Instituto Henriqueta Teixeira

Instituto Henriqueta Teixeira



Physical activity after total joint replacement

International SportMed Journal

FIMS Position Statement

(1) Dr F Mayer, (2) Professor H-H Dickhuth

(1) Institute of Sports Med. and Prevention, University of Potsdam, Germany
(2) Med. Clinic, Dept. Rehabilitative and Preventive Sports Med., University Clinic of Freiburg, Germany


The number of artificial joints implanted worldwide has increased dramatically over the last 20 years. In the majority of cases quality of life, as well as overall postoperative mobility, has increased as a result of joint replacement. Furthermore, improved quality of implants, optimised implantation techniques and growing experience among surgeons have led to an improved durability of prosthesis, faster rehabilitation following surgery, and a broader range of indications for treatment.
As a result, the indications for treatment with joint replacement have expanded and even younger patients are now being provided with an endoprosthesis, especially for the replacement of hip and knee joints, as well as shoulder and ankle joints. The patients’ growing demand for improved quality of life and enhanced functionality during work or recreational activities after having received a total joint replacement requires a thorough revaluation of the patient’s ability to cope with physical stress, especially while performing athletic activities. In the past, the main focus rested on restoring activities of daily living (ADL). Today, that focus has shifted towards resuming previously played sports, as well as taking on new forms of exercise (16).

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