Sports activities 5 years after total knee or hip arthroplasty:: the Ulm Osteoarthritis Study
Sports activities 5 years after total knee or hip arthroplasty:: the Ulm Osteoarthritis Study
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DOI：
10.1136/ard.2004.033266
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发表时间：
2005-12-01
影响因子：
27.4
通讯作者：
Günther, KP
中科院分区：
文献类型：
--
作者：
Huch, K;Müller, KAC;Günther, KP
目的：分析髋关节或膝关节骨性关节炎（OA）患者终生、术前和关节置换术后5年的运动活动情况。方法：在一项纵向四中心研究中，招募了809名76岁以下需要全关节置换术的髋关节（420）或膝关节（389）晚期OA患者。809例患者中有636例（79%）完成了5年随访时的体育活动问卷。结果：尽管大多数髋关节OA患者（97%）和膝关节OA患者（94%）在其一生中进行过体育活动，但只有36%（髋关节患者）和42%（膝关节患者）在手术时保持体育活动。术后5年，髋关节OA患者进行体育活动的比例增加到52%，而膝关节OA患者进行体育活动的比例进一步下降到34%。相应地，髋关节骨性关节炎患者每周运动时间超过2小时的比例从8%增加到14%，而膝关节骨性关节炎患者的这一比例从12%下降到5%。髋骨关节炎患者中有9%的人报告更换关节疼痛，而膝关节OA患者中有16%的人报告更换关节疼痛。结论：关节置换术后5年疼痛的差异可能解释了髋关节和膝关节OA患者运动活动的一些差异。减少体育活动的原因可能包括患者年龄的增长，他们对“人工关节”的担忧，以及他们的外科医生的建议要小心。
Objective: To analyse sports activities of patients with hip or knee osteoarthritis ( OA) over lifetime, preoperatively, and 5 years after arthroplasty.Methods: In a longitudinal four centre study, 809 consecutive patients with advanced OA of the hip (420) or the knee (389) joint under the age of 76 years who required total joint replacement were recruited. A completed questionnaire about sports activities at 5 year follow up was received from 636 (79%) of the 809 patients.Results: Although most patients with hip (97%) and knee (94%) OA had performed sports activities during their life, only 36% (hip patients) and 42% (knee patients) had maintained sports activities at the time of surgery. Five years postoperatively, the proportion of patients performing sports activities increased to 52% among patients with hip OA, but further declined to 34% among those with knee OA. Accordingly, the proportion of patients with hip OA performing sports activities for more than 2 hours a week increased from 8 to 14%, whereas this proportion decreased from 12 to 5% among patients with knee OA. Pain in the replaced joint was reported by 9% of patients with hip and by > 16% with knee OA.Conclusion: Differences in pain 5 years after joint replacement may explain some of the difference of sports activities between patients with hip and knee OA. Reasons for reduction of sports activities may include the increasing age of the patients, their worries about an "artificial joint'', and the advice of their surgeon to be cautious.