scholarly journals Are patient-related pre-operative factors influencing return to work after total knee arthroplasty

The Knee ◽  
2019 ◽  
Vol 26 (4) ◽  
pp. 853-860
Author(s):  
Petteri Lankinen ◽  
Raul Laasik ◽  
Mika Kivimäki ◽  
Ville Aalto ◽  
Mikhail Saltychev ◽  
...  
2018 ◽  
Vol 33 (4) ◽  
pp. 1094-1100 ◽  
Author(s):  
Alexander Hoorntje ◽  
Claudia S. Leichtenberg ◽  
Koen L.M. Koenraadt ◽  
Rutger C.I. van Geenen ◽  
Gino M.M.J. Kerkhoffs ◽  
...  

2021 ◽  
Vol 103-B (6 Supple A) ◽  
pp. 108-112
Author(s):  
Cynthia A. Kahlenberg ◽  
Ethan C. Krell ◽  
Thomas P. Sculco ◽  
Jeffrey N. Katz ◽  
Joseph T. Nguyen ◽  
...  

Aims Many patients undergoing total knee arthroplasty (TKA) have severe osteoarthritis (OA) in both knees and may consider either simultaneous or staged bilateral TKA. The implications of simultaneous versus staged bilateral TKA for return to work are not well understood. We hypothesized that employed patients who underwent simultaneous bilateral TKA would have significantly fewer days missed from work compared with the sum of days missed from each operation for patients who underwent staged bilateral TKA. Methods The prospective arthroplasty registry at the Hospital for Special Surgery was used. Baseline characteristics and patient-reported outcome scores were evaluated. We used a linear regression model, adjusting for potential confounding variables including age, sex, preoperative BMI, and type of work (sedentary, moderate, high activity, or strenuous), to analyze time lost from work after simultaneous compared with staged bilateral TKA. Results We identified 152 employed patients who had undergone simultaneous bilateral TKA and 61 who had undergone staged bilateral TKA, and had completed the registry’s return to work questionnaire. The simultaneous group missed a mean of 46.2 days (SD 29.1) compared with the staged group who missed a mean total of 68.0 days of work (SD 46.1) when combining both operations. This difference was statistically significant (p < 0.001). In multivariate mixed regression analysis adjusted for age, sex, BMI, American Society of Anesthesiologists status, and type of work, the simultaneous group missed a mean of 16.9 (SD 5.7) fewer days of work compared with the staged group (95% confidence interval 5.8 to 28.1; p = 0.003). Conclusion Employed patients undergoing simultaneous bilateral TKA missed a mean of 17 fewer days of work as a result of their surgical treatment and rehabilitation compared with those undergoing staged bilateral TKA. This information may be useful to surgeons counselling employed patients with bilateral OA of the knee who are considering surgical treatment. Cite this article: Bone Joint J 2021;103-B(6 Supple A):108–112.


2010 ◽  
Vol 59 (2) ◽  
pp. 310-313
Author(s):  
Tomoyuki Oshiro ◽  
Takeyuki Miyazato ◽  
Shinichi Shirota ◽  
Muneyuki Hayashi ◽  
Yoshitake Oshiro ◽  
...  

2014 ◽  
Vol 29 (6) ◽  
pp. 1163-1168 ◽  
Author(s):  
Arthur J. Kievit ◽  
Rutger C.I. van Geenen ◽  
P. Paul F.M. Kuijer ◽  
Thijs M.J. Pahlplatz ◽  
Leendert Blankevoort ◽  
...  

1999 ◽  
Vol 14 (3) ◽  
pp. 281-287 ◽  
Author(s):  
Peter F. Sharkey ◽  
Venkat Sethuraman ◽  
William J. Hozack ◽  
Richard H. Rothman ◽  
James B. Stiehl

2005 ◽  
Vol 20 (7) ◽  
pp. 850-856 ◽  
Author(s):  
Akihiro Kotani ◽  
Akihiko Yonekura ◽  
Robert B. Bourne

2013 ◽  
Vol 472 (1) ◽  
pp. 138-146 ◽  
Author(s):  
Adolph V. Lombardi ◽  
Ryan M. Nunley ◽  
Keith R. Berend ◽  
Erin L. Ruh ◽  
John C. Clohisy ◽  
...  

Author(s):  
T. H. Hylkema ◽  
M. Stevens ◽  
J. van Beveren ◽  
P. C. Rijk ◽  
R. W. Brouwer ◽  
...  

AbstractPurpose This study compared the preoperative levels and postoperative recovery courses of physical and mental impairments, activity limitations and participation restrictions of working-age patients who return to work (RTW) by 3, 6 or 12 months after total knee arthroplasty (TKA). Methods A prospective survey study including TKA patients (aged < 65) (n = 146) who returned to work (RdTW) in the first postoperative year. Three groups were compared: those who returned by 3 (n = 35), 6 (n = 40) or 12 (n = 29) months. Surveys were completed preoperatively and at 6 weeks and 3, 6 and 12 months postoperatively. Outcomes represented domains of the International Classification of Functioning, i.e. physical impairments (pain, stiffness, vitality), mental impairments (mental health and depressive symptoms), activity limitations (physical functioning) and participation restrictions (social and work functioning). Results Preoperative knee-specific pain and physical functioning levels were better among patients who RdTW by 3 months, compared to those who returned by 12 months. Patients who RdTW by 3 months experienced significantly better recovery from physical impairments than those who returned by 6 months (on general pain) or 12 months (on general and knee-specific pain and on stiffness). Patients returning by 3 months experienced significantly better recovery from activity limitations (on knee-specific physical functioning). Conclusions To optimize return to work outcome after TKA surgery, the focus should lie on physical impairments (general and knee-specific pain, stiffness) and activity limitations (knee-specific physical functioning) during recovery.


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