Return to work after primary total hip or knee arthroplasty. First French study. Retrospective study of 241 cases - 03/02/22
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Introduction |
The quality and reliability of the results of primary total hip or knee arthroplasty (THA, TKA) have allowed indications to be extended to younger, working-age patients, raising the issue of return to work. This question has never been specifically addressed in THA and TKA in a French population. We therefore conducted a retrospective study to determine: (1) the rates and intervals of return to work, and (2) factors affecting return to work and reasons for non-return.
Hypothesis |
Rates and intervals of return to work are comparable to those in Western countries as a whole: 1.1–10.5 weeks in THA and 8–12 weeks in TKA.
Material and method |
A single-center retrospective study included patients aged under 65 at surgery, between 2009 and 2013. A questionnaire collected population and occupational data. The patients’ occupational situation was collected at a minimum 1 year postoperatively. During the study period, 289 TKAs or THAs were performed; 241 patients were recontacted, 144 of whom had been working at the time of surgery: 72 THAs and 72 TKAs. The sex-ratio was well balanced: 69 males, 75 females. Mean age was 55.8±8 years (range, 18.6–65.7 years). The mean time from surgery to data collection was 34.5 months (95% CI, 32.2–36.8 months).
Results |
In all, 86 patients (57.6%) returned to work, at a mean 124 days (range, 15–540 days; 95% CI, 102.8–144.4 days). At 3 months, 55.4% of patients (n=46) had returned to work, and 97.6% (n=81) at 12 months. In most cases, patients returned to the same occupation.
Conclusion |
The study hypothesis was not confirmed. French primary THA or TKA patients returned to work later and less frequently than in other Western countries.
Level of evidence |
IV, retrospective study without control group.
Le texte complet de cet article est disponible en PDF.Keywords : Total hip arthroplasty, Total knee arthroplasty, Return to work
Plan
Vol 108 - N° 1
Article 103163- février 2022 Retour au numéro
Article précédent
- The risk of venous thromboembolism in surgically treated hip fracture: A retrospective cohort study of 5184 patients
- Philippe Beauchamp-Chalifour, Étienne L. Belzile, Reinemary Michael, Valérie Langevin, Noémie Gaudreau, Nicolas Normandeau, Luc Bédard, Stéphane Pelet
- Sexual activity resumption after total hip arthroplasty: A satisfaction survey in 101 patients
- Grégoire Rougereau, Camille Rabot, Emmanuel de Thomasson, Idriss Tourabaly, Christian Mazel, Tristan Langlais, Didier Ollat
Bienvenue sur EM-consulte, la référence des professionnels de santé.