ArticleActa orthopaedica2019
Predictors of return to desired activity 12 months following unicompartmental and total knee arthroplasty.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- How Likely Do Patients After Total Knee Arthroplasty with a Posterior-Stabilized Knee System Meet Their Desired Sport Activity Level?Journal of clinical medicine · 2026Article
- Most active patients return to the same or higher level of daily and recreational practice following unicompartmental knee arthroplasty.Frontiers in sports and active living · 2026Article
- Sport participation after unicompartmental knee arthroplasty: High return rates independent of implant design or technique, a systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- [Functional outcomes and return to sports, work, and daily activities after revision UKA compared to primary UKA and TKA].Orthopadie (Heidelberg, Germany) · 2024Article
- Predictors for activity following total and unicompartmental knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Return to Sport After Hip and Knee Arthroplasty: Counseling the Patient on Resuming an Active Lifestyle.Current reviews in musculoskeletal medicine · 2023Review
- No difference in sports participation and patient-reported functional outcomes between total knee arthroplasty and unicompartmental knee arthroplasty at minimum 2-year follow-up in a matched control study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Measurement properties of PROMIS short forms for pain and function in patients receiving knee arthroplasty.Journal of patient-reported outcomes · 2023Article
- Different squatting positions after total knee arthroplasty: A retrospective study.World journal of clinical cases · 2022Article
- Similar rates of return to sports and BMI reduction regardless of age, gender and preoperative BMI as seen in matched cohort of hypoallergenic and standard Cobalt Chromium medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- No difference in return to amateur sports after medial and lateral unicompartmental knee arthroplasty in patients younger than 65 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Posterior condylar offset and posterior tibial slope targets to optimize knee flexion after unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Better short-term function after unicompartmental compared to total knee arthroplasty.BMC musculoskeletal disorders · 2021Observational
- Article
- Return to Sport Activity in the Elderly Patients after Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2020Review
- [Research progress in unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Development of a multivariable prediction model for early revision of total knee arthroplasty - The effect of including patient-reported outcome measures.Journal of orthopaedicsArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - 1 in 5 patients are dissatisfied following unicompartmental or total knee arthroplasty (UKA or TKA). This may be partly explained by failing to return to desired activity post-arthroplasty. To facilitate return to desired activity, a greater understanding of predictors of return to desired activity in UKA and TKA patients is needed. We compared rates of return to desired activity 12 months following UKA vs. TKA, and identified and compared predictors of return to desired activity 12 months following UKA vs. TKA. Patients and methods - Patients were prospectively recruited from 2 hospitals prior to undergoing UKA or primary TKA. Patients reported preoperatively the activity/activities that were limited due to their knee that they wished to return to after arthroplasty. At 12-months postoperatively, patients reported whether they had returned to these activities ('return to desired activity'). Preoperative predictors evaluated were age, sex, BMI, education, comorbidities, pain expectations, Oxford Knee Score (OKS), UCLA Activity Score, and EQ-5D. Generalized linear models assessed the relationship between potential predictors and return-to-desired-activity. Results - The response rate of all patients eligible for 12-month follow-up was 74%. TKA patients (n = 575) were older (mean (SD) 70 (9) vs. 67 (10)) with a greater BMI (31 (6) vs. 30 (5)) than patients undergoing UKA (n = 420). 75% of UKA and 59% of TKA patients returned to desired activity. TKA patients had a greater risk of non-return to desired activity than patients undergoing UKA (risk ratio (95% CI) 1.5 (1.2-1.8)). Predictors of non-return to desired activity following UKA were worse OKS (0.96 (0.93-0.99)), higher BMI (1.04 (1.01-1.08)), and worse expectations (1.9 (1.2-2.8)). Predictors of non-return to desired activity following TKA were worse EQ-5D (0.53 (0.33-0.85)) and worse OKS (0.98 (0.96-1.0)). Interpretation - UKA patients were more likely to return to desired activity than TKA patients. Predictors of return to desired activity differed following UKA and TKA. Optimizing selection of arthroplasty procedure based on patient characteristics and targeting predictors of poor outcome may facilitate return to desired activity with potential to enhance postoperative satisfaction.
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