Knee osteoarthritis and management of the retired athlete: the role of osteotomy

Osteoarthritis (OA) of the knee is a common pathology in retired professional football players. Their lifetime risk of presenting with symptomatic OA with associated radiographic changes is higher than that of the general population. The increased risk of OA is predominantly associated with previous...

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Bibliographic Details
Published in:The journal of cartilage & joint preservation 2022-06, Vol.2 (2), p.100066, Article 100066
Main Authors: Garcia Pulido, Pamela, Hegarty, Paul, Getgood, Alan
Format: Article
Language:English
Subjects:
Distal femur osteotomy
Football
High tibial osteotomy
Knee
Osteoarthritis
Osteotomy
Realignment
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Summary:Osteoarthritis (OA) of the knee is a common pathology in retired professional football players. Their lifetime risk of presenting with symptomatic OA with associated radiographic changes is higher than that of the general population. The increased risk of OA is predominantly associated with previous injury and repetitive microtrauma to the knee. Previous studies have also found an association between a higher prevalence of a varus phenotype and knee OA in this group of athletes. Despite this, the use of realignment osteotomy in this specific population has not been widely researched. An earlier realignment procedure, before the advent of severe radiographic disease, may be beneficial to optimize postoperative outcome, biological response to unloading, and subsequent knee survivorship. The purpose of this narrative review is to consider the role knee osteotomy can play in the treatment of OA in this specific patient population by discussing the biomechanical rationale behind it as well as the relevant literature.
ISSN:2667-2545
2667-2545
DOI:10.1016/j.jcjp.2022.100066