Return to work after surgically treated acetabular fractures in an Asian population.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 28 07 2020
accepted: 29 12 2020
pubmed: 9 1 2021
medline: 19 8 2021
entrez: 8 1 2021
Statut: ppublish

Résumé

Acetabular fractures are rare but are severe injuries that occur in younger patients with a significant economic impact. There is limited evidence describing the return to work rates in this group of patients. The aim of our study was to examine the rate and time to return to work (RTW) after surgical fixation of acetabular fractures. We performed a retrospective study on all patients with surgically treated acetabular fractures at a single institution between 1 July 2010 and 31 December 2018. Medical records were reviewed to analyze demographics such as age, gender, occupation and RTW characteristics. There were 30 patients, with a mean age of 43.3 ± 12.7 years. There were 26 patients who were employed prior to injury. The most common mechanism of injury was from a road traffic accident (73.3%). The average ISS was 8.9 ± 5.2. The mean follow-up duration was 21.5 months ± 15.7. The rate of RTW was 80.8%. Eighteen patients (85.7%) returned to the same job and duties, while two (9.5%) returned with same job but lighter duties and one (4.8%) had to change job. Three patients (11.5%) retired. The average time to return to work was 8.3 months (range 2-57.5). RTW rates were 15.4%, 61.5%, 69.2% at 3, 6 and 12 months, respectively. Acetabular fractures can lead to loss of economic productivity, with 80.8% of patients returning to work. Work reintegration programs after acetabular fractures are important.

Sections du résumé

BACKGROUND BACKGROUND
Acetabular fractures are rare but are severe injuries that occur in younger patients with a significant economic impact. There is limited evidence describing the return to work rates in this group of patients. The aim of our study was to examine the rate and time to return to work (RTW) after surgical fixation of acetabular fractures.
METHODS METHODS
We performed a retrospective study on all patients with surgically treated acetabular fractures at a single institution between 1 July 2010 and 31 December 2018. Medical records were reviewed to analyze demographics such as age, gender, occupation and RTW characteristics.
RESULTS RESULTS
There were 30 patients, with a mean age of 43.3 ± 12.7 years. There were 26 patients who were employed prior to injury. The most common mechanism of injury was from a road traffic accident (73.3%). The average ISS was 8.9 ± 5.2. The mean follow-up duration was 21.5 months ± 15.7. The rate of RTW was 80.8%. Eighteen patients (85.7%) returned to the same job and duties, while two (9.5%) returned with same job but lighter duties and one (4.8%) had to change job. Three patients (11.5%) retired. The average time to return to work was 8.3 months (range 2-57.5). RTW rates were 15.4%, 61.5%, 69.2% at 3, 6 and 12 months, respectively.
CONCLUSION CONCLUSIONS
Acetabular fractures can lead to loss of economic productivity, with 80.8% of patients returning to work. Work reintegration programs after acetabular fractures are important.

Identifiants

pubmed: 33417048
doi: 10.1007/s00590-020-02866-1
pii: 10.1007/s00590-020-02866-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1161-1169

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS part of Springer Nature.

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Auteurs

Hannah Jia Hui Ng (HJH)

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore. hannahnjh@gmail.com.

Dew Jia Min Lim (DJM)

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore.

Ren Yong (R)

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore.

Derek Howard Park (DH)

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore.

Antony Xavier Rex Premchand (AXR)

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore.

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