Patients return to work sooner after unicompartmental knee arthroplasty than after total knee arthroplasty

被引：28

作者：

Kievit, Arthur J. ^{[1
]}

Kuijer, P. Paul F. M. ^{[2
]}

de Haan, Laurens J. ^{[3
]}

Koenraadt, Koen L. M. ^{[3
]}

Kerkhoffs, Gino M. M. J. ^{[1
]}

Schafroth, Matthias U. ^{[1
]}

van Geenen, Rutger C., I ^{[3
]}

机构：

[1] Amsterdam Univ Med Ctr, Dept Orthoped Surg, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[2] Amsterdam Univ Med Ctr, Coronel Inst Occupat Hlth, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[3] Amphia, Dept Orthoped Surg, Molengracht 21,4818 CK,POB 90158, NL-4800 RK Breda, Netherlands

来源：

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | 2020年 / 28卷 / 09期

关键词：

Unicompartmental knee arthroplasty; Total knee arthroplasty; Return to work; WORQ; Workability; NATIONAL JOINT REGISTRY; TOTAL HIP; MATCHED PATIENTS; FOLLOW-UP; REPLACEMENT; OUTCOMES; OSTEOARTHRITIS; SATISFACTION; ENGLAND; ABILITY;

D O I：

10.1007/s00167-019-05667-0

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose It is not yet known if unicompartmental knee arthroplasty (UKA) patients are more likely to return to work sooner or have improved ability to work (i.e., workability) than total knee arthroplasty (TKA) patients. The following questions were addressed: patients were assessed to determine: (1) whether they returned to work sooner following UKA compared to TKA; (2) whether UKA patients had better WORQ function scores compared to TKA patients; and (3) if UKA patients have higher workability scores and greater satisfaction regarding workability than TKA patients. Methods A multicenter retrospective cohort study was performed that included patients at least 2 years after having undergone either UKA or TKA surgery and on the condition that patients had been in work in the 2 years prior to surgery. Time period between stopping work and returning to work was assessed; the WORQ scores (0 = worst-100 = best) and the Work Ability Index (WAI = 0-10) and reported satisfaction with work ability. Results UKA patients (n = 157, median 60 years, 51% male) were compared to TKA patients (n = 167, median 60 years, 49% male) (n.s.). Of the 157 UKA patients, 115 (73%) returned to work within 2 years compared to 121 (72%) of TKA patients (n.s.). More UKA patients return to work within 3 months (73% versus 48%) (p < 0.01). WORQ scores improved similarly in both groups. The WAI was also comparable between the groups. Dissatisfaction with workability was comparable (UKA 15% versus TKA 18% (n.s.). Conclusion TKA and UKA patients have similar WORQ, WAI, and satisfaction scores. However, in this study population, UKA patients to return to work after surgery significantly sooner than TKA patients, which improves their quality of life and allows them to participate actively in society. This information can help health care providers and patients weigh-up the pros and cons and choose the best treatment and timing for patients in the working population.

引用

页码：2905 / 2916

页数：12

共 47 条

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