As the world of elite-level sports continues to evolve in parallel with the evolution of medicine, new and sometimes unexpected challenges keep arising. The duration of sports careers has increased along with life expectancy, as well as with sport training and competition loads. Sports activities may lead to a higher risk of severe osteoarthritis (OA) in young patients due to discipline-specific factors such as high velocity/impact, frequent pivoting or repetitive joint loading.1 Therefore, specific medical attention and sometimes major surgical interventions such as total joint arthroplasty may be required in particular cases. Initially designed to improve quality of life during later decades of life, joint replacement surgery has been one of the most important medical achievements of the late 20th century. With many motivated young athletes pushing the limits to resume sports after surgery, the growing surgical expertise for minimally invasive procedures, and the evolution of implants, there is a trend for patients to undergo arthroplasty surgery at an increasingly younger age.2 In elite athletes, the risk of developing end-stage OA and undergoing arthroplasty is higher than the general population, often at an earlier age.1 3 Reports about the return to elite-level sports after joint replacement are scarce. A case series reported that elite athletes were able …

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突破界限？精英运动员髋关节和膝关节置换术的挑战和伦理考虑


随着精英级体育世界的不断发展与医学的发展同步，新的、有时是意想不到的挑战不断出现。体育生涯的持续时间随着预期寿命以及运动训练和比赛负荷的增加而增加。由于高速/冲击、频繁旋转或重复关节负荷等特定学科因素，体育活动可能会导致年轻患者患严重骨关节炎 (OA) 的风险更高。1 因此，需要特殊的医疗护理，有时还需要进行重大手术干预，例如在特殊情况下可能需要进行全关节置换术。关节置换手术最初旨在改善生命后几十年的生活质量，现已成为 20 世纪末最重要的医学成就之一。随着许多积极进取的年轻运动员突破手术后恢复运动的极限，微创手术的外科专业知识不断增长，以及植入物的发展，患者接受关节置换手术的年龄越来越年轻。 2 在精英运动员中，患终末期 OA 和接受关节置换术的风险高于一般人群，且年龄往往较早。1 3 关于关节置换术后重返精英水平运动的报告很少。一系列案例报道精英运动员能够……