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Sports and Knee Arthroplasty: How to Deal with the Extensor Mechanism

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Sports Injuries
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Abstract

A knee arthroplasty is commonly indicated to cure worn knees of the elderly. Its purpose is to obtain pain relief and better range of motion and, by doing so, regain an adequate mobility for the daily living. Nowadays, orthopedic surgeons are often confronted by sports activity demands of their patients. Walking, swimming, and biking are the most common sports which patients are allowed to perform after a total knee arthroplasty. But practicing golf, tennis, and skiing are also demanded and are among the expectations of the patients. The preservation and restoration of the extensor mechanism composed of patella and its lever arm, and the quadriceps muscle, is of upmost importance to respond to this type of high demand. Muscle atrophy and strength loss of quadriceps muscle are always present in an elderly arthritic knee which affects the functional capacity. In order to obtain results suiting the expectations of these high-demanding patients, special care should be given while operating the extensor mechanism and its rehabilitation needs a close follow-up.

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References

  • Agrawal M, Jain V, Yadav VP, Bhardwaj V (2011) Patellar resurfacing in total knee arthroplasty. J Clin Orthop Trauma 2:77–81

    Article  Google Scholar 

  • Bauman S, Williams D, Petruccelli D et al (2007) Physical activity after total joint replacement: a cross-sectional survey. Clin J Sport Med 17:104–108

    Article  PubMed  Google Scholar 

  • Bradbury N, Borton D, Spoo G et al (1998) Participation in sports after total knee replacement. Am J Sports Med 26:530–535

    CAS  PubMed  Google Scholar 

  • Calvisi V, Camillieri G, Lupparelli S (2009) Resurfacing versus nonresurfacing the patella in total knee arthroplasty: a critical appraisal of the available evidence. Arch Orthop Trauma Surg 129:1261–1270

    Article  PubMed  Google Scholar 

  • Chatterji U, Ashworth MJ, Lewis PL et al (2005) Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 75:405–408

    Article  PubMed  Google Scholar 

  • Cila E, Güzel V, Ozalay M et al (2002) Subvastus versus medial parapatellar approach in total knee arthroplasty. Arch Orthop Trauma Surg 122:65–68

    Article  PubMed  Google Scholar 

  • D’Lima DD, Steklov N, Patil S et al (2008) The Mark Coventry Award: in vivo knee forces during recreation and exercise after knee arthroplasty. Clin Orthop Relat Res 466:2605–2611

    Article  PubMed Central  PubMed  Google Scholar 

  • Fu Y, Wang G, Fu Q (2011) Patellar resurfacing in total knee arthroplasty for osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 19:1460–1466

    Article  PubMed  Google Scholar 

  • Garber CE, Blissmer B, Deschenes MR et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359

    Article  PubMed  Google Scholar 

  • Golant A, Christoforou DC, Slover JD et al (2010) Athletic participation after hip and knee arthroplasty. Bull NYU Hosp Jt Dis 68:76–83

    PubMed  Google Scholar 

  • Greene KA, Schurman JR 2nd (2008) Quadriceps muscle function in primary total knee arthroplasty. J Arthroplasty 23(7 Suppl):15–19

    Article  PubMed  Google Scholar 

  • Hamai S, Miura H, Higaki H et al (2008) Three-dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty. J Orthop Res 26:1556–1561

    Article  PubMed  Google Scholar 

  • He JY, Jiang LS, Dai LY (2011) Is patellar resurfacing superior than nonresurfacing in total knee arthroplasty? A meta-analysis of randomized trials. Knee 18:137–144

    Article  PubMed  Google Scholar 

  • Helmy N, Anglin C, Greidanus NV et al (2008) To resurface or not to resurface the patella in total knee arthroplasty. Clin Orthop Relat Res 466:2775–2783

    Article  PubMed Central  PubMed  Google Scholar 

  • Hopper GP, Leach WJ (2008) Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc 16:973–979

    Article  PubMed  Google Scholar 

  • Hurson C, Kashir A, Flavin R et al (2010) Routine patellar resurfacing using an inset patellar technique. Int Orthop 34:955–958

    Article  PubMed Central  PubMed  Google Scholar 

  • Jackson JD, Smith J, Shah JP et al (2009) Golf after total knee arthroplasty: do patients return to walking the course? Am J Sports Med 37:2201–2204

    Article  PubMed  Google Scholar 

  • Kuster MS, Spalinger E, Blanksby BA et al (2000) Endurance sports after total knee replacement: a biomechanical investigation. Med Sci Sports Exerc 32:721–724

    Article  CAS  PubMed  Google Scholar 

  • Mendes DG, Fraenkel P (2000) Patella or not? (Is the patella component the ‘Cinderella’ of total knee arthroplasty?). Knee 7:205–206

    Article  PubMed  Google Scholar 

  • Mizner RL, Petterson SC, Stevens JE et al (2005a) Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty. J Rheumatol 32:1533–1539

    PubMed  Google Scholar 

  • Mizner RL, Petterson SC, Stevens JE et al (2005b) Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am 87:1047–1053

    Article  PubMed Central  PubMed  Google Scholar 

  • Mont MA, Marker DR, Seyler TM et al (2008) High-impact sports after total knee arthroplasty. J Arthroplasty 23(6 Suppl 1):80–84

    Article  PubMed  Google Scholar 

  • Papalia R, Del Buono A, Zampogna B et al (2012) Sport activity following joint arthroplasty: a systematic review. Br Med Bull 101:81–103

    Article  PubMed  Google Scholar 

  • Petterson SC, Barrance P, Buchanan T et al (2008) Mechanisms underlying quadriceps weakness in knee osteoarthritis. Med Sci Sports Exerc 40:422–427

    Article  PubMed Central  PubMed  Google Scholar 

  • Ranawat AS, Ranawat CS, Slamin JE et al (2006) Patellar crepitation in the P.F.C. sigma total knee system. Orthopedics 29:S68–S70

    PubMed  Google Scholar 

  • Rosenstein AD, Postak PD, Greenwald AS (2007) Fixation strength comparison of onlay and inset patellar implants. Knee 14:194–197

    Article  PubMed  Google Scholar 

  • Saleh KJ, Lee LW, Gandhi R et al (2010) Quadriceps strength in relation to total knee arthroplasty outcomes. Instr Course Lect 59:119–130

    PubMed  Google Scholar 

  • Schindler OS (2012) Basic kinematics and biomechanics of the patellofemoral joint part 2: the patella in total knee arthroplasty. Acta Orthop Belg 78:11–29

    PubMed  Google Scholar 

  • Schindler OS, Scott WN (2011) Basic kinematics and biomechanics of the patello-femoral joint. Part 1: the native patella. Acta Orthop Belg 77:421–431

    PubMed  Google Scholar 

  • Stevens JE, Mizner RL, Snyder-Mackler L (2003) Quadriceps strength and volitional activation before and after total knee arthroplasty for osteoarthritis. J Orthop Res 21:775–779

    Article  PubMed  Google Scholar 

  • Swanson EA, Schmalzried TP, Dorey FJ (2009) Activity recommendations after total hip and knee arthroplasty: a survey of the American Association for Hip and Knee Surgeons. J Arthroplasty 24:120–126

    Article  PubMed  Google Scholar 

  • Vogel LA, Carotenuto G, Basti JJ et al (2011) Physical activity after total joint arthroplasty. Sports Health 3:441–450

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Elcil Kaya Bicer .

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Bicer, E.K., Sur, H. (2014). Sports and Knee Arthroplasty: How to Deal with the Extensor Mechanism. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_200-1

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  • DOI: https://doi.org/10.1007/978-3-642-36801-1_200-1

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  • Online ISBN: 978-3-642-36801-1

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