全髋关节置换术:在哪些活动中完全和永久丧失工作能力?

Gabriel Sato Ikuhara Cavalcanti Picos
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引用次数: 0

摘要

导论:全髋关节置换术在疼痛、功能和生活质量方面有很高的改善率。然而,髋关节假体有一段持续时间,或“寿命”,它受到佩戴者所进行的活动的影响,造成永久性的限制。目的:目的是描述对髋关节置换术患者产生健康风险的工作活动的完全和永久丧失能力。方法:本研究具有探索性和描述性,通过在Google Scholar、Pubmed、Medline和Scielo数据库中进行文献研究,在书籍、报纸、期刊、科学文章以及与本工作目标相关的国家和国际共识中进行综述。结果:由于早期磨损、脱位、骨溶解、松动的风险,再手术、翻修的频率较高,以及可能出现的感染、血栓栓塞现象和死亡等并发症,共识和文章对全髋关节置换术后的长期发展存在限制。讨论:值得注意的是,对体力活动有高要求的职业与不重返工作岗位的比例高以及重返工作岗位时需要更长的康复期有关。结论:工作能力的丧失应由有资质的医学专家单独评估,但我们建议,对于需要负重、接触性运动、髋关节极端运动和长时间站立或行走的高要求职业的全髋关节置换术患者,考虑完全和永久的工作能力丧失。关键词:髋关节置换术,人工关节置换术,残疾人,后遗症和残疾统计,卫生法,卫生司法,功能残量
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TOTAL HIP ARTHROPLASTY: TOTAL AND PERMANENT INCAPACITY FOR WORK IN WHICH ACTIVIES?
INTRODUCTION: Total hip arthroplasty has a high rate of improvement in pain, function and quality of life of individuals undergoing this procedure. However, the hip prosthesis has a period of duration, or “lifespan”, which is influenced by the activities performed by the wearer, creating permanent limitations. OBJECTIVES: The objectives were to describe total and permanent incapacity for work activities that generate risks to the health of individuals undergoing hip replacement. METHODOLOGY: This study has an exploratory and descriptive nature, through literature research in Google Scholar, Pubmed, Medline and Scielo databases, review in books, newspapers, journals, scientific articles and national and international consensuses, related to the objective of this work. RESULTS: Consensus and articles bring restrictions, in the long term, after total hip arthroplasty, due to the risks of early wear, dislocation, osteolysis, loosening, higher frequency of reoperations, revisions and their possible complications such as infection, thromboembolic phenomena and death. DISCUSSION: Notably, professions with a high demand in physical activities are associated with a high rate of non-return to work and longer periods of rehabilitation when return occurs. CONCLUSION: Incapacity for work should be individually assessed by a qualified medical expert, however, we suggest considering total and permanent work incapacity for patients undergoing total hip arthroplasty in high-demand professions that require weight bearing, contact sports, extremes movements of the hip joint and long periods of standing or walking. Keywords: Hip Arthroplasty, Replacement Arthroplasty, Disabled Person, Statistics on Sequelae and Disability, Health Law, Health’s Judicialization, Functional Residual Capacity.
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