Sarfraz Anzar, Antonioli Sophia S, Robin Joseph X, Rajahraman Vinaya, Schwarzkopf Ran, Arshi Armin, Rozell Joshua C
New York University Langone Orthopedic Hospital, New York, USA.
Arch Orthop Trauma Surg. 2025 Jun 10;145(1):342. doi: 10.1007/s00402-025-05951-4.
Patients' satisfaction and job limitations after primary total hip arthroplasty (THA) based on occupation intensity have not been evaluated. This study aimed to assess patients' ability and satisfaction with their return to work following primary THA depending on intensity of their occupation.
This retrospective review surveyed patients undergoing primary THA between June 2011 and January 2022, with at least one year of follow-up, on return to work rates. Of 1,713 participants, 1,176 (68.7%) reported working prior to THA and were stratified into high intensity (HI) (i.e. laborer, construction), standard intensity (SI) (i.e. walking, climbing stairs), and low intensity (LI) (i.e. desk jobs) groups. Baseline demographics and survey responses were compared. Among patients who worked preoperatively, 66 (5.6%), 450 (38.3%), and 660 (56.1%) were in the HI, SI, and LI groups, respectively.
High rates of workers across all groups reported improvements in their ability to work following THA, with 74.8% of SI, 68.8% of LI workers and 63.6% of HI workers reporting "remarkable" or "modest improvement." The HI group was more likely male, younger, and a current smoker compared to the SI and LI groups. Among LI workers, 47.2% returned within the first month and83.6% returned within two months. SI workers showed a similar pattern, with 36.2% returning in less than a month and 79.7% returning within two months. HI workers had a comparatively lower return rate, with 12.3% returning within the first month and 52.6% returning within two months.
Across all intensity levels, THA enables improvements in perceived work function and satisfaction. However, higher-intensity work requires more time, is more difficult, and yields lower return-to-work satisfaction compared to low-intensity work.
基于职业强度的初次全髋关节置换术（THA）后患者的满意度和工作限制尚未得到评估。本研究旨在根据职业强度评估初次全髋关节置换术后患者恢复工作的能力和满意度。
这项回顾性研究调查了2011年6月至2022年1月期间接受初次全髋关节置换术且至少随访一年的患者的复工率。在1713名参与者中，1176名（68.7%）报告在全髋关节置换术前有工作，并被分为高强度（HI）（即体力劳动者、建筑工人）、标准强度（SI）（即步行、爬楼梯）和低强度（LI）（即办公室工作）组。比较了基线人口统计学和调查回复。在术前工作的患者中，HI组、SI组和LI组分别有66名（5.6%）、450名（38.3%）和660名（56.1%）。
所有组中都有很高比例的工人报告全髋关节置换术后工作能力有所改善，SI组74.8%、LI组68.8%和HI组63.6%的工人报告“显著”或“适度改善”。与SI组和LI组相比，HI组男性更多、更年轻且当前吸烟者更多。在LI组工人中，47.2%在第一个月内复工，83.6%在两个月内复工。SI组工人呈现类似模式，36.2%在不到一个月内复工，79.7%在两个月内复工。HI组工人的复工率相对较低，12.3%在第一个月内复工，52.6%在两个月内复工。
在所有强度水平上，全髋关节置换术都能改善工作功能感知和满意度。然而，与低强度工作相比，高强度工作需要更多时间，难度更大，复工满意度更低。
