PURPOSE: The possibility to return to sporting activity can be an important consideration in the decision-making process in femorotibial osteoarthritis. We analyzed functional outcomes and sport participation in a continuous series of HTO and asked whether this procedure could match expectations in active and motivated patients. METHODS: We retrospectively investigated activities, sports participation, and the level of satisfaction in 139 patients with unilateral noncomplicated HTO. The study included 41 women and 98 men with a mean age of 59 years and a mean 50 months of follow-up. RESULTS: Eighty-seven patients (63%) reported that their knee was "normal," and eighty-six patients (62%) felt that their activities were limited by their knee. A total of 78 patients (56%) reported that they were as active as they expected to be before the intervention. Of these patients, 98% were satisfied. Of the patients who were not as active as they thought they would be, 51% were satisfied (P < 0.0001). The duration of preoperative pain, the age at evaluation, and the number of previous surgeries did not influence the subjective result. Among patients under 75 years, 28% regularly participated in strenuous sports, but 40% were motivated for these activities. 66% of the motivated patients regularly participated in at least one impact sport. CONCLUSION: This study shows that young motivated patients are able to resume strenuous activities following HTO. However, patients must be informed that they will typically not recover their pre-pathology level and that residual pain during strenuous sports is not exceptional. LEVEL OF EVIDENCE: Therapeutic study, Level IV.
PURPOSE: The possibility to return to sporting activity can be an important consideration in the decision-making process in femorotibial osteoarthritis. We analyzed functional outcomes and sport participation in a continuous series of HTO and asked whether this procedure could match expectations in active and motivated patients. METHODS: We retrospectively investigated activities, sports participation, and the level of satisfaction in 139 patients with unilateral noncomplicated HTO. The study included 41 women and 98 men with a mean age of 59 years and a mean 50 months of follow-up. RESULTS: Eighty-seven patients (63%) reported that their knee was "normal," and eighty-six patients (62%) felt that their activities were limited by their knee. A total of 78 patients (56%) reported that they were as active as they expected to be before the intervention. Of these patients, 98% were satisfied. Of the patients who were not as active as they thought they would be, 51% were satisfied (P < 0.0001). The duration of preoperative pain, the age at evaluation, and the number of previous surgeries did not influence the subjective result. Among patients under 75 years, 28% regularly participated in strenuous sports, but 40% were motivated for these activities. 66% of the motivated patients regularly participated in at least one impact sport. CONCLUSION: This study shows that young motivated patients are able to resume strenuous activities following HTO. However, patients must be informed that they will typically not recover their pre-pathology level and that residual pain during strenuous sports is not exceptional. LEVEL OF EVIDENCE: Therapeutic study, Level IV.
Authors: Jennifer M Weiss; Philip C Noble; Michael A Conditt; Harold W Kohl; Seth Roberts; Karon F Cook; Michael J Gordon; Kenneth B Mathis Journal: Clin Orthop Relat Res Date: 2002-11 Impact factor: 4.176
Authors: T P Schmalzried; E F Shepherd; F J Dorey; W O Jackson; M dela Rosa; F Fa'vae; H A McKellop; C D McClung; J Martell; J R Moreland; H C Amstutz Journal: Clin Orthop Relat Res Date: 2000-12 Impact factor: 4.176
Authors: Michel Bonnin; J R Laurent; S Parratte; F Zadegan; R Badet; A Bissery Journal: Knee Surg Sports Traumatol Arthrosc Date: 2009-12-24 Impact factor: 4.342
Authors: Philipp Minzlaff; Matthias J Feucht; Tim Saier; Matthias Cotic; Johannes E Plath; Andreas B Imhoff; Stefan Hinterwimmer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-12-07 Impact factor: 4.342