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KMID : 0950120120110010051
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Jouranl of Korean Orthopaedic Sports Medicine
2012 Volume.11 No. 1 p.51 ~ p.56
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Golf activity after total knee arthroplasty
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Kim Hyeung-June
Cha Seung-Han
Nam Kyoung-Mo
Kim Dong-Heon
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Abstract
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Purpose: Golf is a popular sports activity after total knee arthroplasty in old age patients. We evaluated golf and implant loosening through the radiologic method. We also evaluated correlation of patterns of golf activity and clinical outcome to suggest guidelines to the patients.
Materials and Methods: We carried out a retrospective case-control study of 80 patients (80 knees) who underwent TKR between 2005 and 2008, and followed up more than 3 years. We divided patients who played golf after TKR as a study group and who did not participate sports activities as a
control group. We calculated the sum of width of radiolucent line in 7 sections around femoral component,7 sections around tibial components and 5 sections in patella component using American Knee Society Roentgenographic Evaluation and Scoring system respectively. The inclusion criteria,
was BMI (body mass index) was between 25 and 30 kg/m2 , and UCLA activity-level rating System score was between 5 and 8.
We also got the information of patients’ patterns of golf activities such as 1. the interval from surgery to return to golf activity. 2. the frequency of golf activities 3. using spike or cart. We obtained the information from patient’s questionnaire and telephone interview. We compared with the VAS (visual analogue scale) respectively. And handicaps and driving distance was evaluated as well.
Results: The study group’s mean sum of radiologic score was 0.84 mm and 0.69 mm in control group. This is not statistically significant (p=0.22). Too early returning to golf (p=0.01) and left knee replacement (p<0.01) were statistically significant factors affecting clinical outcomes of golf activities after total knee arthroplasty.
Conclusion: We concluded that golf activities after total knee arthroplasty is not correlated with radiographic loosening, and we need to give an explanation to the patients about increased pain when returing to golf too early and left side arthroplasties.
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KEYWORD
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Total knee arthroplasty, Golf
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