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Return to Work After Total Joint Arthroplasty: A Predictive Model.

Alexander J Rondon, Timothy L Tan, Max R Greenky

|July 1, 2020

Summary

This summary is machine-generated.

Most patients return to work within 12 weeks after total joint arthroplasty (TJA). Factors like self-employment and lighter duties predict faster return, while physically demanding jobs and knee surgery predict slower return to work.

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Area of Science:

Orthopedics
Rehabilitation Medicine
Health Services Research

Background:

Returning to work is a major patient concern after total joint arthroplasty (TJA).
Workplace reentry impacts patient independence, finances, and daily life.
Predicting return-to-work timelines is crucial for patient counseling.

Purpose of the Study:

To identify independent patient and procedural variables predicting return to work after TJA.
To develop a predictive model for postoperative return to work.

Main Methods:

Prospective enrollment of 391 patients undergoing primary hip or knee arthroplasty.
Biweekly surveys collected data on occupation demands, standing hours, limitations, and assistive devices.
Bivariate analysis and multiple linear regression were used to create a predictive model.

Main Results:

89.6% of patients returned to work within 12 weeks.
Total hip arthroplasty patients returned to work sooner than total knee arthroplasty patients (5.56 vs. 7.79 weeks).
Faster return predictors: self-employment, light-duty work, male sex, higher income. Slower return predictors: physically demanding jobs, knee arthroplasty, longer hospital stay, jobs requiring more standing.

Conclusions:

An objective predictive model for return to work after TJA was developed.
Patient and procedure-specific factors significantly influence postoperative return-to-work timelines.
Surgeons can use these findings to set realistic patient expectations regarding work recovery.