TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS

A Lakdawala; J Ireland

doi:10.1302/0301-620X.91BSUPP_III.0910410c

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TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS

A Lakdawala
J Ireland

TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS

Lakdawala A, Ireland J. TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS. Orthop Procs. 2009;91-B(SUPP_III):410-410. doi:10.1302/0301-620X.91BSUPP_III.0910410c

Lakdawala, A, and J Ireland. “TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS.” Orthopaedic Proceedings, vol. 91-B, no. SUPP_III, 2009, pp. 410-410., https://doi.org/10.1302/0301-620X.91BSUPP_III.0910410c

Lakdawala, A., & Ireland, J. (2009). TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS. Orthopaedic Proceedings, 91-B(SUPP_III), 410-410. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910410c

Lakdawala, A. and Ireland, J. (2009) “TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS.” Orthopaedic Proceedings, 91-B(SUPP_III), pp. 410-410. Available at: https://doi.org/10.1302/0301-620X.91BSUPP_III.0910410c

Lakdawala, A, and J Ireland. “TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS.” Orthopaedic Proceedings 91-B, no. SUPP_III (2009): 410-410. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910410c

Lakdawala A, Ireland J. TOTAL KNEE REPLACEMENT IN ACTIVE GOLFERS. Orthop Procs. 2009 Sep 1;91-B(SUPP_III):410-410. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910410c

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Abstract

Introduction: The aim of this study was to investigate the function, limitations and disability of a large cohort of active golfers following total knee replacement (TKR).

Materials & Methods: The study group comprised the membership of the New Knee Golf Society (NKGS), UK. 211 members were reviewed with a questionnaire which asked the patient’s experience & difficulties of playing golf before and after TKR. The functional outcome was recorded using the Oxford knee score.

A total of 299 knees in 209 patients were included in the final analysis. The mean age was 69.6 years. Majority of the prostheses were cemented (95%) and had patellar resurfacing (89.6%). The mean post-operative period was 5.1 years.

Results: 196 patients (94%) returned to playing golf after a mean 4.6 months following the TKR. 184 (88%) continue to play at review. 92.8 % claimed significant improvement in their ability to play and enjoy golf following TKR citing reduction in pain and improved walking ability as the reasons. However, none claimed to have achieved a significant improvement in their handicap.

17 knees (5.7%) underwent revision surgery. 6 knees (2%) were revised for infection at mean 17.3 months & 11 (3.7%) for aseptic loosening or instability at mean 4.9 years. 7 left knees (lead knee) of 11 right-handed golfers required revision for aseptic loosening.

The main problems experienced after playing 18 holes were knee stiffness (47%) & swelling (18%).

Conclusion: Although the ability to play improved the handicap remained the same. The left TKR in a right-handed active golfer is more likely to require revision which may be due to the increased torque on the lead knee.

Correspondence should be addressed to Mr T Wilton, c/o BOA, BASK at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE, England.