Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
Abstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Qu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-82805-0 |
| _version_ | 1818430975866044416 |
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| author | Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl |
| author_facet | Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl |
| author_sort | Georg Hauer |
| collection | DOAJ |
| description | Abstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Questionnaires inquiring about RTW, employment history, educational level, type of work, physical demands and joint awareness were administered by post. Further data were collected from patients’ hospital records. 176 patients who underwent THA using a short-stem and 97 patients using a straight-stem design were compared. The median return to work time was 10 weeks [IQR 7–14 weeks], with no significant difference between the two groups (short stems vs. straight stems; 10 [IQR 7–14] vs. 11 [7.5–13.5] weeks; p = 0.693). In the multivariate linear regression analysis, self-employment vs. employee (p = 0.001), dimension of preoperative workload (p = 0.001), preoperative sick leave (p < 0.001), and hospital length of stay (LOS) (p < 0.001) independently affected the period until work was resumed. The Forgotten-Joint-Score-12 showed no significant difference between the two groups. The data show that the majority of THA patients can expect to resume work and stem design has no impact on RTW. Employees with preoperative sick leave, prolonged hospital LOS and low workload are at higher risk for a delayed RTW. |
| first_indexed | 2024-12-14T15:41:57Z |
| format | Article |
| id | doaj.art-eab6ccb532744cb082398a50c677c2ff |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T15:41:57Z |
| publishDate | 2021-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-eab6ccb532744cb082398a50c677c2ff2022-12-21T22:55:36ZengNature PortfolioScientific Reports2045-23222021-03-011111710.1038/s41598-021-82805-0Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem designGeorg Hauer0Maria Smolle1Sabrina Zaussinger2Joerg Friesenbichler3Andreas Leithner4Werner Maurer-Ertl5Department of Orthopaedics and Trauma, Medical University of GrazDepartment of Orthopaedics and Trauma, Medical University of GrazDepartment of Orthopaedics and Trauma, Medical University of GrazDepartment of Orthopaedics and Trauma, Medical University of GrazDepartment of Orthopaedics and Trauma, Medical University of GrazDepartment of Orthopaedics and Trauma, Medical University of GrazAbstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Questionnaires inquiring about RTW, employment history, educational level, type of work, physical demands and joint awareness were administered by post. Further data were collected from patients’ hospital records. 176 patients who underwent THA using a short-stem and 97 patients using a straight-stem design were compared. The median return to work time was 10 weeks [IQR 7–14 weeks], with no significant difference between the two groups (short stems vs. straight stems; 10 [IQR 7–14] vs. 11 [7.5–13.5] weeks; p = 0.693). In the multivariate linear regression analysis, self-employment vs. employee (p = 0.001), dimension of preoperative workload (p = 0.001), preoperative sick leave (p < 0.001), and hospital length of stay (LOS) (p < 0.001) independently affected the period until work was resumed. The Forgotten-Joint-Score-12 showed no significant difference between the two groups. The data show that the majority of THA patients can expect to resume work and stem design has no impact on RTW. Employees with preoperative sick leave, prolonged hospital LOS and low workload are at higher risk for a delayed RTW.https://doi.org/10.1038/s41598-021-82805-0 |
| spellingShingle | Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design Scientific Reports |
| title | Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design |
| title_full | Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design |
| title_fullStr | Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design |
| title_full_unstemmed | Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design |
| title_short | Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design |
| title_sort | short stem total hip arthroplasty is not associated with an earlier return to work compared to a straight stem design |
| url | https://doi.org/10.1038/s41598-021-82805-0 |
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