Advice Given To Climbers Prior to Knee Arthroplasty: Patient and Surgeon Experience

Warder, Holly, Hall-Thompson, Beth, Sanders, Tim orcid iconORCID: 0000-0002-8581-2184, Wright, Nicholas orcid iconORCID: 0000-0001-6051-2719, Alford, Simon orcid iconORCID: 0000-0003-2481-3658 and Johnson, David (2023) Advice Given To Climbers Prior to Knee Arthroplasty: Patient and Surgeon Experience. In: The British Association for Surgery of the Knee (BASK) May 2023 Meeting, 16-17 May 2023, London, England.

Full text not available from this repository.

Official URL:


The Montgomery ruling advocates patients be informed of ‘material risks’ of a procedure. With no guidelines for patients wishing to return to high activity levels after knee arthroplasty, we explore patient and surgeon perceptions in climbers.

Ethical approval was granted by the University of Central Lancashire. Anonymous questionnaires were sent via email and social media to consultant knee arthroplasty surgeons and to climbers/mountaineers across the UK. Consultants were asked about advice given for patients who participate in climbing. Climbers were asked about their experiences of knee arthroplasty and return to activity.

Of 33 knee arthroplasty surgeons, 11(33%) were firmly against any return to climbing, 10(30%) counselled against it, and 12(36%) were open to return to previous activity. Of 11(33%) surgeons who do not gather information about levels of climbing, 8 would not provide specific advice regarding risks of returning to sport. Of 28 climbers, only 5(18%) were informed to cease completely, with 11(39%) cautioned against and 12(43%) permitted to return. There was no correlation between the advice received and climbing ability post-operatively, (kappa=0.143,p=0.058), with a substantial agreement between ability 1-year post-operatively and currently, (kappa=0.689,p<0.001).

There is a discrepancy between the advice given and received by climbers/mountaineers prior to knee arthroplasty, with ability post-operatively having no relationship to advice given. Climbing is possible at high level with no reported complications following knee arthroplasty. The 1-year time point is predictive of longer-term outcome. This information should help surgeons better inform their patients preoperatively.

Repository Staff Only: item control page