TY - JOUR T1 - Pushing the boundaries? Challenges and ethical considerations for hip and knee joint arthroplasty in elite athletes JF - British Journal of Sports Medicine JO - Br J Sports Med DO - 10.1136/bjsports-2021-105376 SP - bjsports-2021-105376 AU - Géraldine Martens AU - Charles Pioger AU - Renaud Siboni AU - Matthieu Ollivier AU - Jean-Marie Fayard AU - Patrick Djian AU - Jean-Noel Argenson AU - Patricia Thoreux AU - Romain Seil Y1 - 2022/06/22 UR - http://bjsm.bmj.com/content/early/2022/06/22/bjsports-2021-105376.abstract N2 - 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.2In 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 … ER -