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Updated: Jul 16, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Climbing After Lower Limb Joint Replacement.

Holly Warder¹, Timothy Halsey², Jeremy S Windsor³

¹Department of Trauma and Orthopaedics, Sheffield Teaching Hospitals, Sheffield, UK.

Wilderness & Environmental Medicine

|July 15, 2026

Summary

Climbing after lower limb joint replacement is possible, but many individuals do not return to their pre-surgery performance levels. Further research is needed to understand these outcomes for hip and knee replacement patients.

Keywords:

climbing injuries orthopaedic injuries wilderness education

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Last Updated: Jul 16, 2026

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Early Weight-Bearing Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

Area of Science:

Orthopedic Surgery
Sports Medicine
Rehabilitation Science

Background:

Lower limb joint replacement is common, yet its impact on climbers returning to sport is unstudied.
Understanding post-operative climbing performance is crucial for patient recovery and return to activity.

Purpose of the Study:

To assess self-reported return to climbing after hip, knee, or hip and knee replacement.
To identify factors influencing climbing performance post-joint replacement.

Main Methods:

Online questionnaire distributed to UK climbers and mountaineers who underwent lower limb joint replacement.
Collected data on demographics, joint replacement details, and climbing ability scores pre- and post-surgery (3, 6, 12 months).

Main Results:

Participants reported significant drops in climbing scores at 3 months post-surgery (P<0.05).
While scores improved over time, they did not consistently reach pre-surgery levels.
Post-operative Oxford Hip/Knee Scores and physical performance measures showed varied but generally positive outcomes.

Conclusions:

Return to climbing post-lower limb joint replacement is feasible.
A significant portion of climbers do not regain their previous climbing ability.
Further investigation is required to identify barriers and potential interventions for returning climbers.