Total hip arthroplasty in patients receiving Workers' Compensation

¹Department of Orthopaedic Surgery, The Johns Hopkins University Medical Institutions, Baltimore, MD, USA.

Clinical Orthopaedics and Related Research

|October 20, 2000

Summary

Workers' Compensation did not significantly impact total hip arthroplasty outcomes. Patients receiving compensation showed similar functional results and revision rates compared to those not receiving it.

Area of Science:

Orthopedic Surgery
Occupational Health
Rehabilitation Medicine

Background:

Job-related injuries often lead to adverse patient outcomes.
Elective surgery in patients receiving Workers' Compensation has been linked to poorer results.
The specific impact of Workers' Compensation on total hip arthroplasty outcomes requires further investigation.

Purpose of the Study:

To investigate the influence of Workers' Compensation on the outcomes of primary total hip arthroplasty.
To compare functional scores and complication rates between patients receiving and not receiving Workers' Compensation.

Main Methods:

A retrospective study comparing 44 patients (48 hips) receiving Workers' Compensation with 22 matched controls (24 hips) not receiving compensation.
Patients underwent primary total hip arthroplasty between 1984 and 1996.
Outcomes were assessed using the Harris hip score and revision surgery rates after a mean follow-up of 77-80 months.

Main Results:

The Workers' Compensation group achieved a mean Harris hip score of 86, while the control group scored 92.
Two patients (9%) in the compensation group required revision surgery for aseptic loosening.
No significant difference was observed in the percentage of good or excellent results between the two groups.

Conclusions:

Workers' Compensation benefits do not appear to negatively influence the outcome of total hip arthroplasty.
Functional outcomes and the need for revision surgery are comparable between compensated and non-compensated patients undergoing hip replacement.

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Background:

Purpose of the Study:

Main Methods:

Main Results:

Conclusions:

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