ArticleBone & joint open2022
Return to sport post-knee arthroplasty : an umbrella review for consensus guidelines.
Article in Bone & joint open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- High rate of return to low-impact physical activity or sports after total and unicompartmental knee arthroplasty: A systematic review with meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Returning to running after total knee arthroplasty: a systematic review and a novel multimodal protocol.Musculoskeletal surgery · 2025Pooled it
- Return to sports after lumbar disc herniation surgery: a survey of German surgeons and postoperative patient experiences.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Major discrepancies in recommendations regarding long-term activity restrictions following knee replacement: a survey among Swedish physiotherapists.BMC musculoskeletal disorders · 2026Article
- 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
- 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
- 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
- Why do patients not return to sports or work after anatomical or reverse total shoulder arthroplasty? A systematic review and meta-analysis.JSES international · 2025Review
- Return to sport after total knee arthroplasty: an Australian perspective.Archives of orthopaedic and trauma surgery · 2025Article
- Patients with Robotic Arm-Assisted Medial Unicompartmental Knee Arthroplasty (mUKA) Regain Their Preoperative Activity Level Two Weeks Earlier Compared to Robotic Arm-Assisted Kinematically Aligned Total Knee Arthroplasty (rKA-TKA).Sensors (Basel, Switzerland) · 2025Article
- Are Current Patient-Reported Outcome Measures Fit for Purpose to Evaluate Unicompartmental Knee Arthroplasty?Journal of clinical medicine · 2025Review
- [Return to activity and return to sports after total knee replacement].Orthopadie (Heidelberg, Germany) · 2024Article
- Understanding the impact of physical activity level and sports participation on implant integrity and failure in patients following unicompartmental and total knee arthroplasty: A scoping review.Osteoarthritis and cartilage open · 2024Article
- Return to athletics after total knee arthroplasty: a survey study of 784 recreational athletes across 12 sports.Archives of orthopaedic and trauma surgery · 2024Article
- Eight of ten patients return to daily activities, work, and sports after total knee arthroplasty.World journal of orthopedics · 2024Article
- Concurrent Force Feedback on Load Symmetry in Total Knee Arthroplasty Patients.International journal of sports physical therapy · 2023Article
- Stretching the postoperative limits in knee and hip arthroplasty: restrictions and traditions?Acta orthopaedica · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsReturn to sport following undergoing total (TKA) and unicompartmental knee arthroplasty (UKA) has been researched with meta-analyses and systematic reviews of varying quality. The aim of this study is to create an umbrella review to consolidate the data into consensus guidelines for returning to sports following TKA and UKA.
methodsSystematic reviews and meta-analyses written between 2010 and 2020 were systematically searched. Studies were independently screened by two reviewers and methodology quality was assessed. Variables for analysis included objective classification of which sports are safe to participate in postoperatively, time to return to sport, prognostic indicators of returning, and reasons patients do not.
resultsA total of 410 articles were found, including 58 duplicates. Seven articles meeting inclusion criteria reported that 34% to 100% of patients who underwent TKA or UKA were able to return to sports at 13 weeks and 12 weeks respectively, with UKA patients more likely to do so. Prior experience with the sport was the most significant prognostic indicator for return. These patients were likely to participate in low-impact sports, particularly walking, cycling, golf, and swimming. Moderate-impact sport participation, such as doubles tennis and skiing, may be considered on a case-by-case basis considering the patient's prior experience. There is insufficient long-term data on the risks to return to high-impact sport, such as decreased implant survivorship.
conclusionThere is a consensus that patients can return to low-impact sports following TKA or UKA. Return to moderate-impact sport was dependent on a case-by-case basis, with emphasis on the patient's prior experience in the sport. Return to high-impact sports was not supported. Patients undergoing UKA return to sport one week sooner and with more success than TKA. Future studies are needed to assess long-term outcomes following return to high-impact sports to establish evidence-based recommendations. This review summarizes all available data for the most up-to-date and evidence-based guidelines for returning to sport following TKA and UKA to replace guidelines based on subjective physician survey data. Cite this article:
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