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Related Concept Videos

Knee Joint01:23

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Influence of Pelvic Tilt and Bone Morphology on Extra-Articular Bony Impingement in Total Hip Arthroplasty.

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Return to Cycling After Total Joint Arthroplasty.

Adam S Driesman1, Roseann M Johnson1, Charlie C Yang1

  • 1Colorado Joint Replacement, Denver, Colorado.

The Journal of Arthroplasty
|May 20, 2024
PubMed
Summary

Most patients return to cycling after total joint arthroplasty (TJA), with revision TJA patients showing lower rates. Returning to cycling does not increase revision risk, aiding patient counseling.

Keywords:
bikingcyclingsporttotal hip arthroplastytotal knee arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Sports Medicine

Background:

  • Total joint arthroplasty (TJA) is increasingly performed in younger patients with higher activity expectations.
  • Accurate counseling on post-TJA return to cycling is essential for managing patient expectations.

Purpose of the Study:

  • To determine the rate of return to cycling after TJA.
  • To assess factors influencing return to cycling, including surgery type.
  • To evaluate the safety of returning to cycling post-TJA.

Main Methods:

  • An online survey was administered to TJA patients with at least 3 months of follow-up.
  • Patients were categorized by surgery type: single total hip arthroplasty (THA), single total knee arthroplasty (TKA), multiple TJA, and revision TJA.
  • Return to cycling rates and timing were analyzed based on surgery type and patient history.

Main Results:

  • Nearly all surveyed patients (94%) who cycled pre-surgery returned to cycling.
  • Most patients returned to their previous cycling level within 3-6 months.
  • Revision TJA patients had significantly lower return-to-cycling rates (37.3%) compared to single TKA (60.3%), single THA (61.9%), and multi-TJA (60.3%).
  • Patients not returning to cycling had higher revision rates (14.4%) than those who did (9.2%).

Conclusions:

  • A high proportion of TJA patients successfully return to cycling, typically within 3-6 months.
  • Revision TJA is associated with lower return-to-cycling rates.
  • Returning to cycling post-TJA is safe and does not increase the risk of revision surgery.