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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Published on: September 7, 2022

在创伤性部脱后重返工作:预后结果研究

Stephan Regenbogen^1,2, Philipp Blum³, Eric Mandelka⁴

¹Department for Orthopaedics and Trauma Surgery at Heidelberg University, Berufsgenossenschaftliche Klinik Ludwigshafen, Ludwigshafen, Germany. s_regenbogen@web.de.

Archives of orthopaedic and trauma surgery

|January 17, 2025

概括

创伤性部脱往往导致工作限制. 年轻的年龄,较低的BMI和更好的患者报告结果预测,在部脱损伤后,成功恢复以前的工作.

关键词:

回到体育运动的回归回到工作位上工作.创伤性部脱与工作有关的创伤.

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科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
康复医学康复医学康复医学

背景情况:

创伤性部脱导致严重的发病率和日常活动的限制.
残留残疾影响返回工作,财务独立和整体福祉.
了解社会经济因素对于管理长期结果至关重要.

研究的目的:

分析创伤性部脱后患者的流行病学和社会经济状况.
鉴定部脱损伤后成功恢复工作的预测因素.

主要方法:

来自三家一级创伤中心 (2009-2021) 的创伤性部脱患者的回顾性分析.
纳入标准:年龄≥18岁,有工作,随访≥2年.
排除标准:不完整的记录,退休患者.
对67名患者 (63%的随访率) 进行了回归工作,工作变更和社会经济结果的分析.

主要成果:

更高的年龄和身体质量指数 (BMI) 与较低的事故前工作回归率有关 (p <0.05).
低特格纳活动量表,疼痛评分和修改后的哈里斯部评分与工作和收入回报率降低相关 (p < 0.001).
27%的患者没有回到他们以前的工作,18%的患者收入减少.

结论:

创伤性部脱有较高的与工作有关的伤害率和较低的返回工作率.
成功回到以前的工作位的预测因素包括年龄较小,BMI较低,患者报告的结果较高,疼痛水平较低.
识别有风险的患者对于制定有针对性的干预措施以改善就业结果至关重要.