Drobniewski Marek, Borowski Andrzej, Krasińska Magdalena, Sibiński Marcin, Synder Marek
Uniwersytet Medyczny w Łodzi / Medical University of Lodz / Klinika Ortopedii i Ortopedii Dziecięcej / Department of Orthopaedics and Paediatric Orthopaedics.
Ortop Traumatol Rehabil. 2017 Aug 31;19(4):349-360. doi: 10.5604/01.3001.0010.4644.
Total hip arthroplasty is currently commonly used in surgical treatment of advanced hip osteoarthritis of various aetiologies. Studies show that the number of these procedures has been growing every year, which is associated with global population ageing. The aim of the study was to assess return to work in patients after surgical treatment by arthroplasty due to hip osteoarthritis.
The study assessed 114 patients of productive age who underwent surgery due to advanced hip osteoarthritis. The mean age was 49.9 years in women and 52.2 years in men. All patients included in this retrospective study underwent clinical and radiographic assessment prior to arthroplasty and at the last out-patient follow-up visit. The patients' occupational status and the time of return to work after surgery were also assessed. The results of this clinical study were analysed according to the Merle d'Aubigne-Postel classification (modified by Charnley). Preoperative radiographs were assessed according to the Kellgren-Lawrence classification. The radiographs served to assess the position of the endoprosthesis, including both the acetabular component and the stem. The results were statistically analysed.
Pre-operative assessment classified all cases as poor both clinically and radiographically. The post-operative outcomes were excellent in 71 cases (61.7%), good in 37 cases (32.2%) and fair in 7 cases. No case was classified as poor. The mean improvement was 6.6 points and reached the level of statistical significance. Radiographic evaluation did not reveal evidence of aseptic implant loosening and confirmed a normal seat of endoprosthetic components within the Lewinnek safe zone in each case. Only 75 (65.8%) of the study participants worked before the procedure. After the treatment was completed, 67 (58.8%) study patients took up employment. The mean duration of sick leave was 138.6 days and 21 patients were receiving rehabilitation benefits.
全髋关节置换术目前常用于各种病因导致的晚期髋骨关节炎的外科治疗。研究表明，这些手术的数量每年都在增加，这与全球人口老龄化有关。本研究的目的是评估因髋骨关节炎接受关节置换术手术治疗的患者的重返工作情况。
本研究评估了114名因晚期髋骨关节炎接受手术的适龄患者。女性的平均年龄为49.9岁，男性为52.2岁。所有纳入这项回顾性研究的患者在关节置换术前和最后一次门诊随访时均接受了临床和影像学评估。还评估了患者的职业状况以及术后重返工作的时间。本临床研究的结果根据Merle d'Aubigne-Postel分类法（由Charnley修改）进行分析。术前X线片根据Kellgren-Lawrence分类法进行评估。X线片用于评估假体的位置，包括髋臼组件和柄。对结果进行了统计学分析。
术前评估在临床和影像学上均将所有病例分类为差。术后结果为优的有71例（61.7%），良的有37例（32.2%），尚可的有7例。无病例分类为差。平均改善为6.6分，达到统计学显著水平。影像学评估未发现无菌性植入物松动的证据，并证实每个病例中假体组件在Lewinnek安全区内的位置正常。在手术前，只有75名（65.8%）研究参与者有工作。治疗完成后，67名（58.8%）研究患者重新就业。病假的平均时长为138.6天，21名患者正在领取康复福利。
