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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Return to work advice after total hip and knee replacement.

F Nouri1, C Coole1, P Baker2

  • 1School of Health Sciences, University of Nottingham, Medical School, Queens Medical Centre, Nottingham, UK.

Occupational Medicine (Oxford, England)
|February 4, 2020
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Patients undergoing hip or knee replacement surgery receive limited return-to-work advice. Tailored information and individualized approaches are needed to improve patient support and outcomes after surgery.

Keywords:
Lower limb arthroplastypatient informationreturn to work

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Area of Science:

  • Orthopedic Surgery
  • Occupational Health
  • Patient-Centered Care

Background:

  • Limited understanding exists regarding return-to-work information provided to patients after total hip and knee replacement.
  • Post-operative return to work is a significant concern for many patients undergoing these procedures.

Purpose of the Study:

  • To explore patient perspectives on work-related advice received from clinicians.
  • To identify areas for improvement in the dissemination of return-to-work guidance.

Main Methods:

  • Conducted semi-structured interviews with 45 patients who had total hip or knee replacement, were employed pre-surgery, and intended to return to work.
  • Employed thematic analysis to identify key themes in patient experiences.

Main Results:

  • Identified eight themes, including a lack of information and individualized approaches.
  • Patients reported issues with the accessibility and acceptability of current information dissemination methods.
  • Patients articulated their specific information needs and preferred sources of advice.

Conclusions:

  • Patients undergoing total hip and knee replacement receive insufficient return-to-work information.
  • A more focused and individualized approach to providing this advice is necessary.
  • Screening patients to tailor interventions effectively is recommended for optimal resource allocation.