Return to work after medial unicompartmental knee arthroplasty: A systematic review |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore;2. Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK;1. Acıbadem Maslak Hospital, Istanbul, Turkey;2. Department of Orthopaedics and Traumatology Ataşehir, Acıbadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, Turkey;3. Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Fatih Istanbul, Turkey;1. University of Utah, Department of Physical Therapy & Athletic Training, 520 Wakara Way, Salt Lake City, UT 84108, United States;2. University of Utah, Department of Orthopaedics, 590 Wakara Way, Salt Lake City, UT 84108, United States;3. University of Montana, School of Physical Therapy & Rehabilitation Science, Missoula, MT, United States;1. Department of Orthopaedic Surgery, Medical School, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece;2. Medical School, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece;3. Department of Orthopaedics, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece;1. Avanfi Institute and Unit for Ultrasound-guided Surgery, Hospital Beata María Ana, Madrid, Spain;2. Orthopaedic and Trauma Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain;3. Department of Nursery and Physiotherapy, School of Medicine and Health Sciences, University of Alcalá, Madrid, Spain |
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| Abstract: | IntroductionThis study aims to evaluate the current literature with regard to the average time to and overall rate of return to work (RTW) following medial unicompartmental knee arthroplasty (UKA).MethodsA systematic search was conducted on MEDLINE (Ovid), Embase, Pubmed, CINAHL, Web of Science, Scopus, and the Cochrane Library to identify studies reporting RTW after UKA. Primary outcomes were the rate and time to RTW after UKA. Secondary outcomes were postoperative changes in work intensity, functional scores, and factors affecting RTW. Methodological quality was evaluated using the the Methodological Index for Non-Randomized Studies (MINORS) criteria.ResultsSeven studies met inclusion criteria. Results were summarized qualitatively. The overall methodological quality of the studies was moderate based on the MINORS score. These studies included 636 patients with 46.5% male. Mean age was 63.1 years. The average rate of RTW was 81.7%. The average time to RTW was 5.4 ± 3.9 weeks (range 1–32 weeks). 81.8% of patients in one study returned to an equally or more physically demanding job, while 83.5% were able to work the same or longer hours postoperatively in another study. Functional scores improved after surgery (n = 6 studies). Factors affecting RTW were postoperative rehabilitation, retirement, and the effects of surgery.ConclusionLimited evidence from the included studies with moderate quality suggests that UKA allows patients to RTW faster, with a high rate of RTW and improved functional outcomes. However, consensus definitions and methods of work status analysis are needed for future studies. |
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| Keywords: | Work Employment Unicompartmental knee arthroplasty Sick leave Arthroplasty Partial knee |
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