Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design

Abstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Qu...

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Autores principales:	Georg Hauer, Maria Smolle, Sabrina Zaussinger, Joerg Friesenbichler, Andreas Leithner, Werner Maurer-Ertl
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/eab6ccb532744cb082398a50c677c2ff
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spelling	oai:doaj.org-article:eab6ccb532744cb082398a50c677c2ff2021-12-02T13:33:50ZShort-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design10.1038/s41598-021-82805-02045-2322https://doaj.org/article/eab6ccb532744cb082398a50c677c2ff2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82805-0https://doaj.org/toc/2045-2322Abstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Questionnaires inquiring about RTW, employment history, educational level, type of work, physical demands and joint awareness were administered by post. Further data were collected from patients’ hospital records. 176 patients who underwent THA using a short-stem and 97 patients using a straight-stem design were compared. The median return to work time was 10 weeks [IQR 7–14 weeks], with no significant difference between the two groups (short stems vs. straight stems; 10 [IQR 7–14] vs. 11 [7.5–13.5] weeks; p = 0.693). In the multivariate linear regression analysis, self-employment vs. employee (p = 0.001), dimension of preoperative workload (p = 0.001), preoperative sick leave (p < 0.001), and hospital length of stay (LOS) (p < 0.001) independently affected the period until work was resumed. The Forgotten-Joint-Score-12 showed no significant difference between the two groups. The data show that the majority of THA patients can expect to resume work and stem design has no impact on RTW. Employees with preoperative sick leave, prolonged hospital LOS and low workload are at higher risk for a delayed RTW.Georg HauerMaria SmolleSabrina ZaussingerJoerg FriesenbichlerAndreas LeithnerWerner Maurer-ErtlNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
description	Abstract Return to work (RTW) has been specifically identified as a high priority in patients undergoing total hip arthroplasty (THA). This investigation sought to assess the effect of the stem design on patients’ RTW. Secondly, the study aimed to identify risk factors that lead to a delayed RTW. Questionnaires inquiring about RTW, employment history, educational level, type of work, physical demands and joint awareness were administered by post. Further data were collected from patients’ hospital records. 176 patients who underwent THA using a short-stem and 97 patients using a straight-stem design were compared. The median return to work time was 10 weeks [IQR 7–14 weeks], with no significant difference between the two groups (short stems vs. straight stems; 10 [IQR 7–14] vs. 11 [7.5–13.5] weeks; p = 0.693). In the multivariate linear regression analysis, self-employment vs. employee (p = 0.001), dimension of preoperative workload (p = 0.001), preoperative sick leave (p < 0.001), and hospital length of stay (LOS) (p < 0.001) independently affected the period until work was resumed. The Forgotten-Joint-Score-12 showed no significant difference between the two groups. The data show that the majority of THA patients can expect to resume work and stem design has no impact on RTW. Employees with preoperative sick leave, prolonged hospital LOS and low workload are at higher risk for a delayed RTW.
format	article
author	Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl
author_facet	Georg Hauer Maria Smolle Sabrina Zaussinger Joerg Friesenbichler Andreas Leithner Werner Maurer-Ertl
author_sort	Georg Hauer
title	Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
title_short	Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
title_full	Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
title_fullStr	Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
title_full_unstemmed	Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
title_sort	short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/eab6ccb532744cb082398a50c677c2ff
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Short-stem total hip arthroplasty is not associated with an earlier return to work compared to a straight-stem design

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