Return to work following shoulder arthroplasty:A systematic review  

作　　者：Simon P Lalehzarian Avinesh Agarwalla Joseph N Liu 

机构地区：[1]The Chicago Medical School,Rosalind Franklin University of Medicine and Science,North Chicago,IL 60064,United States [2]Department of Orthopedic Surgery,Westchester Medical Center,Valhalla,NY 10595,United States [3]USC Epstein Family Center for Sports Medicine,Keck Medicine for USC,Los Angeles,CA 90033,United States

出　　处：《World Journal of Orthopedics》2022年第9期837-852,共16页世界骨科杂志（英文版）

摘　　要：BACKGROUND Many patients prioritize the ability to return to work(RTW)after shoulder replacement surgeries such as total shoulder arthroplasty(TSA),reverse TSA(rTSA),and shoulder hemiarthroplasty(HA).Due to satisfactory clinical and functional long-term outcomes,the number of shoulder replacements performed will continue to rise into this next decade.With younger individuals who compose a significant amount of the workforce receiving shoulder replacements,patients will begin to place a higher priority on their ability to RTW following shoulder arthroplasty.AIM To summarize RTW outcomes following TSA,rTSA,and HA,and analyze the effects of workers’compensation status on RTW rates and ability.METHODS This systematic review and analysis was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.A literature search regarding RTW following shoulder arthroplasty was performed using four databases(PubMed,Scopus,Embase,and Cochrane Library),and the Reference Citation Analysis(https://www.referencecitationanalysis.com/).All studies in English relevant to shoulder arthroplasty and RTW through January 2021 that had a level of evidence I to IV were included.Nonclinical studies,literature reviews,case reports,and those not reporting on RTW after shoulder arthroplasty were excluded.RESULTS The majority of patients undergoing TSA,rTSA,or HA were able to RTW betweenone to four months,depending on work demand stratification.While sedentary or light demand jobs generally have higher rates of RTW,moderate or heavy demand jobs tend to have poorer rates of return.The rates of RTW following TSA(71%-93%)were consistently higher than those reported for HA(69%-82%)and rTSA(56%-65%).Furthermore,workers’compensation status negatively influenced clinical outcomes following shoulder arthroplasty.Through a pooled means analysis,we proposed guidelines for the average time to RTW after TSA,rTSA,and HA.For TSA,rTSA,and HA,the average time to RTW regardless of work demand stratification was 1

关 键 词：Shoulder replacement Total shoulder arthroplasty Reverse total shoulder arthroplasty HEMIARTHROPLASTY Return to work 

分 类 号：R687.3[医药卫生—骨科学]