骨科手术后重返农业:一个系统性审查
Eva Lehtonen1, Ruja Kambli2, Krishna Mandalia3
1Department of Orthopedic Surgery, New England Baptist Hospital, Boston, MA 02120, United States.
World journal of orthopedics
|January 29, 2026
概括
骨科手术后返回工作 (RTW) 对于接受肩部手术的农民和重工来说很高. 对于部和膝关节手术患者的咨询和康复,需要更多的农村特定研究.
科学领域:
- 整形外科手术 整形外科手术
- 职业健康 职业健康 职业健康
- 农村健康差异 农村健康差异
背景情况:
- 越来越多的人关注医疗保健差异,特别是在农村地区.
- 对农民和重工在骨科手术后恢复工作 (RTW) 的有限研究.
- 城市为中心的研究往往忽视了农村患者群体的需求.
研究的目的:
- 系统地评估现有的关于在部,膝盖或肩部整形外科手术后农业和重型劳动职业中RTW率的文献.
- 在这些特定的患者群体中确定影响RTW的因素.
- 突出目前针对农村患者群体的研究中的差距.
主要方法:
- 在PubMed和EMBASE数据库中进行系统的文献搜索,遵循PRISMA指南.
- 纳入标准:农业/重工患者,部,膝盖或肩膀手术后的RTW数据,至少6个月的随访.
- 在关节镜肩部手术RTW率的三个观察性研究中进行的比例的元分析.
主要成果:
- 十项研究包括101名农民在440名患者中;重点是肩部手术 (7项研究).
- 根据手术类型和随访情况,RTW的发生率差异很大 (24% - 100%);关节整形术在1年后显示了53.6%的RTW.
- 关节透视肩膀手术的RTW比率为89%;与逆肩膀关节整形手术相比,解剖学全肩膀关节整形手术的RTW几率更高 (OR=5.45).
结论:
- 农民和重工在肩部手术后观察到高RTW率.
- 显著需要农村特定的研究,以告知患者咨询和康复部和膝关节整形外科手术.
- 强调研究重点对接受骨科手术的贫困农村人口的差异.
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