Abstract
Background
Currently, there are little data on performance, safety, or return to downhill skiing
after total joint arthroplasty (TJA). This leaves surgeons with little information
for patient counseling regarding skiing.
Methods
An online survey was sent to 4360 patients who had undergone at least 1 primary TJA
at a single academic center over the past 10 years (4 surgeons). The survey asked
patients about their prior and current skiing activity including ability level, limitations,
and reoperations. Demographics, patient-reported outcomes, and reoperations were also
captured through chart review. Chi-squared, analysis of variance, and t-tests were used to compare demographics and outcomes. Paired t-tests were used to compare preoperative and postoperative skiing levels.
Results
Of the 763 survey respondents, the average follow-up was 4.4 years (range 0.5-10.3).
In total, 35.6% had never skied, 26.5% had not skied in the 5 years prior to surgery
(remote), and 37.9% had skied in the 5 years prior to surgery (recent). Seventy percent
of recent skiers returned to skiing after surgery, compared to 11.9% of remote skiers.
The majority of skiers, mostly advanced, returned to their prior level. There was
no difference in return rates in those with a single total hip arthroplasty vs total
knee arthroplasty vs multiple TJAs. Rates of reoperation were not significantly different
between patients who did and did not return to skiing.
Conclusion
The majority of recent skiers were able to return to skiing after TJA at their same
level without an increase in reoperation rate. Further studies are needed to determine
long-term consequences of skiing after TJA.
Keywords
Abbreviation used:
TKA (Total Knee Arthroplasty), THA (Total Hip Arthroplasty), UKA (Unicompartmental Knee Arthroplasty), TJA (Total Joint Arthroplasty)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 10, 2021
Accepted:
December 6,
2021
Received in revised form:
December 2,
2021
Received:
August 18,
2021
Footnotes
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to https://doi.org/10.1016/j.arth.2021.12.002.
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