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The older worker with osteoarthritis of the knee.老年膝骨关节炎患者。
Br Med Bull. 2012 Jun;102:79-88. doi: 10.1093/bmb/lds011. Epub 2012 Apr 26.
2
Return to work and workplace activity limitations following total hip or knee replacement.全髋关节或全膝关节置换术后的工作回归和工作场所活动受限。
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Patients with Rheumatoid Arthritis have Similar Excellent Outcomes after Total Knee Replacement Compared with Patients with Osteoarthritis.与骨关节炎患者相比，类风湿关节炎患者全膝关节置换术后的疗效同样出色。
J Rheumatol. 2016 Jan;43(1):46-53. doi: 10.3899/jrheum.150525. Epub 2015 Dec 1.
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Osteoarthritis year in review: rehabilitation and outcomes.骨关节炎年度回顾：康复与结局。
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Total knee replacement and non-surgical treatment of knee osteoarthritis: 2-year outcome from two parallel randomized controlled trials.全膝关节置换与膝关节骨关节炎非手术治疗的 2 年随机对照研究结果。
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Risk of revision for infection in primary total hip and knee arthroplasty in patients with rheumatoid arthritis compared with osteoarthritis: a prospective, population-based study on 108,786 hip and knee joint arthroplasties from the Norwegian Arthroplasty Register.类风湿性关节炎患者与骨关节炎患者初次全髋关节和全膝关节置换术后感染的翻修风险：来自挪威关节置换登记处的 108786 例髋关节和膝关节置换术的前瞻性、基于人群的研究。
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Predictors of outcomes of total knee replacement surgery.全膝关节置换手术结局的预测因素。
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Effect of a Decision Aid on Access to Total Knee Replacement for Black Patients With Osteoarthritis of the Knee: A Randomized Clinical Trial.决策辅助工具对膝骨关节炎黑人患者全膝关节置换术可及性的影响：一项随机临床试验
JAMA Surg. 2017 Jan 18;152(1):e164225. doi: 10.1001/jamasurg.2016.4225.

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Predominant lifetime occupation and associations with painful and structural knee osteoarthritis: An international participant-level cohort collaboration.主要终生职业及其与疼痛性和结构性膝关节骨关节炎的关联：一项国际参与者水平队列合作研究
Osteoarthr Cartil Open. 2020 Jun 25;2(4):100085. doi: 10.1016/j.ocarto.2020.100085. eCollection 2020 Dec.
2
Knee Extensor Muscle Strength Is More Important Than Postural Balance for Stair-Climbing Ability in Elderly Patients with Severe Knee Osteoarthritis.对于严重膝关节骨关节炎的老年患者，膝关节伸肌肌力比姿势平衡更重要。
Int J Environ Res Public Health. 2021 Mar 31;18(7):3637. doi: 10.3390/ijerph18073637.
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J Perioper Pract. 2021 Jun;31(6):209-214. doi: 10.1177/1750458920936940. Epub 2021 Mar 21.
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The Effect of Prehabilitation on Postoperative Outcome in Patients Following Primary Total Knee Arthroplasty.术前康复对初次全膝关节置换术后患者手术结果的影响。
Med Arch. 2018 Dec;72(6):439-443. doi: 10.5455/medarh.2018.72.439-443.
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Trajectories of Physical Work Capacity in Early Symptomatic Osteoarthritis of Hip and Knee: Results from the Cohort Hip and Cohort Knee (CHECK) Study.髋关节和膝关节队列研究（CHECK 研究）：早期症状性髋膝关节骨关节炎患者体力活动能力的轨迹。
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J Clin Orthop Trauma. 2016 Oct-Dec;7(4):248-255. doi: 10.1016/j.jcot.2016.04.001. Epub 2016 Aug 3.
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Which patients do not return to work after total knee arthroplasty?哪些患者在全膝关节置换术后无法重返工作岗位？
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Return to work after knee replacement: a qualitative study of patient experiences.膝关节置换术后重返工作岗位：对患者经历的定性研究
BMJ Open. 2016 Feb 1;6(2):e007912. doi: 10.1136/bmjopen-2015-007912.
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High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial.高强度术前训练可改善全膝关节置换术后早期的身体和功能恢复：一项随机对照试验。
Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2864-2872. doi: 10.1007/s00167-016-3985-5. Epub 2016 Jan 14.
10
Patient-reported factors influencing return to work after joint replacement.患者报告的影响关节置换术后重返工作岗位的因素。
Occup Med (Lond). 2016 Apr;66(3):215-21. doi: 10.1093/occmed/kqv187. Epub 2015 Dec 13.

本文引用的文献

1
Occupational activities and osteoarthritis of the knee.职业活动与膝关节骨关节炎。
Br Med Bull. 2012 Jun;102:147-70. doi: 10.1093/bmb/lds012. Epub 2012 Apr 26.
2
The effect of osteoarthritis of the hip or knee on work participation.髋关节或膝关节骨关节炎对工作参与的影响。
J Rheumatol. 2011 Sep;38(9):1835-43. doi: 10.3899/jrheum.101210. Epub 2011 Jun 15.
3
Effectiveness of community- and workplace-based interventions to manage musculoskeletal-related sickness absence and job loss: a systematic review.社区和工作场所为基础的干预措施对管理肌肉骨骼相关疾病缺勤和失业的效果：系统评价。
Rheumatology (Oxford). 2012 Feb;51(2):230-42. doi: 10.1093/rheumatology/ker086. Epub 2011 Mar 16.
4
Preoperative predictors of returning to work following primary total knee arthroplasty.初次全膝关节置换术后重返工作的术前预测因素。
J Bone Joint Surg Am. 2011 Jan 5;93(1):2-10. doi: 10.2106/JBJS.I.01317.
5
The effect of disease site (knee, hip, hand, foot, lower back or neck) on employment reduction due to osteoarthritis.疾病部位（膝、髋、手、足、下背部或颈部）对骨关节炎导致的就业减少的影响。
PLoS One. 2010 May 3;5(5):e10470. doi: 10.1371/journal.pone.0010470.
6
Work participation and health status in early osteoarthritis of the hip and/or knee: a comparison between the Cohort Hip and Cohort Knee and the Osteoarthritis Initiative.髋关节和/或膝关节早期骨关节炎的工作参与和健康状况：队列髋关节和队列膝关节与骨关节炎倡议的比较。
Arthritis Care Res (Hoboken). 2010 May;62(5):683-9. doi: 10.1002/acr.20112.
7
Beneficial and limiting factors affecting return to work after total knee and hip arthroplasty: a systematic review.全膝关节和髋关节置换术后重返工作的有益和限制因素：系统评价。
J Occup Rehabil. 2009 Dec;19(4):375-81. doi: 10.1007/s10926-009-9192-1. Epub 2009 Aug 20.
8
Return to work following knee arthroplasty.膝关节置换术后重返工作岗位。
Knee. 2010 Jan;17(1):19-22. doi: 10.1016/j.knee.2009.06.001. Epub 2009 Jul 24.
9
The effect of total knee replacement on employment in patients under 60 years of age.全膝关节置换术对60岁以下患者就业情况的影响。
Ann R Coll Surg Engl. 2009 Jul;91(5):410-3. doi: 10.1308/003588409X391785. Epub 2009 Apr 2.
10
Prevalence and burden of osteoarthritis: results from a population survey in Norway.骨关节炎的患病率和负担：挪威一项人口调查的结果
J Rheumatol. 2008 Apr;35(4):677-84. Epub 2008 Feb 15.

老年膝骨关节炎患者。

The older worker with osteoarthritis of the knee.

机构信息

MRC Lifecourse Epidemiology Unit, University of Southampton, UK.

出版信息

Br Med Bull. 2012 Jun;102:79-88. doi: 10.1093/bmb/lds011. Epub 2012 Apr 26.

DOI:10.1093/bmb/lds011
PMID:22544779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3428873/
Abstract

BACKGROUND

Changing demographics mean that many patients with large joint arthritis will work beyond traditional retirement age. This review considers the impact of knee osteoarthritis (OA) on work participation and the relation between work and total knee replacement (TKR).

SOURCES

Two systematic searches in Embase and Medline, supplemented by three systematic reviews.

AREAS OF AGREEMENT

Probably, although evidence is limited, knee OA considerably impairs participation in work (labour force participation, work attendance and work productivity). AREAS OF UNCERTAINTY/RESEARCH NEED: Little is known about effective interventions (treatments, work changes and policies) to improve vocational participation in patients with knee OA; or how type of work affects long-term clinical outcomes (e.g. pain, function and the need for revision surgery) in patients with TKRs. The need for such research is pressing and opportune, as increasing numbers of patients with knee OA or TKR expect to work on.

摘要

背景

人口结构的变化意味着许多患有大关节关节炎的患者将在传统退休年龄之后继续工作。本综述考虑了膝关节骨关节炎（OA）对工作参与的影响，以及工作与全膝关节置换术（TKR）之间的关系。

资料来源

在 Embase 和 Medline 中进行了两次系统搜索，并辅以三项系统评价。

共识领域

可能，尽管证据有限，但膝关节 OA 会严重影响工作参与（劳动力参与、工作出勤和工作生产力）。

不确定/研究需求领域：对于改善膝关节 OA 患者职业参与的有效干预措施（治疗、工作改变和政策）知之甚少；或者工作类型如何影响 TKR 患者的长期临床结果（例如疼痛、功能和翻修手术的需求）。对于这种研究的需求是紧迫和适时的，因为越来越多的膝关节 OA 或 TKR 患者期望继续工作。