Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 12, pp 2889–2894 | Cite as

Return to judo after joint replacement

  • Nicolas Lefevre
  • Didier Rousseau
  • Yoann Bohu
  • Shahnaz Klouche
  • Serge Herman
Sports Medicine



The main purpose of this study was to investigate whether judo could be practised after joint replacement.


Two hundred and twelve questionnaires were sent to Judokas licensed at the French Judo Federation, over the age of 60, with at least a black belt 6th Dan. Out of 83 responses, 38 individuals, mean age 72.8 ± 7.9 years old, had at least one implant. The survey identified 36 total hip arthroplasties (THA) in 27 patients, 10 total knee arthroplasties (TKA) in 8 patients and 3 total shoulder arthroplasties (TSA) in 3 patients. The main evaluation criterion was the return to judo after joint replacement. Secondary criteria were the level of judo after surgery, rate of surgical revision at the final follow-up and the level of patient satisfaction.


Twenty-nine out of 38 patients who underwent joint replacement returned to judo practice (76.3 %) a mean 4.1 ± 2.9 months after surgery. On the other hand, all patients stopped competitive judo. The surgeon recommended 65.8 % of these patients to stop practising judo. There were 2 surgical revisions in the THA group (5.5 %) for loosening at 6 and 9 years of follow-up. No dislocations or fractures were reported at the final follow-up. Thirty-two patients (84.2 %) were satisfied with their implant.


The practice of judo does not seem to be limited by joint replacement. A clinical and radiological study should be performed to confirm these results.

Level of evidence

Case series with no comparison group, Level IV.


Total hip arthroplasty Total knee arthroplasty Total shoulder arthroplasty Judo Return to sport 



The authors thank the French Judo Federation as well as Mathieu Pinet for his illustrations.


  1. 1.
    Bradbury N, Borton D, Spoo G et al (1998) Participation in sports after total knee replacement. Am J Sports Med 26:530–535PubMedGoogle Scholar
  2. 2.
    Chandler HP, Reineck FT, Wixson RL et al (1981) Total hip replacement in patients younger than thirty years old. A five-year follow-up study. J Bone Joint Surg (Am) 63:1426–1434Google Scholar
  3. 3.
    Chatterji U, Ashworth MJ, Lewis PL et al (2004) Effect of total hip arthroplasty on recreational and sporting activity. ANZ J Surg 74:446–449PubMedCrossRefGoogle Scholar
  4. 4.
    Dahm DL, Barnes SA, Harrington JR et al (2008) Patient-reported activity level after total knee arthroplasty. J Arthroplasty 23:401–407PubMedCrossRefGoogle Scholar
  5. 5.
    Dubs L, Gschwend N, Munzinger U (1983) Sport after total hip arthroplasty. Arch Orthop Trauma Surg 101:161–169PubMedCrossRefGoogle Scholar
  6. 6.
    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 43:1334–1359PubMedCrossRefGoogle Scholar
  7. 7.
    Jensen KL, Rockwood CA (1998) Shoulder arthroplasty in recreational golfers. J Shoulder Elbow Surg 7:362–367PubMedCrossRefGoogle Scholar
  8. 8.
    Kilgus DJ, Dorey FJ, Finerman GA et al (1991) Patient activity, sports participation, and impact loading on the durability of cemented total hip replacements. Clin Orthop Relat Res 269:25–31PubMedGoogle Scholar
  9. 9.
    Klein GR, Levine BR, Hozack WJ et al (2007) Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip society and American association of hip and knee surgeons. J Arthroplasty 22:171–175PubMedCrossRefGoogle Scholar
  10. 10.
    Kujala UM, Taimela S, Antti-Poika I et al (1995) Acute injuries in soccer, ice hockey, volleyball, basketball, judo, and karate: analysis of national registry data. BMJ 311:1465–1468PubMedCrossRefGoogle Scholar
  11. 11.
    Kurtz S, Ong K, Lau E et al (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89(4):780–785PubMedCrossRefGoogle Scholar
  12. 12.
    Laupacis A, Bourne R, Rorabeck C et al (1993) The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg (Am) 75:1619–1626Google Scholar
  13. 13.
    Magnussen RA, Mallon WJ, Willems WJ et al (2011) Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons. J Shoulder Elbow Surg 20:281–289PubMedCrossRefGoogle Scholar
  14. 14.
    Mallon WJ, Callaghan JJ (1992) Total hip arthroplasty in active golfers. J Arthroplasty 7:339–346PubMedCrossRefGoogle Scholar
  15. 15.
    Mallon WJ, Callaghan JJ (1993) Total knee arthroplasty in active golfers. J Arthroplasty 8:299–306PubMedCrossRefGoogle Scholar
  16. 16.
    McCarty EC, Marx RG, Maerz D et al (2008) Sports participation after shoulder replacement surgery. Am J Sports Med 36:1577–1581PubMedCrossRefGoogle Scholar
  17. 17.
    McGrory BJ, Stuart MJ, Sim FH (1995) Participation in sports after hip and knee arthroplasty: review of literature and survey of surgeon preferences. Mayo Clin Proc 70:342–348PubMedCrossRefGoogle Scholar
  18. 18.
    Mont MA, LaPorte DM, Mullick T et al (1999) Tennis after total hip arthroplasty. Am J Sports Med 27:60–64PubMedGoogle Scholar
  19. 19.
    Mont MA, Rajadhyaksha AD, Marxen JL et al (2002) Tennis after total knee arthroplasty. Am J Sports Med 30:163–166PubMedGoogle Scholar
  20. 20.
    Ries MD, Philbin EF, Groff GD et al (1996) Improvement in cardiovascular fitness after total knee arthroplasty. J Bone Joint Surg (Am) 78:1696–1701Google Scholar
  21. 21.
    Ries MD, Philbin EF, Groff GD et al (1998) Effect of total hip arthroplasty on cardiovascular fitness. J Arthroplasty 12:84–90CrossRefGoogle Scholar
  22. 22.
    Ritter MA, Albohm MJ, Keating EM et al (1998) Life expectancy after total hip arthroplasty. J Arthroplasty 13:874–875PubMedCrossRefGoogle Scholar
  23. 23.
    Roder C, Staub LP, Eggli S et al (2007) Influence of preoperative functional status on outcome after total hip arthroplasty. J Bone Joint Surg (Am) 89:11–17CrossRefGoogle Scholar
  24. 24.
    Scherer A (2009) Nombre d’actes réalisés en France en 2008 en chirurgie orthopédique. Agence Technique de l’Information sur l’Hospitalisation (ATIH) 10 juin 2009 analyse des actes CCAM du PMSI. BOF 65:7–8Google Scholar
  25. 25.
    Seyler TM, Mont MA, Ragland PS et al (2006) Sports activity after total hip and knee arthroplasty: specific recommendations concerning tennis. Sports Med 36:571–583PubMedCrossRefGoogle Scholar
  26. 26.
    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 24:120–126PubMedCrossRefGoogle Scholar
  27. 27.
    Tveit M, Rosengren BE, Nilsson JK et al (2012) Former male elite athletes have a higher prevalence of osteoarthritis and arthroplasty in the hip and knee than expected. Am J Sports Med 40:527–533PubMedCrossRefGoogle Scholar
  28. 28.
    Visuri T, Honkanen R (1980) Total hip replacement: Its influence on spontaneous recreation exercise habits. Arch Phys Med Rehabil 61:325–328PubMedGoogle Scholar
  29. 29.
    Weiss JM, Noble PC, Conditt MA et al (2002) What functional activities are important to patients with knee replacements? Clin Orthop Relat Res 404:172–188PubMedCrossRefGoogle Scholar
  30. 30.
    Williams DH, Greidanus NV, Masri BA et al (2012) Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res 470:555–561PubMedCrossRefGoogle Scholar
  31. 31.
    Wylde V, Blom A, Dieppe P et al (2008) Return to sport after joint replacement. J Bone Joint Surg Br 90:920–923PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Nicolas Lefevre
    • 1
    • 3
  • Didier Rousseau
    • 1
    • 2
  • Yoann Bohu
    • 1
    • 3
  • Shahnaz Klouche
    • 3
  • Serge Herman
    • 1
    • 3
  1. 1.Institut NolletParisFrance
  2. 2.Fédération Française de JudoInstitut du JudoParisFrance
  3. 3.Clinique du Sport Paris VParisFrance

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