Return to work after primary total hip or knee arthroplasty. First French study. Retrospective study of 241 cases

Author(s):  
Mickael Mangin ◽  
Florent Galliot ◽  
Fayçal Houfani ◽  
Cédric Baumann ◽  
Didier Mainard
2016 ◽  
Vol 98 (6) ◽  
pp. 387-395 ◽  
Author(s):  
CS Leichtenberg ◽  
C Tilbury ◽  
PPFM Kuijer ◽  
SHM Verdegaal ◽  
R Wolterbeek ◽  
...  

Introduction A substantial number of patients undergoing total hip or knee arthroplasty (THA or TKA) do not or only partially return to work. This study aimed to identify differences in determinants of return to work in THA and TKA. Methods We conducted a prospective, observational study of working patients aged <65 years undergoing THA or TKA for osteoarthritis. The primary outcome was full versus partial or no return to work 12 months postoperatively. Factors analysed included preoperative sociodemographic and work characteristics, alongside the Hip Disability and Osteoarthritis Outcome Score (HOOS)/Knee Injury and Osteoarthritis Outcome Score (KOOS), and Oxford Hip and Knee Scores. Results Of 67 THA and 56 TKA patients, 9 (13%) and 10 (19%), respectively, returned partially and 5 (7%) and 6 (11%), respectively, did not return to work 1 year postoperatively. Preoperative factors associated with partial or no return to work in THA patients were self-employment, absence from work and a better HOOS Activities of Daily Living (ADL) subscale score, whereas only work absence was relevant in TKA patients. Type of surgery modified the impact of ADL scores on return to work. Conclusions In both THA and TKA, absence from work affected return to work, whereas self-employment and better preoperative ADL subscale scores were also associated in THA patients. The impact of ADL scores on return to work was modified by type of surgery. These results suggest that strategies aiming to influence modifiable factors should consider THA and TKA separately.


PLoS ONE ◽  
2019 ◽  
Vol 14 (9) ◽  
pp. e0221932
Author(s):  
Anton R. Boersma ◽  
Sandra Brouwer ◽  
Wendy Koolhaas ◽  
Reinoud W. Brouwer ◽  
Wierd P. Zijlstra ◽  
...  

2016 ◽  
Vol 37 (8) ◽  
pp. 991-993 ◽  
Author(s):  
Luciana B. Perdiz ◽  
Deborah S. Yokoe ◽  
Guilherme H. Furtado ◽  
Eduardo A. S. Medeiros

In this retrospective study, we compared automated surveillance with conventional surveillance to detect surgical site infection after primary total hip or knee arthroplasty. Automated surveillance demonstrated better efficacy than routine surveillance in SSI diagnosis, sensitivity, and predictive negative value in hip and knee arthroplasty.Infect Control Hosp Epidemiol 2016;37:991–993


2015 ◽  
Vol 19 (3) ◽  
pp. 121-130 ◽  
Author(s):  
Kirsten Specht ◽  
Per Kjaersgaard-Andersen ◽  
Henrik Kehlet ◽  
Birthe D. Pedersen

Rheumatology ◽  
2013 ◽  
Vol 53 (3) ◽  
pp. 512-525 ◽  
Author(s):  
C. Tilbury ◽  
W. Schaasberg ◽  
J. W. M. Plevier ◽  
M. Fiocco ◽  
R. G. H. H. Nelissen ◽  
...  

2020 ◽  
Vol 8 (T1) ◽  
pp. 642-645
Author(s):  
Asep Santoso ◽  
Gilang Persada ◽  
Iwan Budiwan Anwar ◽  
Tangkas SMHS Sibarani ◽  
Ismail Mariyanto ◽  
...  

The difficult situation of the coronavirus disease (COVID)-19 pandemic may affect to hip and knee arthroplasty service. Retrospective study was performed to patients who received elective total hip/total knee arthroplasty (THA/TKA) from January to September 2020 at Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia. There were a total of 64 THA and 227 TKA from January to September of 2020. There was an extreme decrease in the number of TKA surgery during April, May, and June in 2020. The effect of coronavirus disease-19 pandemic to the decrease of arthroplasty service was mainly in the first 3 months period.


2014 ◽  
Vol 73 (Suppl 2) ◽  
pp. 333.3-334
Author(s):  
C. Tilbury ◽  
C. Leichtenberg ◽  
R. Tordoir ◽  
M. Holtslag ◽  
S. Verdegaal ◽  
...  

2018 ◽  
Vol 100-B (8) ◽  
pp. 1043-1053 ◽  
Author(s):  
C. E. H. Scott ◽  
G. S. Turnbull ◽  
M. F. R. Powell-Bowns ◽  
D. J. MacDonald ◽  
S. J. Breusch

Aims The aim of this study was to identify predictors of return to work (RTW) after revision lower limb arthroplasty in patients of working age in the United Kingdom. Patients and Methods We assessed 55 patients aged ≤ 65 years after revision total hip arthroplasty (THA). There were 43 women and 12 men with a mean age of 54 years (23 to 65). We also reviewed 30 patients after revision total knee arthroplasty (TKA). There were 14 women and 16 men with a mean age of 58 years (48 to 64). Preoperatively, age, gender, body mass index, social deprivation, mode of failure, length of primary implant survival, work status and nature, activity level (University of California, Los Angeles (UCLA) score), and Oxford Hip and Knee Scores were recorded. Postoperatively, RTW status, Oxford Hip and Knee Scores, EuroQol-5D (EQ-5D), UCLA score, and Work, Osteoarthritis and Joint-Replacement Questionnaire (WORQ) scores were obtained. Univariate and multivariate analysis was performed. Results Overall, 95% (52/55) of patients were working before their revision THA. Afterwards, 33% (17/52) RTW by one year, 48% (25/52) had retired, and 19% (10/52) were receiving welfare benefit. RTW was associated with age, postoperative Oxford Hip Score, early THA failure (less than two years), mode of failure dislocation, and contralateral revision (p < 0.05). No patient returned to work after revision for dislocation. Only age remained a significant factor on multivariate analysis (p = 0.003), with 79% (11/14) of those less than 50 years of age returning to work, compared with 16% (6/38) of those aged fifty years or over. Before revision TKA, 93% (28/30) of patients were working. Postoperatively only 7% (2/28) returned to work by one year, 71% (20/28) had retired, and 21% (6/28) were receiving welfare benefits. UCLA scores improved after 43% of revision THAs and 44% of revision TKAs. Conclusion After revision THA, age is the most significant predictor of RTW: only 16% of those over 50 years old return to work. Fewer patients return to work after early revision THA and none after revision for dislocation. After revision TKA, patients rarely return to work: none return to heavy or moderate manual work. Cite this article: Bone Joint J 2018;100-B:1043–53.


2015 ◽  
Vol 35 (12) ◽  
pp. 2059-2067 ◽  
Author(s):  
C. Tilbury ◽  
C. S. Leichtenberg ◽  
R. L. Tordoir ◽  
M. J. Holtslag ◽  
S. H. M. Verdegaal ◽  
...  

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