Detaillierte Beitrags-Information
| Beitragstitel | Back to Work After Knee Arthroplasty: Total (TKA) vs Unicompartimental (UKA). |
|---|---|
| Beitragscode | P063 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Background The amount of patients undergoing knee replacement surgery is increasing worldwide, even throughout the active population, whether it involves total knee arthroplasty (TKA) or unicompartimental knee arthroplasty (UKA). However, the delay before returning to work may differ between these two surgeries. Aim The aim of our study is to compare the UKAs and TKAs delay before returning to work, and mainly according to their professional sectors. Study Design & Methods 618TKAs and 302UKAs were 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 were 117 UKAs and 110 TKAs. The different professional activities were classified according the National Institute of Statistics and Economic Studies: primary, secondary, tertiary. We assessed the percentage of patients regaining their professional activity within 6 months following surgery, and those regaining their duty over 6 to 24 months. Within this last category, we studied whether some of them underwent a career transition, and compared our results between the UKAs and TKAs. Results During the study period, the first difference between these two populations involved the main professional sector. Indeed, in the TKAs, 50% are in the tertiary sector, contrarily to the UKAs, where the secondary sector is predominant (47%). The secondary sector is exposed to a career transition whether the patient underwent TKA or UKA, with 33% in the UKA group and 13.8% in the TKA group. No career transition was observed in the primary nor tertiary sector, whether they underwent TKA or UKA. However, the UKA patients tend to return to work within 2 years after surgery (94%), whereas only 78% regained work within the same time period in the TKA group, more of them working only on a 50%-time basis or receiving a disability insurance (5.81%). Conclusions In our study, the UKA group is more favorable to return back to their professional activity within a large 2-year period after surgery, in comparison with the TKAs. However, the secondary professional sector is mostly at risk for a career transitioning in both surgeries. Surgeons therefore need to prepare the patient for this eventuality after undergoing the knee replacement. |