全掌骨假体置换术后重返工作岗位的时间。
Time to return to work after total trapeziometacarpal prosthesis.
机构信息
Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France; Chirurgie de la Main, Cliniques de Valmy et de Drevon, 1 bis cours Général de Gaulle F-21000 Dijon, France.
Service de Chirurgie Plastique, Reconstructrice et Esthétique, CHU de Bordeaux, Place Amélie Raba Léon, 33000 Bordeaux, France.
出版信息
Hand Surg Rehabil. 2023 Sep;42(4):347-353. doi: 10.1016/j.hansur.2023.05.010. Epub 2023 Jun 24.
OBJECTIVES
This study assessed return to work and prosthesis survival after trapeziometacarpal prosthesis surgery.
MATERIAL AND METHODS
A multicenter retrospective study was carried out on patients operated on between 2002 and 2020. All working patients who had undergone trapeziometacarpal prosthesis surgery were included. Return to work was defined as resuming the same full-time position. Postoperative events and their specific treatment and failure to return to work were reported.
RESULTS
240 prostheses in 211 patients were included. The complications rate was 7.5%, with 97% prosthesis survival. 94.3% of patients returned to work, at a mean 48 days (range, 29-210 days; SD, 22.7 days), with no significant difference according to age. Twelve patients did not return to work, half of whom because of prosthetic complications.
CONCLUSION
Trapeziometacarpal arthroplasty enables most patients to return to work within 6 weeks. In this series, the prosthetic survival rate was 97%.
目的
本研究评估了掌侧腕掌关节假体手术后的工作恢复和假体存活率。
材料和方法
对 2002 年至 2020 年间进行手术的患者进行了多中心回顾性研究。所有接受掌侧腕掌关节假体手术的工作患者均被纳入研究。工作恢复定义为恢复相同的全职岗位。报告了术后事件及其具体治疗以及未能恢复工作的情况。
结果
211 名患者中的 240 个假体被纳入研究。并发症发生率为 7.5%，假体存活率为 97%。94.3%的患者恢复工作，平均时间为 48 天（范围为 29-210 天；标准差为 22.7 天），与年龄无关。有 12 名患者未恢复工作，其中一半是由于假体并发症。
结论
掌侧腕掌关节置换术使大多数患者能够在 6 周内恢复工作。在本系列中，假体存活率为 97%。
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