Return to Work Following Tibial Tubercle Osteotomy for Patellofemoral Osteoarthritis and Pain.

Autor:	Agarwalla A; Department of Orthopedic Surgery, Westchester Medical Center, Valhalla, NY, USA., Liu JN; Department of Orthopedic Surgery, Loma Linda Medical Center, Loma Linda, CA, USA., Wu HH; Department of Orthopedic Surgery, University of California-San Francisco, San Francisco, CA, USA., Kalbian IL; The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA., Garcia GH; Seattle Orthopaedic Center, Seattle, WA, USA., Shubin Stein BE; Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Cartilage [Cartilage] 2021 Dec; Vol. 13 (1_suppl), pp. 1066S-1073S. Date of Electronic Publication: 2020 Apr 22.
DOI:	10.1177/1947603520916544
Abstrakt:	Purpose: To evaluate the ability of patients to return to work following anteromedialization (AMZ) tibial tubercle osteotomy (TTO) due to isolated patellofemoral osteoarthritis or pain. Methods: Consecutive patients undergoing AMZ TTO were reviewed retrospectively at a minimum of 1 year postoperatively. Patients completed a subjective work questionnaire, a visual analog scale for pain, as well as a Kujala questionnaire and satisfaction questionnaire. Results: Fifty-seven patients (61 knees; average age: 32.7 ± 9.6 years) were contacted at an average follow-up of 4.86 ± 2.84 years postoperatively. The preoperative Kujala score improved from 55.7 ± 17.8 to 84.6 ± 15.8 at final follow-up ( P < 0.001). Thirty-seven patients (64.9%) were employed within 3 years prior to surgery and 34 patients (91.9%) were able to return to work by 2.8 ± 2.6 months postoperatively. However, only 27 patients (73.0%) of patients were able to return to the same level of occupational intensity. Patients who held sedentary, light-, medium-, or high-intensity occupations were able to return to work at a rate of 100.0%, 93.8%, 77.8%, and 100.0% by 2.2 months, 3.0 months, 3.1 months, and 4.0 months, postoperatively. No patients underwent revision TTO or conversion to arthroplasty by the time of final follow-up. Conclusion: In patients with focal patellofemoral osteoarthritis or pain, AMZ TTO provides a high rate of return to work (91.9%) by 2.8 ± 2.6 months postoperatively. Patients with higher intensity occupations may take longer to return to work than those with less physically demanding occupations. Level of Evidence: III.
Databáze:	MEDLINE
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