BACKGROUND: Approximately 10% to 20% of patients with joint arthroplasties are golfers. The aim of this study was to assess if being a golfer is associated with functional outcomes, satisfaction or improvement in quality of life (QoL) compared to non-golfers following total knee arthroplasty. METHODS: All patients undergoing primary total knee arthroplasty (TKA) over a one-year period at a single institution were included with one-year postoperative outcomes. Patients were retrospectively followed up to assess if they had been golfers at the time of their surgery. Multivariate linear regression analysis was performed to assess the independent association of preoperative golfing status on postoperative function and health-related outcomes. RESULTS: The study cohort consisted of a total of 514 patients undergoing TKA. This included 223 (43.3%) male patients and 291 (56.7%) female patients, with an overall mean age of 70 (SD 9.5) years. The preoperative Oxford Knee Score (OKS) was significantly higher in golfers when adjusting for confounders (Diff 3.4 [95% CI 1 to 5.8], p = 0.006). There was no difference in postoperative outcomes between golfers and non-golfers. There was however a trend towards a higher Forgotten Joint Score (FJS) in the golfers (difference 9.3, 95% CI - 0.2 to 18.8, p = 0.056). Of the 48 patients who reported being golfers at the time of their surgery, 43 (89.6%) returned to golf and 88.4% of those were satisfied with their involvement in golf following surgery. CONCLUSIONS: Golfers had better preoperative and equal postoperative knee specific function compared to non-golfers. The majority of golfers returned to golf by one year and were satisfied with their involvement in the game. LEVEL OF EVIDENCE: III.
Dawson J, Fitzpatrick R, Murray D, Carr A (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg 80-B (1):63–69
Clement ND, MacDonald D, Simpson AH (2014) The minimal clinically important difference in the Oxford knee score and short form 12 score after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 22:1933–1939
[DOI: 10.1007/s00167-013-2776-5]
Clement ND, Weir D, Holland J, Deehan DJ (2020) Sex does not clinically influence the functional outcome of total knee arthroplasty but females have a lower rate of satisfaction with pain relief. Knee Surg Relat Res 32:32
[DOI: 10.1186/s43019-020-00048-1]
Farahmand B, Broman G, de Faire U, Vagero D, Ahlbom A (2009) Golf: a game of life and death–reduced mortality in Swedish golf players. Scand J Med Sci Sports 19:419–424
[DOI: 10.1111/j.1600-0838.2008.00814.x]
Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The “Forgotten Joint” as the ultimate goal in joint arthroplasty: Validation of a new patient-reported outcome measure. J Arthroplasty 27(3):430–436.e1
[DOI: 10.1016/j.arth.2011.06.035]
Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D et al (2011) Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res 20:1727–1736
[DOI: 10.1007/s11136-011-9903-x]
Kobriger SL, Smith J, Hollman JH, Smith AM (2006) The contribution of golf to daily physical activity recommendations: how many steps does it take to complete a round of golf? Mayo Clin Proc 81:1041–1043
[DOI: 10.4065/81.8.1041]
Kurtz SM, Ong KL, Lau E, Bozic KJ (2014) Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021. J Bone Joint Surg Am 96:624–630
[DOI: 10.2106/JBJS.M.00285]
Luscombe J, Murray AD, Jenkins E, Archibald D (2017) A rapid review to identify physical activity accrued while playing golf. BMJ Open 7:e018993
[PMID: 29187418]
Martinez Bustelo S Sr, Simon B Sr, Warner M Sr, Jácome A Sr, Wootton J, Welch D et al (2016) Between-side symmetry of quadriceps thickness using ultrasound imaging in female golfers and non-golfers aged over 80 years. Osteoarthr Cartil 24:S65
[DOI: 10.1016/j.joca.2016.01.144]
National Joint Registry (2020) 17th Annual Report
Pollock M, Somerville L, Firth A, Lanting B (2016) Outpatient total hip arthroplasty, total knee arthroplasty, and unicompartmental knee arthroplasty: a systematic review of the literature. JBJS Rev 4:S433
[DOI: 10.2106/JBJS.RVW.16.00002]
Ritter MA, Wing JT, Berend ME, Davis KE, Meding JB (2008) The clinical effect of gender on outcome of total knee arthroplasty. J Arthroplasty 23:331–336
[DOI: 10.1016/j.arth.2007.10.031]
Robinson PG, Khan S, MacDonald D, Murray IR, Macpherson GJ, Clement ND (2022) Golfers have a greater improvement in their hip specific function compared to non-golfers after total hip arthroplasty, but less than three-quarters returned to golf. Bone Jt Open 3:145–151
[DOI: 10.1302/2633-1462.32.BJO-2022-0002.R1]
Robinson PG, Williamson TR, Creighton AP, Cheng J, Murray AD, Prather H et al (2022) Rate and timing of return to golf after hip, knee, or shoulder arthroplasty: a systematic review and meta-analysis. Am J Sports Med. https://doi.org/10.1177/03635465211064292
[DOI: 10.1177/03635465211064292]
Scott CE, Bugler KE, Clement ND, MacDonald D, Howie CR, Biant LC (2012) Patient expectations of arthroplasty of the hip and knee. J Bone Joint Surg Br 94:974–981
[DOI: 10.1302/0301-620X.94B7.28219]
Scottish arthroplasty project (2019) Public health Scotland; https://beta.isdscotland.org/find-publications-and-data/health-services/healthcare-audits/scottish-arthroplasty-project/
Scott CEH, Holland G, Keenan OJF, Ross LA, MacDonald DJ, Lawson GM et al (2021) Radiographic severity, extent and pattern of cartilage loss are not associated with patient reported outcomes before or after total knee arthroplasty in end-stage knee osteoarthritis. Knee 31:54–63
[DOI: 10.1016/j.knee.2021.04.003]
Scott CEH, MacDonald DJ, Howie CR (2019) “Worse than death” and waiting for a joint arthroplasty. Bone Joint J 101-b:941–950
[DOI: 10.1302/0301-620X.101B8.BJJ-2019-0116.R1]
Sell TC, Tsai YS, Smoliga JM, Myers JB, Lephart SM (2007) Strength, flexibility, and balance characteristics of highly proficient golfers. J Strength Cond Res 21:1166–1171
[PMID: 18076270]
Sorbie GG, Beaumont AJ, Williams AK, Glen J, Hardie SM, Lavallee D (2021) The Impact of the closure and reopening of golf courses in the United Kingdom on wellbeing during the COVID-19 pandemic: a multi-study approach. Front Sports Act Living 3:622171
[DOI: 10.3389/fspor.2021.622171]
Stenner BJ, Mosewich AD, Buckley JD (2016) An exploratory investigation into the reasons why older people play golf. Qualitat Res Sport Exerc Health 8:257–272
[DOI: 10.1080/2159676X.2016.1148773]
Tangen J, Sunde A, Sageie J, Hagen P, Kristoffersen B, Istad R et al (2013) In accordance with governmental recommendations—a study of golf and health. J Sports Sci 1:15–25
Thomsen MG, Husted H, Bencke J, Curtis D, Holm G, Troelsen A (2012) Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design. J Bone Joint Surg Br 94:787–792
[DOI: 10.1302/0301-620X.94B6.28781]
Tramer JS, Maier LM, Klag EA, Ayoola AS, Charters MA, North WT (2021) Return to play and performance in golfers after total knee arthroplasty: does component type matter?. Sports Health, 19417381211019348
Tsang WW, Hui-Chan CW (2010) Static and dynamic balance control in older golfers. J Aging Phys Act 18:1–13
[DOI: 10.1123/japa.18.1.1]
Vajapey SP, Morris J, Li D, Greco NG, Li M, Spitzer AI (2020) Outcome reporting patterns in total hip arthroplasty: a systematic review of randomized clinical trials. JBJS Rev 8:e0197
[DOI: 10.2106/JBJS.RVW.19.00197]
Williams SN, Wolford ML, Bercovitz A (2015) Hospitalization for total knee replacement among inpatients aged 45 and over: United States, 2000–2010. NCHS data brief 1–8
Wolford ML, Palso K, Bercovitz A (2015) Hospitalization for total hip replacement among inpatients aged 45 and over: United States, 2000–2010. NCHS data brief 1–8
Yapp LZ, Clement ND, Macdonald DJ, Howie CR, Scott CEH (2020) Changes in expectation fulfillment following total knee arthroplasty: a 10-year follow-up study. J Arthroplasty 35:1826–1832
[DOI: 10.1016/j.arth.2020.02.064]
