Page 135 - The value of total hip and knee arthroplasties for patients

Return to work after total hip and knee arthroplasty: a systematic review
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Table 2: continued Total Hip Arthroplasty
Peak et al. (5)
working (yes/no
Return to work < 6 weeks (yes/no)
Mean time to return to work (weeks)
85/152 working in restricted group
98/151 working in unrestricted group
16/85 returned to work < 6 weeks in the restricted group; 49/98 returned to work <
6 weeks in the unrestricted group
9.5 weeks (range 0.7-20.0) in the restricted group;
6.5 weeks (range 1.0-32.0)
in the unrestricted group, (P<0.001)
Tanavalee et al. (4)
Unknown
Not measured
Two-incision:
average time return to work 3 weeks (SD 1.3); mini-posterior : average time to return to work 5 weeks (SD 1.9)
(P<0.01)
Pagnano et al. (19)
Unknown
Return to work (postoperative days)
Not measured
Unknown
Time to return to work: mini posterior THA: mean 38 days (14-90 days);
two incision THA mean 42 days (9-56 days)
Mobasheri et al. (20)
Working/not working
Working/not working Length of time taken to resume work
Changes in working patterns Where relevant, reasons for not returning to work
81/85 available for follow-up: 51 employed prior to surgery 30 not employed, 12 of the 30 were unemployed because of hip pain (average duration of unemployment 26 weeks).
Patients working pre- operatively: 10.5 weeks to return to work.
Patients not working pre- operatively: 35 weeks to gain employment.
Definition of work status pre-operatively
Definition of work status postoperatively
Work situation prior to surgery
Work situation after surgery
Time to return to work
Return to work (postoperative weeks)
(denominator refers to the number of hips, not patients)
(p<0.001) Unknown
62/81 working afterTHA: 49/51 who were employed before THA returned to work 13/30 who were unemployed before THA regained employment.
(p=0.06)
13/62 changed occupation
(6 adapted jobs of reduced physical intensity)
19/81 not working after THA: 5 had retired, 4 housewives 10 did not work for other reasons than hip pain
Those out of work because of hip pain: 28 weeks to regain employment.