ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2019
Factors influencing return to work after hip and knee arthroplasty.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-related Predictors for the Functional Outcome of SuperPATH Hemiarthroplasty versus Conventional Approach Hemiarthroplasty: A Systematic Review and Meta-regression Analysis of Randomized Controlled Trials.Orthopaedic surgery · 2024Pooled it
- Return to work following primary total hip arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Return to Work Within 104 Weeks in Working-Age Patients Following Total Hip Arthroplasty.Cureus · 2026Article
- Return to work following total hip arthroplasty: a Japanese retrospective cohort study highlighting the impact on satisfaction and life purpose.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025Article
- Return to Work Following Hip or Knee Arthroplasty: A One-Year Prospective Cohort Study in Participants with Direct Referral from Hospital to Occupational Health Care Services.Journal of occupational rehabilitation · 2025Article
- Return to work and resumption of driving after anterior minimally invasive total hip arthroplasty.World journal of orthopedics · 2025Article
- Factors predicting outcomes from chronic pain management interventions.BMJ medicine · 2025Review
- Eight of ten patients return to daily activities, work, and sports after total knee arthroplasty.World journal of orthopedics · 2024Article
- Early Recovery Outcomes in Patients Undergoing Contemporary Posterior Approach Total Hip Arthroplasty: Each Week Shows Progress.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Return to Work and Driving After Robotic Arm-Assisted Total Knee Arthroplasty.Arthroplasty today · 2022Article
- Psychosocial Working Conditions Play an Important Role in the Return-to-Work Process After Total Knee and Hip Arthroplasty.Journal of occupational rehabilitation · 2022Article
- Return to Daily Activities, Work, and Sports at 3 Months After Total Hip Arthroplasty.JB & JS open accessArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA substantial proportion of patients undergoing lower limb arthroplasty are of working age. This study aims to identify when patients return to work (RTW) and if they return to normal hours and duties, and to identify which factors influence postoperative RTW. The hypothesis is that there is no difference in time of RTW between the different types of surgery, and no difference in time of RTW based on the physical demands of the job. MATERIALS AND
methodsConsecutive patients aged < 65 years who had undergone unilateral primary total hip arthroplasty (THA), total knee arthroplasty (TKA), or medial unicompartmental knee arthroplasty (UKA) from 2015 to 2017 were sent a questionnaire. Quantitative questions explored timing and nature of RTW, and qualitative questions explored factors influencing timing of RTW.
resultsThere were 116 patients (64 male, 52 female) with an average age of 56 years. Thirty-one patients were self-employed and 85 were employees. Of these patients, 58 had undergone THA, 31 had undergone TKA, and 27 had undergone UKA. One hundred and six (91%) patients returned to work. Patients returned to work after (mean) 6.4 weeks (THA), 7.7 weeks (TKA), and 5.9 weeks (UKA). Time of RTW was not significantly influenced by type of surgery (p = 0.18) (ns). There was a non-significant correlation between physical demands of the work versus time of RTW (p = 0.28) (ns). There was a significantly earlier time of RTW if flexible working conditions were resumed (p = 0.003). Active recovery, motivation, necessity and job flexibility enabled RTW. The physical effects of surgery, medical restrictions and work factors impeded RTW.
conclusionThe time of RTW was not significantly influenced by the type of operation or by the physical demands of the job. Patients returned to work 5.9-7.7 weeks after hip/knee arthroplasty. Rehabilitation, desire, and necessity promoted RTW. Pain, fatigue and medical restrictions impeded RTW. LEVEL OF EVIDENCE: 3.
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