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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Occupational Health

Background:

  • Total knee arthroplasty (TKA) is a common procedure for knee osteoarthritis.
  • Return-to-work timelines after TKA vary significantly based on job demands.
  • Patient satisfaction and functional limitations post-TKA are crucial outcomes.

Purpose of the Study:

  • To evaluate patient satisfaction after returning to work following TKA.
  • To assess limitations experienced by patients returning to work based on occupational intensity.
  • To compare return-to-work experiences across different job types.

Main Methods:

  • Retrospective review of patients undergoing primary TKA (June 2011-January 2022).
  • Survey of 914 respondents with at least 1-year follow-up regarding return to work.
  • Stratification of 507 preoperative workers into high (HI), standard (SI), and low (LI) intensity groups.

Main Results:

  • 88.2% of patients returned to work post-TKA; 11.8% did not.
  • High-intensity workers (HI) were younger, more likely male, and more often smokers.
  • HI workers experienced more return-to-work hindrance (30.8%) and lower satisfaction (11.5% very unsatisfied) compared to SI (23.1%, 10.8%) and LI (7.7%, 8.1%) groups.

Conclusions:

  • TKA generally improves work function and satisfaction across all occupational intensities.
  • High-intensity occupations are associated with longer recovery periods post-TKA.
  • Patients in high-intensity jobs report comparatively lower satisfaction with their return to work.