Return to Work Following Arthroscopic Meniscal Allograft Transplantation
| Autor: | David R. Christian, Anirudh K. Gowd, Grant H. Garcia, Gregory L. Cvetanovich, Joseph N. Liu, Brian J. Cole, Adam B. Yanke, Avinesh Agarwalla |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Allograft transplantation Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Meniscus (anatomy) Return to work Arthroscopy Young Adult Postoperative Complications Return to Work medicine Immunology and Allergy Humans Transplantation Homologous Meniscus Clinical Research papers Meniscectomy Retrospective Studies business.industry Recovery of Function Allografts Arthralgia Surgery medicine.anatomical_structure Female business |
| Zdroj: | Cartilage |
| ISSN: | 1947-6043 |
| Popis: | Purpose Evaluate the ability of patients to return to work (RTW) following arthroscopic meniscal allograft transplantation (MAT) for meniscal deficiency. Methods Consecutive patients undergoing MAT were retrospectively reviewed at a minimum of 2 years postoperatively. Patients completed a subjective work questionnaire, Visual Analogue Scale for pain, Single Assessment Numerical Evaluation, and satisfaction. Results Forty-seven patients who were employed within 3 years prior to surgery (average age: 30.2 ± 6.9 years) were contacted at an average of 3.5 ± 0.9 years postoperatively. Forty-six patients (97.8%) returned to work by 2.7 ± 2.6 months postoperatively, and 44 patients (93.6%) returned to the same level of occupational intensity. Patients who held sedentary, light, medium, or high intensity occupations were able to RTW at a rate of 100.0%, 100.0%, 88.9%, and 85.7% ( P = 0.4) by 1.1 ± 1.0 months, 2.5 ± 2.5 months, 3.5 ± 3.2 months, and 4.3 ± 2.8 months ( P = 0.3) postoperatively. Thirty-eight patients (80.9%) were at least somewhat satisfied, and 43 patients (91.5%) would still have the operation if presented the opportunity. No patient underwent revision MAT or conversion to arthroplasty. Conclusion In patients with painful meniscal deficiency, MAT provides a high rate of RTW (97.8%) by 2.7 ± 2.6 months postoperatively. However, some patients may be unable to return to their previous level of occupational intensity. Although statistically insignificant, patients with higher intensity occupations may have a lower rate and longer duration until RTW than those with less physically demanding occupations. Information regarding RTW is imperative for appropriately managing postoperative expectations. |
| Databáze: | OpenAIRE |
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