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Sportverletz Sportschaden 2017; 31(04): 207-212
DOI: 10.1055/s-0043-120880
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Sport nach Knie- und Hüftendoprothetik

Sport after Total Knee and Hip Arthroplasty
Friedrich Boettner
,
Maximilian F. Kasparek
,
Kilian Rueckl
,
Christian Liebau
Further Information

Publication History

Publication Date:
11 December 2017 (online)

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Zusammenfassung

Mit der Einführung neuer Materialien in die Hüft- und Knieendoprothetik, sowie der Verbesserung der Prothesenverankerung im Knochen, scheinen die Voraussetzungen für eine stärkere Belastung künstlicher Endoprothesen erfüllt. Die Empfehlungen hinsichtlich der sportlichen Betätigung nach Implantation einer Knie- oder Hüftprothese sind in den letzten 20 Jahren jedoch den implantattechnischen Verbesserungen nicht angepasst worden. Gerade in der Hüftendoprothetik erlaubt die heute bevorzugte Verwendung von unzementierten Implantaten sowie der Einzug von hoch vernetztem Polyethylen einen deutlich aktiveren Lebenswandel ohne das erhöhte Lockungsraten und Komplikationen befürchtet werden müssen. Die hier vorgestellte Veröffentlichung fasst den gegenwärtigen Kenntnisstand aus der Literatur zusammen und gibt dem operativ tätigen orthopädischen Chirurgen Leitlinien für eine individuelle Beratung des Patienten.

Abstract

The introduction of new materials and better implant coatings seems to provide the prerequisites for more intense physical activities after total joint arthroplasties of the lower extremity. Despite recent advances in implant design and materials, recommendations for sport after total joint arthroplasty have not been updated over the past 20 years. The introduction of modern uncemented fixation as well as highly cross-linked polyethylene into total hip arthroplasty allow for a more active life-style without an increased risk of loosening or complications. This publication reviews the literature and presents the current knowledge to provide guidelines for orthopaedic surgeons treating patients after total joint replacement surgery.

Schlüsselwörter

Sport - Aktivität - Hüftendoprothese - Knieendoprothese - Oberflächenersatz - Schlittenprothese

Key words

sport - activity - total knee arthroplasty - total hip arthroplasty - unicondylar arthroplasty - resurfacing
 

  • Literatur

  • 1 Williams DH, Greidanus NV, Masri BA. et al. Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res 2012; 470 (02) 555-561 doi:10.1007/s11999-011-2198-y
    CrossrefPubMedGoogle Scholar
  • 2 Nicholls MA, Selby JB, Hartford JM. Athletic activity after total joint replacement. Orthopedics 2002; 25 (11) 1283-1287
    PubMedGoogle Scholar
  • 3 Chatterji U, Ashworth MJ, Lewis PL. et al. Effect of total hip arthroplasty on recreational and sporting activity. ANZ J Surg 2004; 74 (06) 446-449 doi:10.1111/j.1445-1433.2004.03028.x
    CrossrefPubMedGoogle Scholar
  • 4 Chatterji U, Ashworth MJ, Lewis PL. et al. Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 2005; 75 (06) 405-408 doi:10.1111/j.1445-2197.2005.03400.x
    CrossrefPubMedGoogle Scholar
  • 5 Naal FD, Maffiuletti NA, Munzinger U. et al. Sports after hip resurfacing arthroplasty. Am J Sports Med 2007; 35 (05) 705-711 doi:10.1177/0363546506296606
    CrossrefPubMedGoogle Scholar
  • 6 Bonnin M, Laurent JR, Parratte S. et al. Can patients really do sport after TKA?. Knee Surg Sports Traumatol Arthrosc 2010; 18 (07) 853-862 doi:10.1007/s00167-009-1009-4
    CrossrefPubMedGoogle Scholar
  • 7 Schmalzried TP, Shepherd EF, Dorey FJ. et al. The John Charnley Award. Wear is a function of use, not time. Clin Orthop Relat Res 2000; 381: 36-46
    CrossrefPubMedGoogle Scholar
  • 8 Swanson EA, Schmalzried TP, Dorey FJ. Activity recommendations after total hip and knee arthroplasty: a survey of the American Association for Hip and Knee Surgeons. J Arthroplasty 2009; 24 (06) 120-126 doi:10.1016/j.arth.2009.05.014
    CrossrefPubMedGoogle Scholar
  • 9 Healy WL, Iorio R, Lemos MJ. Athletic activity after total knee arthroplasty. Clin Orthop Relat Res 2000; 380: 65-71
    CrossrefPubMedGoogle Scholar
  • 10 Klein GR, Levine BR, Hozack WJ. et al. Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons. J Arthroplasty 2007; 22 (02) 171-175 doi:10.1016/j.arth.2006.09.001
    CrossrefPubMedGoogle Scholar
  • 11 Endo MM, Barbour PS, Barton DC. et al. Comparative wear and wear debris under three different counterface conditions of crosslinked and non-crosslinked ultra high molecular weight polyethylene. Biomed Mater Eng 2001; 11 (01) 23-35
    PubMedGoogle Scholar
  • 12 Pellicci PM, Potter HG, Foo LF. et al. MRI shows biologic restoration of posterior soft tissue repairs after THA. Clin Orthop Relat Res 2009; 467 (04) 940-945 doi:10.1007/s11999-008-0503-1
    CrossrefPubMedGoogle Scholar
  • 13 Restrepo C, Parvizi J, Pour AE. et al. Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty 2010; 25 (05) 671-679.e1 doi:10.1016/j.arth.2010.02.002
    CrossrefPubMedGoogle Scholar
  • 14 Bergin PF, Doppelt JD, Kephart CJ. et al. Comparison of minimally invasive direct anterior versus posterior total hip arthroplasty based on inflammation and muscle damage markers. J Bone Joint Surg Am 2011; 93 (15) 1392-1398 doi:10.2106/jbjs.j.00557
    CrossrefPubMedGoogle Scholar
  • 15 Kennon RE, Keggi JM, Wetmore RS. et al. Total hip arthroplasty through a minimally invasive anterior surgical approach. J Bone Joint Surg Am 2003; 85-A (Suppl. 04) 39-48
    PubMedGoogle Scholar
  • 16 Wright TM. Polyethylene in knee arthroplasty: what is the future?. Clin Orthop Relat Res 2005; 440: 141-148
    CrossrefPubMedGoogle Scholar
  • 17 Sakellariou VI, Sculco P, Poultsides L. et al. Highly cross-linked polyethylene may not have an advantage in total knee arthroplasty. Hss j 2013; 9 (03) 264-269 doi:10.1007/s11420-013-9352-x
    CrossrefPubMedGoogle Scholar
  • 18 Renner L, Faschingbauer M, Boettner F. Is there a rationale to use highly cross-linked polyethylene in posterior-stabilized total knee arthroplasty?. Ann Transl Med 2015; 3 (05) 63 doi:10.3978/j.issn.2305-5839.2015.01.17
    PubMedGoogle Scholar
  • 19 Kuster MS. Exercise recommendations after total joint replacement: a review of the current literature and proposal of scientifically based guidelines. Sports Med 2002; 32 (07) 433-445
    CrossrefPubMedGoogle Scholar
  • 20 Moro T, Takatori Y, Kyomoto M. et al. Wear resistance of the biocompatible phospholipid polymer-grafted highly cross-linked polyethylene liner against larger femoral head. J Orthop Res 2015; 33 (07) 1103-1110 doi:10.1002/jor.22868
    CrossrefPubMedGoogle Scholar
  • 21 Garvin KL, White TC, Dusad A. et al. Low wear rates seen in THAs with highly crosslinked polyethylene at 9 to 14 years in patients younger than age 50 years. Clin Orthop Relat Res 2015; 473 (12) 3829-3835 doi:10.1007/s11999-015-4422-7
    CrossrefPubMedGoogle Scholar
  • 22 Abe H, Sakai T, Nishii T. et al. Jogging after total hip arthroplasty. Am J Sports Med 2014; 42 (01) 131-137 doi:10.1177/0363546513506866
    CrossrefPubMedGoogle Scholar
  • 23 Gschwend N, Frei T, Morscher E. et al. Alpine and cross-country skiing after total hip replacement: 2 cohorts of 50 patients each, one active, the other inactive in skiing, followed for 5-10 years. Acta Orthop Scand 2000; 71 (03) 243-24 doi:10.1080/000164700317411825
    CrossrefPubMedGoogle Scholar
  • 24 Huch K, Muller KA, Sturmer T. et al. Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis 2005; 64 (12) 1715-1720 doi:10.1136/ard.2004.033266
    CrossrefPubMedGoogle Scholar
  • 25 Seyler TM, Mont MA, Ragland PS. et al. Sports activity after total hip and knee arthroplasty: specific recommendations concerning tennis. Sports Med 2006; 36 (07) 571-583
    CrossrefPubMedGoogle Scholar
  • 26 de Steiger RN, Hang JR, Miller LN. et al. Five-year results of the ASR XL Acetabular System and the ASR Hip Resurfacing System: an analysis from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am 2011; 93 (24) 2287-2293 doi:10.2106/jbjs.j.01727
    CrossrefPubMedGoogle Scholar
  • 27 Bornert S, Lutzner J, Beyer F. et al. Revision Rate and Patient-Reported Outcome After Hip Resurfacing Arthroplasty: A Concise Follow-Up of 1064 Cases. J Arthroplasty 2015; 30 (12) 2190-2195 doi:10.1016/j.arth.2015.06.041
    CrossrefPubMedGoogle Scholar
  • 28 Smith AJ, Dieppe P, Vernon K. et al. Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet 2012; 379: 1199-1204 doi:10.1016/s0140-6736(12)60353-5
    CrossrefPubMedGoogle Scholar
  • 29 Johnson AJ, Zywiel MG, Maduekwe UI. et al. Is resurfacing arthroplasty appropriate for posttraumatic osteoarthritis?. Clin Orthop Relat Res 2011; 469 (06) 1567-1573 doi:10.1007/s11999-010-1655-3
    CrossrefPubMedGoogle Scholar
  • 30 Zywiel MG, Marker DR, McGrath MS. et al. Resurfacing matched to standard total hip arthroplasty by preoperative activity levels – a comparison of postoperative outcomes. Bull NYU Hosp Jt Dis 2009; 67 (02) 116-119
    PubMedGoogle Scholar
  • 31 Banerjee M, Bouillon B, Banerjee C. et al. Sports activity after total hip resurfacing. Am J Sports Med 2010; 38 (06) 1229-1236 doi:10.1177/0363546509357609
    CrossrefPubMedGoogle Scholar
  • 32 Wylde V, Blom A, Dieppe P. et al. Return to sport after joint replacement. J Bone Joint Surg Br 2008; 90 (07) 920-923 doi:10.1302/0301-620x.90b7.20614
    PubMedGoogle Scholar
  • 33 Heisel C, Silva M, Skipor AK. et al. The relationship between activity and ions in patients with metal-on-metal bearing hip prostheses. J Bone Joint Surg Am 2005; 87 (04) 781-787 doi:10.2106/jbjs.d.01820
    CrossrefPubMedGoogle Scholar
  • 34 Pandit H, Jenkins C, Gill HS. et al. Unnecessary contraindications for mobile-bearing unicompartmental knee replacement. J Bone Joint Surg Br 2011; 93 (05) 622-6228 doi:10.1302/0301-620x.93b5.26214
    CrossrefPubMedGoogle Scholar
  • 35 Hopper GP, Leach WJ. Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc 2008; 16 (10) 973-979 doi:10.1007/s00167-008-0596-9
    CrossrefPubMedGoogle Scholar
  • 36 Witjes S, Gouttebarge V, Kuijer PP. et al. Return to Sports and Physical Activity After Total and Unicondylar Knee Arthroplasty: A Systematic Review and Meta-Analysis. Sports Med 2016; 46 (02) 269-292 doi:10.1007/s40279-015-0421-9
    CrossrefPubMedGoogle Scholar
  • 37 Waldstein W, Kolbitsch P, Koller U. et al. Sport and physical activity following unicompartmental knee arthroplasty: a systematic review. Knee Surg Sports Traumatol Arthrosc 2016; DOI: 10.1007/s00167-016-4167-1.
    CrossrefPubMedGoogle Scholar
  • 38 Naal FD, Fischer M, Preuss A. et al. Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med 2007; 35 (10) 1688-1695 doi:10.1177/0363546507303562
    CrossrefPubMedGoogle Scholar
  • 39 Lachiewicz PF, Soileau ES. Is There a Benefit to Highly Crosslinked Polyethylene in Posterior-stabilized Total Knee Arthroplasty? A Randomized Trial. Clin Orthop Relat Res 2016; 474 (01) 88-95 doi:10.1007/s11999-015-4241-x
    CrossrefPubMedGoogle Scholar
  • 40 Jackson JD, Smith J, Shah JP. et al. Golf after total knee arthroplasty: do patients return to walking the course?. Am J Sports Med 2009; 37 (11) 2201-2204 doi:10.1177/0363546509339009
    CrossrefPubMedGoogle Scholar
  • 41 Mont MA, Rajadhyaksha AD, Marxen JL. et al. Tennis after total knee arthroplasty. Am J Sports Med 2002; 30 (02) 163-166
    CrossrefPubMedGoogle Scholar
  • 42 Mont MA, Marker DR, Seyler TM. et al. High-impact sports after total knee arthroplasty. J Arthroplasty 2008; 23 (06) 80-84 doi:10.1016/j.arth.2008.04.018
    CrossrefPubMedGoogle Scholar
  • 43 Bradbury N, Borton D, Spoo G. et al. Participation in sports after total knee replacement. Am J Sports Med 1998; 26 (04) 530-535
    CrossrefPubMedGoogle Scholar