Luyckx Lucas, Luyckx Thomas, Donceel Peter, Debeer Philippe
KUL University Hospitals UZ Pellenberg, Leuven, Belgium.
Acta Orthop Belg. 2011 Dec;77(6):737-42.
The incidence of arthroscopic subacromial decompression has been increasing over the last few years. Little is known about the duration of sick leave after such a procedure. The aim of this study was to determine the time till return to full duty and to explore the various influencing factors. We retrospectively evaluated a group of 166 patients who consecutively underwent arthroscopic subacromial decompression for subacromial impingement syndrome. One hundred patients were professionally active at the time of surgery; the mean duration till return to full duty was 11.1 weeks. Self-employed workers had the shortest sick leave period (median time of 1 week). No statistically significant difference was seen between the group with a financial compensation from the national health insurance system (median time of 12 weeks) and the group with income replacement by a private insurance company (median time of 8 weeks). Patients performing manual labour typically had a longer period of sick leave than other employees (12 versus 8 weeks). A longer absence from work was also observed in individuals who underwent a concomitant arthroscopic AC resection and patients with a higher BMI.
在过去几年中,关节镜下肩峰下减压术的发生率一直在上升。对于这样一种手术后的病假时长,人们知之甚少。本研究的目的是确定恢复全职工作的时间,并探讨各种影响因素。我们回顾性评估了一组166例因肩峰下撞击综合征连续接受关节镜下肩峰下减压术的患者。其中100例患者在手术时仍在从事职业活动;恢复全职工作的平均时长为11.1周。个体经营者的病假时间最短(中位时间为1周)。在获得国家医疗保险系统经济补偿的组(中位时间为12周)和由私人保险公司提供收入替代的组(中位时间为8周)之间,未观察到统计学上的显著差异。从事体力劳动的患者通常比其他员工的病假时间更长(分别为12周和8周)。在同时接受关节镜下肩锁关节切除术的患者以及BMI较高的个体中,也观察到了更长的缺勤时间。