Ameyaw, B. Kayani, G. Radhakrishnan, F. Ronca, F. S. Haddad

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2022

Login to get access

Abstract

Introduction

The frequency of total knee arthroplasty (TKA) is increasing, particularly in younger and more active patients. In these patients, there may be greater functional demands, with an expectation to return to sporting activities (RTS) following TKA. There is a paucity of data on the time to RTS following TKA and the aim of this meta-analysis is to determine the time to RTS following TKA.

Methods

Using the PRISMA guidelines, an electronic search of PUBMED, MEDLINE, EMBASE, and the Cochrane Library for trails was performed on TKA and RTS in English language, published since the inception of the database to 31st October 2020. Data evaluating the time to RTS and functional outcomes were recorded by two authors independently that were included in the analysis. Pooled analysis using random effect model on overall proportions at the different time intervals and at the end of the follow-up was carried out for all studies.

Results

In total, 1,611 studies were retrieved from literature search. Of these, nine studies met the inclusion criteria with 1,307 patients. Two studies with 148 patients demonstrated an overall pooled proportion of 18.7% (95% CI 8.2–32.3%) of patients RTS at 3 month post-TKA; Three studies reported RTS rate at 6 months 70.% (95% CI 48–88.4). Two studies with 123 patients demonstrated an overall pooled proportion of 84.0% (95% CI 77.1–89.9%) patients RTS at 12 months. 986 patients returned to sport from total of 1307, with an overall adjusted proportion return to sport of 87.9 (95% CI 80.5–93.8%) at the end of follow-up; mean 14 months (range 3–36 months).

Conclusion

Patients undergoing TKA were found to successfully RTS, pooled proportion analysis showed an increasing rate of RTS with time, at a mean of 14 months following TKA, where 87.9% of patients had returned to sports. The findings of this study will enable more informed discussions and rehabilitation planning between patients and clinicians on RTS following TKA.
Literature
3.
go back to reference National Joint Registry for England Wales Northern Ireland and the Isle of Man (2019) 16th annual report 2019:National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. NJR 16th Annu Rep 2019:1–248. National Joint Registry for England Wales Northern Ireland and the Isle of Man (2019) 16th annual report 2019:National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. NJR 16th Annu Rep 2019:1–248.
4.
go back to reference Losina E, Thornhill TS, Rome BN, Wright J, Katz JN (2012) The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Jt Surg - Ser A 94:201–207. https://doi.org/10.2106/JBJS.J.01958CrossRef Losina E, Thornhill TS, Rome BN, Wright J, Katz JN (2012) The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Jt Surg - Ser A 94:201–207. https://​doi.​org/​10.​2106/​JBJS.​J.​01958CrossRef
11.
Metadata
Title
Time for return to sport following total knee arthroplasty: a meta-analysis
Authors
A. Magan
J. Baawa-Ameyaw
B. Kayani
G. Radhakrishnan
F. Ronca
F. S. Haddad
Publication date
26-09-2021
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 11/2022
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-021-04180-9

Other articles of this Issue 11/2022

Archives of Orthopaedic and Trauma Surgery 11/2022 Go to the issue