Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore.
Eur J Orthop Surg Traumatol. 2021 Aug;31(6):1161-1169. doi: 10.1007/s00590-020-02866-1. Epub 2021 Jan 8.
Acetabular fractures are rare but are severe injuries that occur in younger patients with a significant economic impact. There is limited evidence describing the return to work rates in this group of patients. The aim of our study was to examine the rate and time to return to work (RTW) after surgical fixation of acetabular fractures.
We performed a retrospective study on all patients with surgically treated acetabular fractures at a single institution between 1 July 2010 and 31 December 2018. Medical records were reviewed to analyze demographics such as age, gender, occupation and RTW characteristics.
There were 30 patients, with a mean age of 43.3 ± 12.7 years. There were 26 patients who were employed prior to injury. The most common mechanism of injury was from a road traffic accident (73.3%). The average ISS was 8.9 ± 5.2. The mean follow-up duration was 21.5 months ± 15.7. The rate of RTW was 80.8%. Eighteen patients (85.7%) returned to the same job and duties, while two (9.5%) returned with same job but lighter duties and one (4.8%) had to change job. Three patients (11.5%) retired. The average time to return to work was 8.3 months (range 2-57.5). RTW rates were 15.4%, 61.5%, 69.2% at 3, 6 and 12 months, respectively.
Acetabular fractures can lead to loss of economic productivity, with 80.8% of patients returning to work. Work reintegration programs after acetabular fractures are important.
髋臼骨折虽少见，但在年轻患者中较为严重，且经济影响较大。目前，关于这组患者重返工作岗位（RTW）的相关证据有限。本研究旨在评估经手术治疗的髋臼骨折患者的 RTW 率及其时间。
我们对单中心 2010 年 7 月 1 日至 2018 年 12 月 31 日期间接受手术治疗的髋臼骨折患者进行了回顾性研究。回顾分析患者的人口统计学数据（如年龄、性别、职业和 RTW 特征）。
共纳入 30 例患者，平均年龄为 43.3 ± 12.7 岁。受伤前有 26 例患者有工作。最常见的损伤机制为道路交通伤（73.3%）。ISS 平均为 8.9 ± 5.2。平均随访时间为 21.5 ± 15.7 个月。RTW 率为 80.8%。18 例（85.7%）患者返回原工作岗位和原工作内容，2 例（9.5%）患者返回原工作岗位但工作强度较轻，1 例（4.8%）患者更换工作。3 例（11.5%）患者退休。平均 RTW 时间为 8.3 个月（范围为 2-57.5 个月）。3、6、12 个月的 RTW 率分别为 15.4%、61.5%、69.2%。
髋臼骨折可导致经济生产力丧失，80.8%的患者可重返工作岗位。髋臼骨折后进行工作再融入计划非常重要。
