Artikel
Reverse Total Shoulder Arthroplasty and Work Related Outcomes
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Autoren
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Grant Garcia
- Hospital For Special Surgery, New York, NY, United States
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Samuel Taylor
- Hospital For Special Surgery, New York City, United States
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Gregory Mahony
- Hospital For Special Surgery, New York City, United States
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Brian Grawe
- Hospital for Special Surgery, New York City, United States
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Russell Warren
- Hospital For Special Surgery, New York City, United States
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Edward Craig
- Hospital For Special Surgery, New York City, United States
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Lawrence Gulotta
- Hospital For Special Surgery, New York City, United States
| Veröffentlicht: | 5. Oktober 2015 |
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Gliederung
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Objectives: The average retirement age is increasing and the indications for reverse total shoulder arthroplasty (RTSA) are being broadened. No study has examined the impact of RTSA on a patient's ability to return to work. The purpose of our study was to determine objective findings for rate of return to work, and time to return following RTSA.
Methods: A prospectively collected registry was queried for consecutive patients who underwent RTSA at our institution between 2007 and 2013. 129 patients with a minimum of 1-year follow-up and were included. All patients were asked to complete a questionnaire regarding their work history and ability to participate in work-related activities. Each patient also completed an ASES score.
Results: 40 patients who underwent RTSA reported working within 3 years prior to surgery. Their average age was 74.7 years (56-82 yrs). The average follow-up was 31.4 months (12-56mo). Average ASES scores improved from 34.0 to 81.7 (p<0.001). Average VAS pain score decreased from 6.5 to 0.7 (p<0.001). The majority of patients (65.4%) classified their job as sedentary, 34.6% as light physical work, and none as heavy work. 14 patients (35%) retired after RTSA, but only 2 of 14 attributed their retirement to their shoulder. As such, 65% of patients (n=26) who worked preoperatively returned to work. Only previous diagnosis of heart disease affected return to work (p=0.04). Overall, the average time until return to work was 2.3 months (0.5 to 11 mo). Those with sedentary jobs returned faster (1.4 months) than did those with light activity (4.0 months). 96.2% reported their surgical outcome as good to excellent. Table 1 [Tab. 1].
Conclusion: Sixty-five percent of patients who worked prior to RTSA were still working at final follow-up. Only 5% of patients retired for reasons attributed to their operated shoulder. Patients returned to work in less than 3 months on average after surgery. Only co-morbid heart disease served as a poor prognostic indicator for return to work.
