ARTIGO DE REVISÃOARTROPLASTIA TOTAL DE QUADRIL: INCAPACIDADE LABORATIVA TOTAL E PERÍODO INDEFINIDO PARA QUAIS ATIVIDADES?

Abstract

INTRODUCTION: Total hip arthroplasty has a high rate of improvement in pain, function and quality of life of individuals undergoing this procedure. However, the hip prosthesis has a period of duration, or “lifespan”, which is influenced by the activities performed by the wearer, creating permanent limitations. OBJECTIVES: The objectives were to describe total and permanent incapacity for work activities that generate risks to the health of individuals undergoing hip replacement. METHODOLOGY: This study has an exploratory and descriptive nature, through literature research in Google Scholar, Pubmed, Medline and Scielo databases, review in books, newspapers, journals, scientific articles and national and international consensuses, related to the objective of this work. RESULTS: Consensus and articles bring restrictions, in the long term, after total hip arthroplasty, due to the risks of early wear, dislocation, osteolysis, loosening, higher frequency of reoperations, revisions and their possible complications such as infection, thromboembolic phenomena and death. DISCUSSION: Notably, professions with a high demand in physical activities are associated with a high rate of non-return to work and longer periods of rehabilitation when return occurs. CONCLUSION: Incapacity for work should be individually assessed by a qualified medical expert, however, we suggest considering total and permanent work incapacity for patients undergoing total hip arthroplasty in high-demand professions that require weight bearing, contact sports, extremes movements of the hip joint and long periods of standing or walking. Keywords: Hip Arthroplasty, Replacement Arthroplasty, Disabled Person, Statistics on Sequelae and Disability, Health Law, Health’s Judicialization, Functional Residual Capacity.