The Rothman Institute of Orthopaedic at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
J Arthroplasty. 2013 Jun;28(6):883-7. doi: 10.1016/j.arth.2013.01.036. Epub 2013 Apr 11.
Clinicians identify patients receiving Workers' Compensation (WC) as unlikely to fully benefit from total joint arthroplasty (TJA), with possibly decreased ability to return to work. We completed follow-up for 164 patients undergoing 177 arthroplasties while receiving WC between 2000 and 2009. Inquiry was made regarding work status, nature of work, and return to work time frame. Patients undergoing primary versus revision TJA returned to work 70.2% versus 43.9%, respectively (p=0.002). The mean time frame for return to work following primary TJA was 16.4 weeks. Manual laborers versus sedentary workers returned to work 67.1% versus 84.8%, respectively (p=0.05). As this group is limited by the strenuous nature of their employment, clinicians should be aware that receiving WC may modestly impact return to work following arthroplasty.
临床医生认为接受工伤保险（WC）的患者不太可能从全关节置换术（TJA）中完全受益，他们可能更难重返工作岗位。我们对 2000 年至 2009 年间接受 WC 的 164 名患者的 177 例关节置换术进行了随访。调查了他们的工作状况、工作性质和重返工作岗位的时间框架。初次 TJA 和翻修 TJA 的患者重返工作岗位的比例分别为 70.2%和 43.9%（p=0.002）。初次 TJA 后重返工作岗位的平均时间为 16.4 周。体力劳动者和久坐工作者重返工作岗位的比例分别为 67.1%和 84.8%（p=0.05）。由于这一群体受到其工作性质的限制，临床医生应该意识到，接受 WC 可能会适度影响关节置换术后的重返工作岗位。
