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- Title
Sport po totální náhradě kolenního a kyčelniho kloubu.
- Authors
Waciakowski, Daniel; Karpaš, Karel; Urban, Karel; Barták, Karel
- Abstract
After big joints arthroplasty some patients wish not only to have general functions restored, but also the opportunity to return to high levels of activity. The aim of our study was to find risks for and negative influences on the prosthesis during intensive sport activity. Generally, low-impact sports are recommended. High-impact sports can lead to implant failure. Endoprosthesis is not designed for repeated stress overloading. An analysis of 36 patients (average 5,8 years after surgery) who regularly practice sport branch 2-3 times a week was conducted. This group consists of 15 total hip replacements and 21 total knee replacements. In group of hip arthroplasty there were 3 cyclists with fractures as a result of fall (2× periprosthetic fractures of femur, 1× fracture of the distal radius), no luxation of the hip implant was recorded. In group of knee arthroplasties was skier with collateral ligament distension due to fall, runner with anterior knee pain because of patellar osteofytes and lateralization, and tennis player with knee endoprosthesis loosening 8 years after implantation. Through one loosening it is difficult to give practical expression to long-term survivorship of arthroplasty caused by small group of patients and relatively short-term follow up. After big joint replacement, patients may improve aerobic capacity through sport, but for long term survivorship low-impact sport is more acceptable. Cycling is considered as low-impact sport, but there is real risk of injury because of falling. Sports with risk of falling should be recommended individually according abilities, age and skills of the patients. Regularly follow up of the arthroplasty is necessary.
- Subjects
ARTHROPLASTY; JOINT surgery; SPORTS safety; TOTAL hip replacement; KNEE injuries; AEROBIC capacity; TREATMENT of fractures; SPORTS medicine; PATIENTS
- Publication
Medicina Sportiva Bohemica et Slovaca, 2009, Vol 18, Issue 1, p16
- ISSN
1210-5481
- Publication type
Article