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Do Outcomes Differ After Proximal Hamstring Repair for Patients Receiving Workers' Compensation?

Kali J Sullivan1, Sophie M Nemec2, Kuhan A Mahendraraj2

  • 1Tufts University School of Medicine, Boston, Massachusetts, USA.

Orthopaedic Journal of Sports Medicine
|May 8, 2023
PubMed
Summary

Workers' compensation (WC) patients undergoing proximal hamstring repair (PHR) showed similar functional outcomes but lower mental health scores compared to non-WC patients. Return to work was significantly longer for WC patients.

Keywords:
propensity score matchingproximal hamstring repairreturn to workworkers’ compensation

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Area of Science:

  • Orthopaedic Surgery
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Workers' compensation (WC) claims are often associated with poorer patient-reported outcomes (PROs) following orthopaedic surgery.
  • Understanding these disparities is crucial for improving care for injured workers.

Purpose of the Study:

  • To compare postoperative PROs in patients with WC claims versus those without WC claims after proximal hamstring repair (PHR).
  • To investigate the impact of WC status on functional recovery and return to work after PHR.

Main Methods:

  • A cohort study (Level of evidence, 3) propensity score matched 10 WC patients to 20 non-WC patients undergoing PHR.
  • PROs including LEFS, HOS, and SF-12 (PCS and MCS) were assessed at minimum 1-year follow-up.
  • Work type was categorized (light, medium, heavy) per WC guidelines.

Main Results:

  • No significant differences were found in LEFS, HOS, or SF-12 Physical Component Summary (PCS) scores between WC and non-WC groups.
  • WC patients reported significantly lower SF-12 Mental Component Summary (MCS) scores (P = .032).
  • WC patients required significantly more time to return to full-duty work capacity (21 weeks vs 9 weeks, P = .005).

Conclusions:

  • Proximal hamstring repair (PHR) yields comparable functional outcomes for both workers' compensation (WC) and non-WC patients.
  • The observed differences in mental health scores (SF-12 MCS) and return-to-work timelines warrant further investigation in WC populations.