Endoprosthetics and sports: What is possible, what makes sense, what is taboo?

The surgical replacement of a hip or knee joint by an endoprosthesis is one of the great achievements of medicine. In Germany, almost 170,000 primary knee and approximately 230,000 primary hip endoprostheses (and over 10,000 shoulder prostheses) are implanted every year. Thanks to these implants, many people become mobile again and their previously limited quality of life increases. However, many patients do not just want to be able to walk again without pain, they also want to do sports. And they should, because physical and sporting activity improves the bony integration of prostheses, reduces the risk of loosening, increases muscular performance and reduces cardiovascular risk.
Despite the undeniable progress made, “the generally known recommendation to engage in gentle and cyclical endurance sports such as swimming, walking, cycling or golf remains valid from three months at the earliest, or better six months after surgery,” said Professor Dr. Florian Gebhard (Ulm).  If higher strains are planned, for example skiing on holiday, this should always be clarified individually. And competitive sports with artificial hips are still not recommended because they can considerably reduce the durability of the prosthesis.
Author(s) Source
Kron T univadis, 12.07.2019 (full text in german)
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