Detaillierte Beitrags-Information
| Beitragstitel | Back To Work After Total Knee Arthroplasty (TKA): A Work Perspective. |
|---|---|
| Beitragscode | P062 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Background The amount of primary knee prosthesis has been constantly increasing worldwide for several years, even within the active population. Many studies have shown that around 71 to 83 % of patients after total knee arthroplasty (TKA) get back to work within 3 to 6 months. However, the patients’ professional activity may have a role to play regarding the delay before returning to work. Aim The aim of our study is mainly to observe whether the delay depends on the patients’ professional sector. Study Design & Methods We studied the 618 TKAs performed from 2010-14 in our hospital. Were included the patients within the working age (under 65 years old) and that had a professional activity at the time of the surgery. Those who were 1 year from retirement were excluded from the study. The final number of patients included was 110, with a mean age of 57 years old, a mean BMI of 30.8 kg/m2 ± 5.7, mainly males (71.8%) and classified ASA2 (72.7%). The different professional activities were classified according the National Institute of Statistics and Economic Studies: primary, secondary, and tertiary. We observed the percentage of patients who regained their professional activity within 6 months following surgery, and those regaining their duty over 6 months. Within this last category, we studied whether some of them underwent a career transition Results During the study period, 50% patients were in the tertiary sector, 38.2% in the secondary sector and 11.8% in the primary sector. During the following 6 months after surgery, all socio-professional sectors included,53% of patients regained their professional activity and 78% at 2 years. Regarding the secondary sector, 80.5% returned to work after 6 months, knowing that 13.8% of them faced a career transition. None of the primary nor tertiary sector underwent a career transition. However, among the patients not returning to work within the 2 years after surgery, 23% lost their jobs and asked for a disability insurance, whereas the other 77% regained their activity with a 50% work incapacity. Conclusions Patients who regain their profession within the first 6 months, maintain their professional career, regardless of their professional sectors. However, patients facing difficulties to return to work may have a less favorable pronostic of maintaining their job, and may need a disability insurance in order to support their condition. |