{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T20:27:27Z","timestamp":1791059247373,"version":"4.1.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Total knee arthroplasty is a well-established procedure that aims to improve pain, mobility and function. Multiple studies have demonstrated a strong correlation between patient satisfaction and their preoperative expectations, including return to sport. This study aims to assess the level of post-operative activity and rate of return to sport after TKA in an Australian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective electronic survey was distributed amongst patients that were 1\u20133 years post total knee arthroplasty. Patient characteristics and sport participation pre and post operatively was assessed. Standardised questionnaires including University of California at Los Angeles (UCLA) activity-level scale and Forgotten Joint Score (FJS) were conducted to evaluate activity level and subjective functional outcomes. Further questions regarding barriers to return to sport were distributed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>257 individuals (128 male, 129 female), with mean age of 68 participated in our study. Highest rate of return to pre-operative sport was found in walking, yoga, swimming and bushwalking with an overall rate of 81% return to pre-operative sport. Statistically significant increase was observed in UCLA activity-level score 1.14 and FJS score increase of 54.63. Barriers to return to sport included medical co-morbidities, loss of interest, fear of damage to the implant, and stiffness and pain in the operated knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high rate of return to preoperative sport can be achieved after TKA, but can still probably be enhanced further with more focused rehabilitation specific to individual patient expectations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-025-05843-7","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T07:50:20Z","timestamp":1744357820000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Return to sport after total knee arthroplasty: an Australian perspective"],"prefix":"10.1007","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6244-1424","authenticated-orcid":false,"given":"Mahsa","family":"Sarrami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Awwad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Parker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"issue":"11","key":"5843_CR1","doi-asserted-by":"publisher","first-page":"3368","DOI":"10.1016\/j.arth.2017.05.052","volume":"32","author":"F Castagnini","year":"2017","unstructured":"Castagnini F et al (2017) Total knee replacement in young patients: survival and causes of revision in a registry population. J Arthroplast 32(11):3368\u20133372","journal-title":"J Arthroplast"},{"issue":"10","key":"5843_CR2","doi-asserted-by":"publisher","first-page":"2606","DOI":"10.1007\/s11999-009-0834-6","volume":"467","author":"SM Kurtz","year":"2009","unstructured":"Kurtz SM et al (2009) Future young patient demand for primary and revision joint replacement: National projections from 2010 to 2030. Clin Orthop Relat Res 467(10):2606\u20132612","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"5843_CR3","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.1302\/0301-620X.92B9.24394","volume":"92","author":"CE Scott","year":"2010","unstructured":"Scott CE et al (2010) Predicting dissatisfaction following total knee replacement: a prospective study of 1217 patients. J Bone Joint Surg Br 92(9):1253\u20131258","journal-title":"J Bone Joint Surg Br"},{"issue":"2","key":"5843_CR4","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1007\/s11420-018-9614-8","volume":"14","author":"CA Kahlenberg","year":"2018","unstructured":"Kahlenberg CA et al (2018) Patient satisfaction after total knee replacement: a systematic review. HSS Journal\u00ae 14(2):192\u2013201","journal-title":"HSS Journal\u00ae"},{"issue":"8","key":"5843_CR5","doi-asserted-by":"publisher","first-page":"2274","DOI":"10.1016\/j.arth.2020.04.013","volume":"35","author":"C Hanreich","year":"2020","unstructured":"Hanreich C et al (2020) Sport and physical activity following primary total knee arthroplasty: a systematic review and meta-analysis. J Arthroplast 35(8):2274\u20132285e1","journal-title":"J Arthroplast"},{"issue":"6","key":"5843_CR6","first-page":"1201","volume":"88","author":"EA Lingard","year":"2006","unstructured":"Lingard EA, Sledge CB, Learmonth ID (2006) Patient expectations regarding total knee arthroplasty: differences among the united States, united Kingdom, and Australia. J Bone Joint Surg Am 88(6):1201\u20131207","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"5843_CR7","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1111\/j.1445-2197.2005.03400.x","volume":"75","author":"U Chatterji","year":"2005","unstructured":"Chatterji U et al (2005) Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 75(6):405\u2013408","journal-title":"ANZ J Surg"},{"key":"5843_CR8","unstructured":"SportAUS Sport Participation statistics and trends. Sport participation in Australia 2021 [cited 2022; Available from: https:\/\/www.clearinghouseforsport.gov.au\/kb\/sport-participation-in-australia\/participation-statistics-and-trends"},{"issue":"10","key":"5843_CR9","doi-asserted-by":"publisher","first-page":"1971","DOI":"10.1007\/s00264-020-04607-9","volume":"44","author":"N Nakano","year":"2020","unstructured":"Nakano N et al (2020) Why are patients dissatisfied following a total knee replacement? A systematic review. Int Orthop 44(10):1971\u20132007","journal-title":"Int Orthop"},{"issue":"2","key":"5843_CR10","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1002\/art.41510","volume":"73","author":"GA Hawker","year":"2021","unstructured":"Hawker GA et al (2021) Patients\u2019 preoperative expectations of total knee arthroplasty and satisfaction with outcomes at one year: A prospective cohort study. Arthritis Rheumatol 73(2):223\u2013231","journal-title":"Arthritis Rheumatol"},{"issue":"3","key":"5843_CR11","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1016\/j.arth.2021.12.002","volume":"37","author":"A Lancaster","year":"2022","unstructured":"Lancaster A et al (2022) Can I ski doc?? Return to skiing following total joint arthroplasty. J Arthroplast 37(3):460\u2013467","journal-title":"J Arthroplast"},{"key":"5843_CR12","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1111\/sms.12465","volume":"25","author":"T Hofstaedter","year":"2015","unstructured":"Hofstaedter T et al (2015) A Lpine S Kiing W Ith total knee arthroplasty (ASWAP): clinical and radiographic outcomes. Scand J Med Sci Sports 25:10\u201315","journal-title":"Scand J Med Sci Sports"},{"issue":"9","key":"5843_CR13","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.3390\/ijerph16091582","volume":"16","author":"S Haslinger","year":"2019","unstructured":"Haslinger S et al (2019) Feasibility of ski mountaineering for patients following a total knee arthroplasty: A descriptive field study. Int J Environ Res Public Health 16(9):1582","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"5843_CR14","doi-asserted-by":"publisher","first-page":"90","DOI":"10.5312\/wjo.v10.i2.90","volume":"10","author":"SS Jassim","year":"2019","unstructured":"Jassim SS et al (2019) Return to sport after lower limb arthroplasty - why not for all? World J Orthop 10(2):90\u2013100","journal-title":"World J Orthop"},{"issue":"3","key":"5843_CR15","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1055\/s-2003-40081","volume":"141","author":"P Bock","year":"2003","unstructured":"Bock P, Schatz K, Wurnig C (2003) [Physical activity after total knee replacement]. Z Orthop Ihre Grenzgeb 141(3):272\u2013276","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"5843_CR16","doi-asserted-by":"crossref","unstructured":"Quinn J et al (2022) The epidemiology of surfing injuries in a major Australian Centre \u2013 A ten year clinical audit. Injury 2022:53","DOI":"10.1016\/j.injury.2022.03.045"},{"issue":"11","key":"5843_CR17","doi-asserted-by":"publisher","first-page":"2201","DOI":"10.1177\/0363546509339009","volume":"37","author":"JD Jackson","year":"2009","unstructured":"Jackson JD et al (2009) Golf after total knee arthroplasty: do patients return to walking the course? Am J Sports Med 37(11):2201\u20132204","journal-title":"Am J Sports Med"},{"issue":"10","key":"5843_CR18","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1007\/s00167-008-0596-9","volume":"16","author":"GP Hopper","year":"2008","unstructured":"Hopper GP, Leach WJ (2008) Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc 16(10):973","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"5843_CR19","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.1136\/ard.2004.033266","volume":"64","author":"K Huch","year":"2005","unstructured":"Huch K et al (2005) Sports activities 5 years after total knee or hip arthroplasty: the Ulm osteoarthritis study. Ann Rheum Dis 64(12):1715\u20131720","journal-title":"Ann Rheum Dis"},{"issue":"4","key":"5843_CR20","doi-asserted-by":"publisher","first-page":"342","DOI":"10.4065\/70.4.342","volume":"70","author":"BJ McGrory","year":"1995","unstructured":"McGrory BJ, Stuart MJ, Sim FH (1995) Participation in sports after hip and knee arthroplasty: review of literature and survey of surgeon preferences. Mayo Clin Proc 70(4):342\u2013348","journal-title":"Mayo Clin Proc"},{"key":"5843_CR21","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1051\/sicotj\/2020009","volume":"6","author":"J Plassard","year":"2020","unstructured":"Plassard J et al (2020) Factors lead to return to sports and recreational activity after total knee replacement - A retrospective study. SICOT-J 6:11\u201311","journal-title":"SICOT-J"},{"key":"5843_CR22","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1097\/00003086-200011000-00009","volume":"380","author":"WL Healy","year":"2000","unstructured":"Healy WL, Iorio R, Lemos MJ (2000) Athletic activity after total knee arthroplasty. Clin Orthop Relat Research\u00ae 380:65\u201371","journal-title":"Clin Orthop Relat Research\u00ae"},{"issue":"1","key":"5843_CR23","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s12891-017-1474-8","volume":"18","author":"LJ Goldsmith","year":"2017","unstructured":"Goldsmith LJ et al (2017) The importance of informational, clinical and personal support in patient experience with total knee replacement: a qualitative investigation. BMC Musculoskelet Disord 18(1):127","journal-title":"BMC Musculoskelet Disord"},{"key":"5843_CR24","doi-asserted-by":"crossref","unstructured":"Bourne RB et al (2010) Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res\u00ae 468(1):57\u201363","DOI":"10.1007\/s11999-009-1119-9"},{"key":"5843_CR25","doi-asserted-by":"crossref","unstructured":"Ates Y, Akdo\u011fan M, Atilla H (2021) Which knee replacement do the patients forget? Unicondylar or total knee arthroplasty. Acta Orthop Traumatol Turc, 55","DOI":"10.5152\/j.aott.2021.20173"},{"issue":"3","key":"5843_CR26","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1302\/2633-1462.33.BJO-2021-0187.R2","volume":"3","author":"D Lester","year":"2022","unstructured":"Lester D et al (2022) Return to sport post-knee arthroplasty. Bone Joint Open 3(3):245\u2013251","journal-title":"Bone Joint Open"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-05843-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-025-05843-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-05843-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:21:47Z","timestamp":1767169307000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-025-05843-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,11]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5843"],"URL":"https:\/\/doi.org\/10.1007\/s00402-025-05843-7","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,11]]},"assertion":[{"value":"5 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Northern Sydney Local Health District Human Research Ethics Committee (2019\/ETH08340).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"One or more of the authors have held shares in: 360 Knee Systems, Trium, Personalised Surgery, Ganymed Robotics and received institutional support from: Smith & Nephew, Corin, Zimmer, Arthrex, Friends of the Mater.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"236"}}