Abstract
The high incidence of injury among athletes could affect athletic performance. Surgery must be integrated into an enhanced rehabilitation after surgery (ERAS) pathway. The management of elite athletes involves certain specificities related to their environment, where collaboration between surgeons, anesthesiologists, and the entire medical-technical staff (sports physicians, club physicians, physiotherapists, and support staff) is paramount. Prehabilitation (limited by a shortened pre-operative period) and post-operative rehabilitation rely primarily on sports physicians and dedicated rehabilitation teams to support not only physical but also psychological recovery. Surgical technique is not altered by the status of elite athletes. Anesthesiologists are faced with the optimal choice of anesthetic and analgesic techniques that should both prevent the risk of acute and chronic postoperative pain and allow for a rapid return to competition. The risk of infection is increased in elite athletes. The risk of thromboembolic events is not influenced by athletic activity. Early mobilization may limit the need for systematic thromboprophylaxis.
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