Realignment surgery (osteotomy) may be of benefit to patients with arthritis limited to only part of the knee. Osteotomy is ideally suited for physiologically younger patients who wish to remain extremely active. In cases of advanced degenerative changes, total joint replacement is often recommended. However, total joint replacement presents a unique challenge in the older athlete, as the goal of the procedure is not merely pain relief, but also to allow return to functional activities. Despite continued improvements in implant technology, what limits postoperative activities is implant fixation to the body. Because the procedure provides patients with pain relief and mobility – allowing them to return to many activities they enjoy – older athletes often place undue stresses on the implant. Patients who have undergone hip replacement have additional activity constraints due to risk of implant dislocation. Most patients with artificial joints can remain physically active, as long as they adhere to certain restrictions as recommended by their orthopaedic surgeon.
Because the success of functional recovery and return to athletic activity depends on the older patient’s ability to physically or mentally comply with a given treatment plan, it is essential that physicians individualize conditioning or rehabilitative regimens based on each patient’s known physical or cognitive limitations. “Physical fitness and injury prevention programs geared toward active seniors will continue to grow in demand,” added Dr. Chen. “While it’s never too late in life to start exercising, it’s best to consult with a physician before beginning any intense exercise program, as sedentary older adults who begin intensive training programs – as opposed to gradually adopting an exercise routine – are at increased risk for cardiovascular problems as well as musculoskeletal conditions.”
The Journal of the American Academy of Orthopaedic Surgeons (JAAOS) is a publication of the American Academy of Orthopaedic Surgeons (www.aaos.org).
