Return to Work Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Case Series
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Approval and Cohort Selection
2.2. Diagnostic Criteria and Surgical Indications
2.3. Surgical Technique
2.4. Postoperative Protocol
2.5. Clinical Outcome Evaluation
2.6. Statistical Analysis
3. Results
3.1. Patient Demographics
3.2. Surgical Characteristics
3.3. Patient-Reported Outcomes
3.4. Return to Work and Time to Return
3.5. Gender
3.6. Workers’ Compensation
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Strength Level | Duration of Lifting or Carrying | Percent of Workday Standing * | |||
---|---|---|---|---|---|
Seldom | Occasionally | Frequently | Constantly | ||
Sedentary work | Up to 10 pounds | Up to 10 pounds | Negligible weight † | No weight | Less than or equal to 1/3 ‡ |
Light work | 11–25 pounds | 11–25 pounds | 1–10 pounds | Negligible weight † | |
Medium work | 26–50 pounds | 26–50 pounds | 11–25 pounds | 1–10 pounds | |
Heavy work | 51–100 pounds | 51–100 pounds | 26–50 pounds | 11–25 pounds | |
Very heavy work | >100 pounds | >100 pounds | >50 pounds | >25 pounds |
No. (%) or Mean ± SD (Range) | |
---|---|
N | 85 |
Age (years) | 37.1 ± 10.7 |
Sex, n (% male) | 24 (28.2%) |
Body mass index | 25.2 ± 4.3 |
Work classification | |
Sedentary | 28 (32.9%) |
Light | 30 (35.3%) |
Medium | 22 (25.9%) |
Heavy | 5 (5.9%) |
Very heavy | 0 (0%) |
Return to work (any) | 76 (89.4%) |
Return to work (full) | 62 (72.9%) |
Return to work (modified) | 14 (16.5%) |
Time to return to work (weeks) | 9.3 (0.14–56) |
Reason for modified work duties | |
Pain | 8 (57.2%) |
Unable to perform | 3 (21.4%) |
Physician restrictions | 3 (21.4%) |
Crutch use upon return to work | |
Two crutches | 28 (36.8%) |
One crutch | 12 (15.8%) |
Unassisted | 36 (47.4%) |
Procedure: | N (%) |
---|---|
Femoral osteochondroplasty | 85 (100%) |
Acetabuloplasty | 81 (95.3%) |
Labral repair | 85 (100%) |
Chondroplasty | 82 (96.5%) |
Synovectomy | 34 (40.0%) |
Excision of paralabral cyst | 1 (1.2%) |
Excision of calcific deposit | 1 (1.2%) |
Excision of acetabular rim fracture | 1 (1.2%) |
Variable | β | p-Value |
---|---|---|
Age | −0.009 | 0.934 |
Male sex | −4.517 | 0.076 |
BMI | 0.757 | 0.012 * |
Work intensity | 0.371 | 0.880 |
Non-Workers’ Compensation (n = 72) | Workers’ Compensation (n = 13) | p-Value | |
---|---|---|---|
Age (years) | 36.6 ± 10.3 | 32.6 ± 10.0 | 0.370 |
Sex, n (% male) | 19 (26.4%) | 4 (30.8%) | 0.742 |
Body mass index | 24.6 ± 4.0 | 28.9 ± 4.5 | 0.017 * |
Work classification | 0.407 | ||
Sedentary | 25 (34.7%) | 3 (23.1%) | - |
Light | 25 (34.7%) | 5 (38.5%) | - |
Medium | 19 (26.4%) | 3 (23.1%) | - |
Heavy | 3 (4.2%) | 2 (15.4%) | - |
Return to work (any) | 65 (91.7%) | 11 (84.6%) | 0.622 |
Return to work (full) | 52 (72.2%) | 10 (76.9%) | >0.999 |
Time to return to work (weeks) | 9.9 ± 7.9 | 18.4 ± 15.1 | 0.180 |
Patient-reported outcomes | |||
VAS pain (preop) | 7.7 ± 2.2 | 8.5 ± 1.6 | 0.151 |
VAS pain (postop at rest) | 2.4 ± 2.4 | 3.6 ± 2.5 | 0.163 |
VAS pain (postop at work) | 2.6 ± 2.7 | 4.2 ± 2.3 | 0.045 * |
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© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Li, Z.I.; Shankar, D.S.; Garra, S.; Hughes, A.J.; Triana, J.; Blaeser, A.M.; Youm, T. Return to Work Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Case Series. Surgeries 2023, 4, 391-400. https://doi.org/10.3390/surgeries4030039
Li ZI, Shankar DS, Garra S, Hughes AJ, Triana J, Blaeser AM, Youm T. Return to Work Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Case Series. Surgeries. 2023; 4(3):391-400. https://doi.org/10.3390/surgeries4030039
Chicago/Turabian StyleLi, Zachary I., Dhruv S. Shankar, Sharif Garra, Andrew J. Hughes, Jairo Triana, Anna M. Blaeser, and Thomas Youm. 2023. "Return to Work Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Case Series" Surgeries 4, no. 3: 391-400. https://doi.org/10.3390/surgeries4030039