From Middle-Age to the Golden Years: Medical, Surgical and Rehabilitation Considerations to Maintain Exercise and Sports Activities with Knee Osteoarthritis


knee joint
physical exercises
golden years

How to Cite

Nyland, J., Sirignano, M., & Krupp, R. (2024). From Middle-Age to the Golden Years: Medical, Surgical and Rehabilitation Considerations to Maintain Exercise and Sports Activities with Knee Osteoarthritis. TERRA ORTHOPAEDICA, (4(119), 19-25.


Abstract. The objective of the current concepts paper is increase the reader’s awareness and understanding of medical, surgical, and rehabilitation considerations for middle-aged patients with knee osteoarthritis who desire to preserve knee joint function and quality of life as they continue exercise and sport activities into their “golden years”.


Human Nutrition Depracated. Chapter 15. Older Adulthood the Golden Years. . Retrieved from the Worldwide Web on December 28,2023.

The Brittanica Dictionary. . Retrieved from the Worldwide Web on December 28, 2023.

Rothans J. Why is Retirement Referred to as your “Golden Years”? December 17, 2021. .

Robbins T. Community Helped Change How We See Retirement. National Public Radio Morning Edition, January 5, 2010. .

O’Neill Hayes T, Gillian S. Chronic disease in the United States: A worsening health and economic crisis. American Action Forum. September 10, 2020. .

Payne RA. The epidemiology of polypharmacy. Clin Med (Lond). 2016;16(5):465-469. doi: 10.7861/clinmedicine.16-5-465.

Shimada Y, Matsuki K, Sugaya H, et al. Return to sports and physical work after anatomical and reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2023;32(7):1445-1451. doi: 10.1016/j.jse.2022.12.025.

Latijnhouwers DAJM, Laas N, Verdegaal SHM, et al. Longitudinal Leiden Orthopaedics Outcomes of Osteoarthritis Study (LOAS) Group. Activities and participation after primary total hip arthroplasty; posterolateral versus direct anterior approach in 860 patients. Acta Orthop. 2022;93:613-622. doi: 10.2340/17453674.2022.3149.

Ventura A, Macchi V, Borgo E, Legnani C. Shift to low-impact sports and recreational activities following total knee replacement. Int J Artif Organs. 202245(11):952-956. doi: 10.1177/03913988221119524..

Johns WL, Sowers CB, Walley KC, et al. Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review. Foot Ankle Int. 2020;41(8):916-929. doi: 10.1177/1071100720927706..

Toward a Common Language for Functioning, Disability and Health: ICF The International Classification of Functioning, Disability and Health. World Health Organization, Geneva, Switzerland, 2002.

Lopa S, Colombini A, Moretti M, de Girolamo L. Injective mesenchymal stem cell-based treatments for knee osteoarthritis: from mechanisms of action to current clinical evidences. Knee Surg Sports Traumatol Arthrosc. 2019;27(6):2003-2020. doi: 10.1007/s00167-018-5118-9.

Szwedowski D, Szczepanek J, Paczesny Ł, et al. The Effect of Platelet-Rich Plasma on the Intra-Articular Microenvironment in Knee Osteoarthritis. Int J Mol Sci. 2021;22(11):5492.

Shaw G, Lee-Barthel A, Ross ML, Wang B, Baar K. Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis. Am J Clin Nutr. 2017;105(1):136-143. doi: 10.3945/ajcn.116.138594.

Lee MH, Kim HM, Chung HC, Kim DU, Lee JH. Low-Molecular-Weight Collagen Peptide Ameliorates Osteoarthritis Progression through Promoting Extracellular Matrix Synthesis by Chondrocytes in a Rabbit Anterior Cruciate Ligament Transection Model. J Microbiol Biotechnol. 2021;31(10):1401-1408. doi: 10.4014/jmb.2108.08027.

Yoshino A, Okamoto Y, Doi M, et al. Regional brain functions in the resting state indicative of potential differences between depression and chronic pain. Sci Rep. 2017;7(1):3003. doi: 10.1038/s41598-017-03522-1.

Brewer BW, Petitpas AJ. Athletic identity foreclosure. Curr Opin Psychol. 2017;16:118-122. ISSN 2352-250X.

Griffin M, Phoenix C. Learning to run from narrative foreclosure: one woman's story of aging and physical activity. J Aging Phys Act. 2014;22(3):393-404. doi: 10.1123/japa.2012-0300.

Furie K, Park AL, Wong SE. Mental Health and Involuntary Retirement from Sports Post-Musculoskeletal Injury in Adult Athletes: A Systematic Review. Curr Rev Musculoskelet Med. 2023;16(5):211-219.

Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma. 2020;11(Suppl 3):S309-S318. doi: 10.1016/j.jcot.2020.02.004.

Massari L, Benazzo F, Falez F, et al. Biophysical stimulation of bone and cartilage: state of the art and future perspectives. Int Orthop. 2019;43(3):539-551. doi: 10.1007/s00264-018-4274-3.

Loghmani MT, Warden SJ. Instrument-assisted cross fiber massage increases tissue perfusion and alters microvascular morphology in the vicinity of healing knee ligaments. BMC Complement Altern Med. 2013;13:240. doi: 10.1186/1472-6882-13-240.

Thompson WR, Sallis R, Joy E, Jaworski CA, Stuhr RM, Trilk JL. Exercise Is Medicine. Am J Lifestyle Med. 2020 Apr 22;14(5):511-523. doi: 10.1177/1559827620912192.

Evidence-Based Programs for Professionals. Exercise Programs That Promote Senior Fitness, National Council on Aging. December 1, 2023. .

Brumberg R. Best Sports For Older Adults, According To Experts. Forbes Health. Retrieved from the Worldwide Web on December 28, 2023.

Dye SF. The knee as a biologic transmission with an envelope of function: a theory. Clin Orthop Relat Res. 1996;325):10-18. doi: 10.1097/00003086-199604000-00003.

Cimons M. Exercise after knee replacement: Why a modified workout may make sense. Washington Post. May 3, 2023. .

Wei H. The development of an evidence-informed Convergent Care Theory: Working together to achieve optimal health outcomes. Int J Nurs Sci. 2021;9(1):11-25. doi: 10.1016/j.ijnss.2021.12.009.

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