Evidence map›Paper›PMID 39821482›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Return to work following traumatic hip dislocation: a prognostic outcome study.

Stephan Regenbogen, Philipp Blum, Eric Mandelka, Philipp Osten, Paul A Grützner, Fabian M Stuby, Vera Jaecker

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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stephan RegenbogenDepartment for Orthopaedics and Trauma Surgery at Heidelberg University, Berufsgenossenschaftliche Klinik Ludwigshafen, Ludwigshafen, Germany. s_regenbogen@web.de.
Philipp BlumDepartment of Traumatology and General Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany.
Eric MandelkaDepartment for Orthopaedics and Trauma Surgery at Heidelberg University, Berufsgenossenschaftliche Klinik Ludwigshafen, Ludwigshafen, Germany.
Philipp OstenDepartment of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Colone, Germany.
Paul A GrütznerDepartment for Orthopaedics and Trauma Surgery at Heidelberg University, Berufsgenossenschaftliche Klinik Ludwigshafen, Ludwigshafen, Germany.
Fabian M StubyDepartment of Traumatology and General Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany.
Vera JaeckerDepartment of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Colone, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic hip dislocations are associated with high morbidity and overall limitations of daily living activities. Residual disability inhibits returning to work after severe injuries and minimizes financial independence and social involvement, which are both related to well-being and good health. The aim of this study was to analyze epidemiological and socioeconomic status following traumatic hip dislocations to identify predictors for return to work. PATIENTS AND

methodsPatients with traumatic hip dislocations from three level one trauma centers from 2009 to 2021 were followed up in terms of epidemiological data, return to work, change of work, and predictors of socioeconomic outcome. Inclusion criteria were age ≥ 18 years, employed patients, and a minimum follow-up of ≥ 2 years. Patients with incomplete or missing medical records, including radiological imaging and retired patients, were excluded. 107 patients met the inclusion criteria and 67 (63%) patients were available for follow-up.

resultsA total of 81 male and 26 female patients with a mean age of 41.82 years (SD ± 15.65) were finally evaluated. A work-related accident was found in 28 patients (26%). Demographic data and treatment course did not differ significantly between the work-related and non-work-related accidents. Sixty-seven (63%) patients (51 male and 16 female) with a mean age of 42 years (SD ± 15.79) were included in the follow-up. Eighteen patients (27%) had not returned to their previous job and 12 patients (18%) had reduced income. Higher age and Body Mass Index (BMI) were significantly associated with a lower return rate to the pre-accident job (p < 0.05). Furthermore, lower Tegner Activity Scale, pain score, and modified Harris Hip Score were also significantly associated with lower return to work rate (p < 0.001) and reduced income.

conclusionTraumatic hip dislocations are associated with high rates of work-related injury and unsatisfactory low rates of return to previous work. Younger age, lower BMI, higher Patient reported outcome measures and lower pain levels may predict a successful return to previous job and a reduced risk of reduction in earning capacity. Understanding the predictive factors is crucial to identify patients at risk of not returning to work and to develop strategies that may help improve their chances of successfully returning to their previous employment.

Indexed as

Hip DislocationReturn to WorkAdultFemaleHumansMaleMiddle AgedPrognosisReturn to sportsReturn to workTraumatic hip dislocationWork-related trauma

Identifiers

PMID39821482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.