The Journal of Bone and Joint Surgery (American). 2008;90:2245-2252.
doi:10.2106/JBJS.H.00274
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Current Concepts Review

Athletic Activity After Total Joint Arthroplasty

William L. Healy, MD1, Sanjeev Sharma, MD, FRCSC1, Benjamin Schwartz, MD1 and Richard Iorio, MD1

1 Department of Orthopaedic Surgery, Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors or a member of his or her immediate family received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (DePuy Orthopaedics). Also, a commercial entity (DePuy Orthopaedics) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

Demand for total joint arthroplasty is projected to increase in the first three decades of the twenty-first century.

With increasing frequency, patients who have a hip or knee replacement expect to, and choose to, participate in athletics following rehabilitation.

In general, patients who have had a hip or knee replacement decrease their participation in, and intensity of, athletic activity following the total joint arthroplasty.

The orthopaedic literature on athletic activity after total joint arthroplasty is limited to small retrospective studies with short-term follow-up.

Expert opinion regarding appropriate athletic activity after total joint arthroplasty is available from the Hip Society and the Knee Society.

When patients who have undergone joint replacements choose to participate in athletic activity, orthopaedic surgeons should provide information with which to evaluate the risk of sports activity and recommend appropriate athletic activity.


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