关键词: Baja laboral Disability Incapacidad laboral Return to work Rizartrosis Sick leave Thumb CMC Trapeciometacarpiana Trapeziometacarpal Vuelta al trabajo

来  源:   DOI:10.1016/j.recot.2024.07.015

Abstract:
OBJECTIVE: The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our centre and to investigate factors that might delay return to work following this surgery.
METHODS: A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability.
RESULTS: A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not.
CONCLUSIONS: Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients.
摘要:
目的:本研究的目的是在我们中心使用MiniTightRope®系统评估接受梯形切除术的患者的恢复工作时间(TRW),并调查可能延迟恢复工作的因素。
方法:对2015年至2016年期间使用MiniTightRope®系统进行梯形切除术和悬吊成形术的患者进行了回顾性研究,至少随访一年。进行了电话采访,并审查了病历和放射学报告,以及临时工作残疾文件,收集流行病学和职业数据。根据年龄进行比较,性别,支配的手,患者的生物力学职业要求,以及他们以前是否经历过临时工作残疾。
结果:共纳入36名患者(29名女性和7名男性),平均年龄为55.7岁。返回工作的中位时间为126天。自雇工人平均提前72天重新进入劳动力市场;与没有经历过临时工作残疾的工人相比,先前经历过临时工作残疾的工人的临时工作总残疾时间更长,恢复工作的时间更长91天。
结论:由他人雇用的患者和在手术前曾经历过临时工作残疾的患者有更长的临时工作残疾期。在我们的研究中,没有观察到基于性别的差异,支配的手,或介入患者的生物力学工作需求。
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