Making An Impact: A Framework to Returning to High-Level Activity Following Total Joint Arthroplasty
Description
Description: Return to sport (RTS) following primary total joint arthroplasty (TJA) remains an area that is controversial due to potential concerns of increased complications or poor outcomes. Current recommendations for RTS are typically made based on physician preference and survey data, with time being the most commonly reported deciding factor. Successful RTS has been reported following TJA, however there is a trend toward returning to lower-impact sport. Younger individuals and those with prior experience with the sport are most significant prognostic indicators for RTS, however most are likely to abandon moderate and high-impact sports to participate in low-impact sports. As a result, there is insufficient long-term data on outcomes related to participation in high-impact sports. The number of TJAs performed in the United States has been projected to continue to rise and for the individuals who wish to return to high-impact sports participation, research on outcomes is needed to guide the rehabilitation process. The purpose of this session is to describe the current state of rehabilitation following TJA and to use case presentations to describe the successful return to high-impact activity using a criterion-based framework that can be used to fill knowledge gaps and guide future research.
Objectives:
- Describe the current state of the research evidence on returning to sport following total joint arthroplasty
- Explore the current attitudes and decision-making processes surrounding recommendations on returning to sport
- Describe existing frameworks and models utilized for other surgical procedures
- Present a framework to apply and support the decision-making process for individuals who have undergone total joint arthroplasty.
About The Speaker(s)
Curtis Wu, PT, DPT OCS, SCS, CSCS is a clinical specialist at the Hospital for Special Surgery (HSS) and board certified in orthopedic and sports physical therapy. He is a graduate of New York University and completed the HSS Orthopedic Physical Therapy Residency. Curtis has continued to be involved with the residency program by serving as a lecturer and mentor. He also serves as an adjunct faculty for Doctor of Physical Therapy program at Seton Hall University. Clinically, he has particular interest critical thinking, critical inquiry, and its application clinical decision-making.
