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Workers' perspectives on return to work after total knee arthroplasty.

Pascale Maillette¹, Marie-France Coutu², Nathaly Gaudreault²

¹Centre de recherche, hôpital Charles-Le Moyne, Canada.

Annals of Physical and Rehabilitation Medicine

|March 29, 2017

Summary

Workers’ understanding of work disability after total knee arthroplasty (TKA) varies. Support from the workplace and adaptive strategies significantly influence return-to-work outcomes following TKA.

Keywords:

Biopsychosocial Rehabilitation Representations Total knee arthroplasty Work disability

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Area of Science:

Orthopedics
Occupational Health
Rehabilitation Medicine

Background:

Total knee arthroplasty (TKA) is a common procedure for osteoarthritis, yet many patients struggle to return to work.
Existing research often overlooks the patient's perspective on work disability, particularly biopsychosocial factors.

Purpose of the Study:

To explore workers' understanding of work disability after undergoing TKA.
To identify factors influencing return to work from the patient's viewpoint.

Main Methods:

Qualitative narrative inquiry with 8 partially or fully disabled workers 6-12 months post-TKA.
Semi-structured interviews and questionnaires on physical demands and pain.
Verbatim transcription and multidisciplinary content analysis.

Main Results:

Half of the interviewed workers were not back at work, reporting little workplace support and few adaptive strategies.
The other half experienced significant improvement and facilitated return to work due to concrete workplace support.
Workers expressed a lack of understanding regarding their work disability and limited coping mechanisms.

Conclusions:

A biopsychosocial approach is crucial for understanding work disability post-TKA.
Rehabilitation strategies should consider factors beyond the patient's physical condition, including workplace support and psychosocial elements.
Addressing workers' perspectives is essential for improving return-to-work rates after TKA.