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Meta-Analysis
. 2017 Nov;47(11):2219-2244.
doi: 10.1007/s40279-017-0726-y.

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

Alexander Hoorntje  1   2 , Suzanne Witjes  1   2 , P Paul F M Kuijer  3 , Koen L M Koenraadt  1 , Rutger C I van Geenen  1 , Joost G Daams  4 , Alan Getgood  5 , Gino M M J Kerkhoffs  6
Affiliations
Meta-Analysis

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

Alexander Hoorntje et al. Sports Med. 2017 Nov.

Abstract

Background: Knee osteotomies are proven treatment options, especially in younger patients with unicompartmental knee osteoarthritis, for certain cases of chronic knee instability, or as concomitant treatment for meniscal repair or transplantation surgery. Presumably, these patients wish to stay active. Data on whether these patients return to sport (RTS) activities and return to work (RTW) are scarce.

Objectives: Our aim was to systematically review (1) the extent to which patients can RTS and RTW after knee osteotomy and (2) the time to RTS and RTW.

Methods: We systematically searched the MEDLINE and Embase databases. Two authors screened and extracted data, including patient demographics, surgical technique, pre- and postoperative sports and work activities, and confounding factors. Two authors assessed methodological quality. Data on pre- and postoperative participation in sports and work were pooled.

Results: We included 26 studies, involving 1321 patients (69% male). Mean age varied between 27 and 62 years, and mean follow-up was 4.8 years. The overall risk of bias was low in seven studies, moderate in ten studies, and high in nine studies. RTS was reported in 18 studies and mean RTS was 85%. Reported RTS in studies with a low risk of bias was 82%. No studies reported time to RTS. RTW was reported in 14 studies; mean RTW was 85%. Reported RTW in studies with a low risk of bias was 80%. Time to RTW varied from 10 to 22 weeks. Lastly, only 15 studies adjusted for confounders.

Conclusion: Eight out of ten patients returned to sport and work after knee osteotomy. No data were available on time to RTS. A trend toward performing lower-impact sports was observed. Time to RTW varied from 10 to 22 weeks, and almost all patients returned to the same or a higher workload.

Keywords: Electronic Supplementary Material Appendix; High Tibial Osteotomy; International Knee Documentation Committee Score; Lysholm Score; Meniscal Allograft Transplantation.

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Conflict of interest statement

Funding

No sources of funding were used to assist in the preparation of this article.

Conflict of interest

Alan Getgood has received research Grant support from SBM Inc. and consulting fees from Depuy Synthes in regards to osteotomy teaching. Alexander Hoorntje, Suzanne Witjes, Paul Kuijer, Koen Koenraadt, Rutger van Geenen, Joost Daams, and Gino Kerkhoffs have no potential conflicts of interest relevant to the content of this review.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram
See this image and copyright information in PMC

References

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