Alberto Pedrazzini, Flamur Zendeli, Bettina Hochreiter, Samy Bouaicha, Karl Wieser, Philipp Kriechling
{"title":"Satisfactory return to work rates after reverse total shoulder arthroplasty.","authors":"Alberto Pedrazzini, Flamur Zendeli, Bettina Hochreiter, Samy Bouaicha, Karl Wieser, Philipp Kriechling","doi":"10.1302/0301-620X.107B9.BJJ-2024-1587.R2","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>The aim was to analyze the ability to return to work (RTW) after implantation of reverse total shoulder arthroplasty (RTSA) with special attention to heavy labourers.</p><p><strong>Methods: </strong>All working patients younger than 60 years of age who underwent RTSA between September 2005 and October 2021 were retrospectively evaluated for their ability to RTW. Basic demographic information, job intensity, change of work, and preoperative sick leave were collected. Constant-Murley score (CS) and Subjective Shoulder Value (SSV) preoperatively and at two years' follow-up, complications, and revision surgeries were used to evaluate the outcome. Logistic regression analysis was used to predict RTW.</p><p><strong>Results: </strong>A total of 167 of 209 eligible patients were employed at the time of surgery (median age 55 years (IQR 50.3 to 57.8), 34.1% (n = 57) female), of whom 75 (44.9%), 61 (36.5%), and 31 (18.6%) were classified to have light, medium, or heavy work intensity, respectively. Postoperatively, 73.7% (123/167) of them RTW at a median time of four months (IQR 2 to 7). Of those who RTW, 9.8% of patients (12/123) had to change occupation to less demanding jobs. Patients with high-intensity jobs had a lower RTW rate (19/31; 61.3%) compared with those with light (59/75; 78.7%) and medium-intensity jobs (45/61; 73.8%). Patients who RTW had better pre- and postoperative outcomes as well as greater improvement in relative CS (76% vs 34%; p < 0.001), CS for pain (14 vs 7 with 15 as best value; p < 0.001), and SSV (75% vs 20%; p < 0.001). Logistic regression analysis showed that absence of preoperative sick leave (OR 6.81 (95% CI 2.63 to 19.4); p < 0.001) was associated with higher RTW rates.</p><p><strong>Conclusion: </strong>More than two-thirds of preoperatively working patients were able to RTW after RTSA, depending on work intensity. Higher RTW rates were seen in patients who were not on sick leave preoperatively. This information is highly relevant for the surgeon to counsel patients accordingly and possibly limit expectations, especially in heavy workers.</p>","PeriodicalId":48944,"journal":{"name":"Bone & Joint Journal","volume":"107-B 9","pages":"915-923"},"PeriodicalIF":4.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bone & Joint Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1302/0301-620X.107B9.BJJ-2024-1587.R2","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Aims: The aim was to analyze the ability to return to work (RTW) after implantation of reverse total shoulder arthroplasty (RTSA) with special attention to heavy labourers.
Methods: All working patients younger than 60 years of age who underwent RTSA between September 2005 and October 2021 were retrospectively evaluated for their ability to RTW. Basic demographic information, job intensity, change of work, and preoperative sick leave were collected. Constant-Murley score (CS) and Subjective Shoulder Value (SSV) preoperatively and at two years' follow-up, complications, and revision surgeries were used to evaluate the outcome. Logistic regression analysis was used to predict RTW.
Results: A total of 167 of 209 eligible patients were employed at the time of surgery (median age 55 years (IQR 50.3 to 57.8), 34.1% (n = 57) female), of whom 75 (44.9%), 61 (36.5%), and 31 (18.6%) were classified to have light, medium, or heavy work intensity, respectively. Postoperatively, 73.7% (123/167) of them RTW at a median time of four months (IQR 2 to 7). Of those who RTW, 9.8% of patients (12/123) had to change occupation to less demanding jobs. Patients with high-intensity jobs had a lower RTW rate (19/31; 61.3%) compared with those with light (59/75; 78.7%) and medium-intensity jobs (45/61; 73.8%). Patients who RTW had better pre- and postoperative outcomes as well as greater improvement in relative CS (76% vs 34%; p < 0.001), CS for pain (14 vs 7 with 15 as best value; p < 0.001), and SSV (75% vs 20%; p < 0.001). Logistic regression analysis showed that absence of preoperative sick leave (OR 6.81 (95% CI 2.63 to 19.4); p < 0.001) was associated with higher RTW rates.
Conclusion: More than two-thirds of preoperatively working patients were able to RTW after RTSA, depending on work intensity. Higher RTW rates were seen in patients who were not on sick leave preoperatively. This information is highly relevant for the surgeon to counsel patients accordingly and possibly limit expectations, especially in heavy workers.
期刊介绍：
We welcome original articles from any part of the world. The papers are assessed by members of the Editorial Board and our international panel of expert reviewers, then either accepted for publication or rejected by the Editor. We receive over 2000 submissions each year and accept about 250 for publication, many after revisions recommended by the reviewers, editors or statistical advisers. A decision usually takes between six and eight weeks. Each paper is assessed by two reviewers with a special interest in the subject covered by the paper, and also by members of the editorial team. Controversial papers will be discussed at a full meeting of the Editorial Board. Publication is between four and six months after acceptance.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
