2023 ISAKOS Biennial Congress ePoster
Participation of Physical Activity Following Knee Arthroplasty: A Meta-Analysis
Ahmed A Magan, BM BSc (Hons) MRCS (Eng) FRCS (Eng) Trauma & Orth, London UNITED KINGDOM
Babar Kayani, BSc (HONS), MBBS, MRCS (Eng), London UNITED KINGDOM
Warran Wignadasan, MBBS, BSc (Hons), MRCS, London UNITED KINGDOM
Dia Eldean Giebaly, MBChB, MSc, FRCS, EMBA, London UNITED KINGDOM
Flaminia Ronca, PHD, London UNITED KINGDOM
Fares S. Haddad, MCh(Orth), BSc, FRCS(Orth), London UNITED KINGDOM
University College London Hospital, London, UNITED KINGDOM
FDA Status Cleared
Summary
Patients undergoing TKA/UK were found to successfully RTS following surgery.
ePosters will be available shortly before Congress
Abstract
Introduction
The frequency of knee arthroplasty is increasing, particularly in younger
and more active patients. In these patients, there may be greater functional
demands, with an expectation to return to physical activities following knee arthroplasty.
There is a paucity of data on the time to return to physical activity following knee arthroplasty and this meta-analysis aims to determine the time to resumption of physical activities following uni-compartmental and total knee arthroplasty.
Methods
The PRISMA guidelines were followed to undertake this meta-analysis. A search was
performed on MEDLINE, EMBASE and the Cochrane Library with keywords “knee arthroplasty” and “return to sports” from inception to October 2020.
The primary outcome assessed was the time taken for RTS. The secondary outcomes were the percentage of patients who RTS and recorded validated patient-recorded outcome scores.
Results
UKA: A total of 10 studies were reviewed with a patient population of 730. The time taken to RTS was between 1 month and 24 months, 53.28% RTS within 3 months, 76.68% RTS within 6 months, by 24 months 91% had RTS.
TKA: A total of 9 studies Two studies with 148 patients demonstrated an overall pooled proportion of 18.7% (95% CI: 8.2% - 32.3%) of patients RTS at 3 months 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
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. In UKA at 6 months 76% RTS and by 24 months 91% RTS. These findings will enable more informed discussions and rehabilitation planning between patients and clinicians on return to physical activity following knee. arthroplasty