Factors associated with return to work after open reinsertion of the triangular fibrocartilage

被引：6

作者：

Feitz, R. ^{[1
,2
]}

Teunissen, J. S. ^{[1
,2
]}

van der Oest, M. J. W. ^{[1
,3
,4
]}

van der Heijden, E. P. A. ^{[4
,5
]}

Selles, R. W. ^{[3
,4
]}

Hovius, S. E. R. ^{[1
,2
]}

机构：

[1] Hand & Wrist Ctr, Xpert Clin, Laarderhoogtweg 12, NL-1101 EA Amsterdam, Netherlands

[2] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Dept Plast Reconstruct & Hand Surg, Geert Grootepl Zuid 10, NL-6525 GA Nijmegen, Netherlands

[3] Erasmus MC, Dept Plast Reconstruct & Hand Surg, Doctor Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[4] Erasmus MC, Dept Rehabil Med, Doctor Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[5] Jeroen Bosch Ziekenhuis, Dept Plast & Reconstruct Surg & Hand Surg, Henri Dunantstr 1, NL-5223 GZ Shertogenbosch, Netherlands

来源：

HAND SURGERY & REHABILITATION | 2021年 / 40卷 / 04期

关键词：

Triangular fibrocartilage; Wrist injuries; Return to work; Patient-reported outcome measures; ULNAR-SHORTENING OSTEOTOMY; HEALTH-CARE COSTS; PRODUCTIVITY COSTS; INJURIES; HAND;

D O I：

10.1016/j.hansur.2021.03.012

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：

The aim of this study was to assess return to work (RTW) after open Triangular Fibrocartilage Complex (TFCC) reinsertion. RTW after open surgery for TFCC injury was assessed by questionnaires at 6 weeks, 3 months, 6 months, and 12 months post-operatively. Median RTW time was assessed on inverted Kaplan-Meier curves and hazard ratios were calculated with Cox regression models. 310 patients with a mean age of 38 years were included. By 1 year, 91% of the patients had returned to work, at a median 12 weeks (25% - 75%: 6 - 20 weeks). Light physical labor (HR 3.74) was associated with RTW within the first 15 weeks; this association altered from 23 weeks onward: light (HR 0.59) or moderate physical labor (HR 0.25) was associated with lower RTW rates. Patients with poorer preoperative Patient-Rated Wrist Evaluation (PRWE) total score returned to work later (HR 0.91 per 10 points). Overall cost of loss of productivity per patient was (sic)13,588. In the first year after open TFCC reinsertion, 91% of the patients returned to work, including 50% within 12 weeks. Factors associated with RTW were age, gender, work intensity, and PRWE score at baseline. (C) 2021 SFCM. Published by Elsevier Masson SAS.

引用

页码：405 / 412

页数：8

共 20 条

[1] A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome [J].