Abstract
PurposeIt is important for patients of working age to resume work after total hip or knee arthroplasty (THA/TKA). A higher preoperative level of physical activity is presumed to lead to a better or faster recovery. Aim is to examine the association between preoperative physical activity (PA) level (total and leisure-time) and time to return-to-work (RTW).MethodsA prospective multicenter survey study. Time to RTW was defined as the length of time (days) from surgery to RTW. PA level was assessed with the SQUASH questionnaire. Questionnaires were filled in before surgery and 6 weeks and 3, 6 and 12 months post-surgery. Multiple regression analyses were conducted separately for THA and TKA patients.Results243 patients were enrolled. Median age was 56 years; 58% had undergone a THA. Median time to RTW was 85 (THA) and 93 (TKA) days. In the multiple regression analysis, neither preoperative total PA level nor leisure-time PA level were significantly associated with time to RTW.ConclusionsPreoperative physical activity level is not associated with a shorter time to RTW in either THA or TKA patients. Neither preoperative total PA level nor leisure-time PA level showed an association with time to RTW, even after adjusting for covariates.Trial registryDutch Trial Register: NTR3497.
Highlights
Total hip and knee arthroplasties are proven successful in reducing pain, increasing patient mobility, and improving quality of life in patients suffering from advanced osteoarthritis (OA) [1,2]
Preoperative physical activity level is not associated with a shorter time to RTW in either total hip arthroplasty (THA) or total knee arthroplasty (TKA) patients
Preoperative physical activity level and time to return to work after total hip or knee arthroplasty
Summary
Total hip and knee arthroplasties are proven successful in reducing pain, increasing patient mobility, and improving quality of life in patients suffering from advanced osteoarthritis (OA) [1,2]. This has resulted in a rising trend to perform total hip arthroplasty (THA) and total knee arthroplasty (TKA) in the Western world [3,4]. In 2012 these numbers increased to 216 and 118 per 105 inhabitants [5] This rising trend fits that of other Western countries [6,7]. Overweight has been found to be an important risk factor for the development of osteoarthritis [14]
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