Abstract：
OBJECTIVE: Return to sport following undergoing total (TKA) and unicompartmental knee arthroplasty (UKA) has been researched with meta-analyses and systematic reviews of varying quality. The aim of this study is to create an umbrella review to consolidate the data into consensus guidelines for returning to sports following TKA and UKA.
METHODS: Systematic reviews and meta-analyses written between 2010 and 2020 were systematically searched. Studies were independently screened by two reviewers and methodology quality was assessed. Variables for analysis included objective classification of which sports are safe to participate in postoperatively, time to return to sport, prognostic indicators of returning, and reasons patients do not.
RESULTS: A total of 410 articles were found, including 58 duplicates. Seven articles meeting inclusion criteria reported that 34% to 100% of patients who underwent TKA or UKA were able to return to sports at 13 weeks and 12 weeks respectively, with UKA patients more likely to do so. Prior experience with the sport was the most significant prognostic indicator for return. These patients were likely to participate in low-impact sports, particularly walking, cycling, golf, and swimming. Moderate-impact sport participation, such as doubles tennis and skiing, may be considered on a case-by-case basis considering the patient\'s prior experience. There is insufficient long-term data on the risks to return to high-impact sport, such as decreased implant survivorship.
CONCLUSIONS: There is a consensus that patients can return to low-impact sports following TKA or UKA. Return to moderate-impact sport was dependent on a case-by-case basis, with emphasis on the patient\'s prior experience in the sport. Return to high-impact sports was not supported. Patients undergoing UKA return to sport one week sooner and with more success than TKA. Future studies are needed to assess long-term outcomes following return to high-impact sports to establish evidence-based recommendations. This review summarizes all available data for the most up-to-date and evidence-based guidelines for returning to sport following TKA and UKA to replace guidelines based on subjective physician survey data. Cite this article: Bone Jt Open 2022;3(3):245-251.
METHODS: Systematic reviews and meta-analyses written between 2010 and 2020 were systematically searched. Studies were independently screened by two reviewers and methodology quality was assessed. Variables for analysis included objective classification of which sports are safe to participate in postoperatively, time to return to sport, prognostic indicators of returning, and reasons patients do not.
RESULTS: A total of 410 articles were found, including 58 duplicates. Seven articles meeting inclusion criteria reported that 34% to 100% of patients who underwent TKA or UKA were able to return to sports at 13 weeks and 12 weeks respectively, with UKA patients more likely to do so. Prior experience with the sport was the most significant prognostic indicator for return. These patients were likely to participate in low-impact sports, particularly walking, cycling, golf, and swimming. Moderate-impact sport participation, such as doubles tennis and skiing, may be considered on a case-by-case basis considering the patient\'s prior experience. There is insufficient long-term data on the risks to return to high-impact sport, such as decreased implant survivorship.
CONCLUSIONS: There is a consensus that patients can return to low-impact sports following TKA or UKA. Return to moderate-impact sport was dependent on a case-by-case basis, with emphasis on the patient\'s prior experience in the sport. Return to high-impact sports was not supported. Patients undergoing UKA return to sport one week sooner and with more success than TKA. Future studies are needed to assess long-term outcomes following return to high-impact sports to establish evidence-based recommendations. This review summarizes all available data for the most up-to-date and evidence-based guidelines for returning to sport following TKA and UKA to replace guidelines based on subjective physician survey data. Cite this article: Bone Jt Open 2022;3(3):245-251.
摘要：
目的：通过荟萃分析和不同质量的系统评价，对接受全膝关节置换术（TKA）和单房室膝关节置换术（UKA）后恢复运动进行了研究。这项研究的目的是创建一个总括审查，以将数据合并为共识指南，以在TKA和UKA之后重返体育运动。
方法：系统地检索了2010年至2020年撰写的系统综述和荟萃分析。研究由两名评审员独立筛选，并评估方法学质量。用于分析的变量包括术后可以安全参与的运动的客观分类，回到运动的时间，返回的预后指标，以及患者不这样做的原因。
结果:共发现410篇文章,包括58个重复。符合纳入标准的七篇文章报道，接受TKA或UKA的患者中，有34％至100％分别能够在13周和12周恢复运动。UKA患者更有可能这样做。先前的运动经验是最重要的预后指标。这些患者可能参加低影响运动，尤其是走路,骑自行车,高尔夫,和游泳。中等影响力的体育参与，比如双打网球和滑雪，考虑到患者的先前经验，可以根据具体情况进行考虑。关于重返高影响力运动的风险的长期数据不足，如植入物存活率下降。
结论：有一个共识，即患者可以在TKA或UKA后恢复低影响运动。恢复中等影响运动取决于具体情况，强调患者先前在这项运动中的经验。不支持重返高影响力运动。接受UKA的患者比TKA早一周恢复运动，并且比TKA更成功。未来的研究需要评估回归高影响力运动后的长期结果，以建立基于证据的建议。这篇综述总结了最新和基于证据的指南的所有可用数据，这些指南用于在TKA和UKA之后重返运动，以取代基于主观医师调查数据的指南。引用这篇文章：BoneJtOpen2022；3（3）：245-251。
方法：系统地检索了2010年至2020年撰写的系统综述和荟萃分析。研究由两名评审员独立筛选，并评估方法学质量。用于分析的变量包括术后可以安全参与的运动的客观分类，回到运动的时间，返回的预后指标，以及患者不这样做的原因。
结果:共发现410篇文章,包括58个重复。符合纳入标准的七篇文章报道，接受TKA或UKA的患者中，有34％至100％分别能够在13周和12周恢复运动。UKA患者更有可能这样做。先前的运动经验是最重要的预后指标。这些患者可能参加低影响运动，尤其是走路,骑自行车,高尔夫,和游泳。中等影响力的体育参与，比如双打网球和滑雪，考虑到患者的先前经验，可以根据具体情况进行考虑。关于重返高影响力运动的风险的长期数据不足，如植入物存活率下降。
结论：有一个共识，即患者可以在TKA或UKA后恢复低影响运动。恢复中等影响运动取决于具体情况，强调患者先前在这项运动中的经验。不支持重返高影响力运动。接受UKA的患者比TKA早一周恢复运动，并且比TKA更成功。未来的研究需要评估回归高影响力运动后的长期结果，以建立基于证据的建议。这篇综述总结了最新和基于证据的指南的所有可用数据，这些指南用于在TKA和UKA之后重返运动，以取代基于主观医师调查数据的指南。引用这篇文章：BoneJtOpen2022；3（3）：245-251。
