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Return to Work After Distal Femoral Varus Osteotomy

BACKGROUND: Distal femoral varus osteotomy (DFVO) is a well-described procedure to address valgus deformity of the knee. There is a paucity of information available regarding patients’ ability to return to work (RTW) after DFVO. PURPOSE: To report the objective findings for RTW rates and times for p...

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Autores principales: Puzzitiello, Richard N., Liu, Joseph N., Garcia, Grant H., Redondo, Michael L., Forlenza, Enrico M., Agarwalla, Avinesh, Yanke, Adam B., Cole, Brian J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720305/
https://www.ncbi.nlm.nih.gov/pubmed/33330734
http://dx.doi.org/10.1177/2325967120965966
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author Puzzitiello, Richard N.
Liu, Joseph N.
Garcia, Grant H.
Redondo, Michael L.
Forlenza, Enrico M.
Agarwalla, Avinesh
Yanke, Adam B.
Cole, Brian J.
author_facet Puzzitiello, Richard N.
Liu, Joseph N.
Garcia, Grant H.
Redondo, Michael L.
Forlenza, Enrico M.
Agarwalla, Avinesh
Yanke, Adam B.
Cole, Brian J.
author_sort Puzzitiello, Richard N.
collection PubMed
description BACKGROUND: Distal femoral varus osteotomy (DFVO) is a well-described procedure to address valgus deformity of the knee. There is a paucity of information available regarding patients’ ability to return to work (RTW) after DFVO. PURPOSE: To report the objective findings for RTW rates and times for patients receiving a DFVO for lateral compartment osteoarthritis secondary to valgus deformity of the knee. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This was a retrospective study of patients who received a lateral-wedge opening DFVO. Patients must have worked within 3 years before their operation to be included for analysis. Patients were contacted at a minimum of 2 years postoperatively for interview and questionnaire evaluation, including a subjective work questionnaire, visual analog scale (VAS) for pain, Single Assessment Numerical Evaluation (SANE), and a satisfaction questionnaire. RESULTS: Overall, 32 patients were contacted at a mean follow-up of 7.1 ± 4.1 years (range, 2.2-13.3 years). The mean ± SD age at the time of surgery was 30.8 ± 8.8 years (range, 17.2-46.5 years), and 65.6% of patients were female. Eleven patients (34.4%) received a concomitant meniscal allograft transplant, and 12 (37.5%) received a cartilage grafting procedure. The average VAS pain score decreased significantly from 6.1 preoperatively to 3.2 postoperatively (P = .03). All patients were able to RTW, at a mean time of 6.0 ± 13.2 months postoperatively (range, 0-72 months). When stratified by work intensity, the average time to return was 13.8, 3.1, 2.7, and 2.9 months for high, moderate, light, and sedentary occupations, respectively. There was no significant difference between these RTW times (P = .16), although this analysis may have been limited by the small sample size. Four patients whose work was classified as heavy work (50%) and 3 whose work was classified as moderate work (18.8%) either switched jobs or kept the same job with lighter physical duties as a result of their procedures. CONCLUSION: In a young and active population, DFVO for valgus deformity reliably afforded the ability to RTW within a relatively short time for patients with sedentary, light, and moderate occupational demands. However, patients with moderate- to high-intensity occupational demands may be unable to RTW at their preoperative level.
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spelling pubmed-77203052020-12-15 Return to Work After Distal Femoral Varus Osteotomy Puzzitiello, Richard N. Liu, Joseph N. Garcia, Grant H. Redondo, Michael L. Forlenza, Enrico M. Agarwalla, Avinesh Yanke, Adam B. Cole, Brian J. Orthop J Sports Med Article BACKGROUND: Distal femoral varus osteotomy (DFVO) is a well-described procedure to address valgus deformity of the knee. There is a paucity of information available regarding patients’ ability to return to work (RTW) after DFVO. PURPOSE: To report the objective findings for RTW rates and times for patients receiving a DFVO for lateral compartment osteoarthritis secondary to valgus deformity of the knee. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This was a retrospective study of patients who received a lateral-wedge opening DFVO. Patients must have worked within 3 years before their operation to be included for analysis. Patients were contacted at a minimum of 2 years postoperatively for interview and questionnaire evaluation, including a subjective work questionnaire, visual analog scale (VAS) for pain, Single Assessment Numerical Evaluation (SANE), and a satisfaction questionnaire. RESULTS: Overall, 32 patients were contacted at a mean follow-up of 7.1 ± 4.1 years (range, 2.2-13.3 years). The mean ± SD age at the time of surgery was 30.8 ± 8.8 years (range, 17.2-46.5 years), and 65.6% of patients were female. Eleven patients (34.4%) received a concomitant meniscal allograft transplant, and 12 (37.5%) received a cartilage grafting procedure. The average VAS pain score decreased significantly from 6.1 preoperatively to 3.2 postoperatively (P = .03). All patients were able to RTW, at a mean time of 6.0 ± 13.2 months postoperatively (range, 0-72 months). When stratified by work intensity, the average time to return was 13.8, 3.1, 2.7, and 2.9 months for high, moderate, light, and sedentary occupations, respectively. There was no significant difference between these RTW times (P = .16), although this analysis may have been limited by the small sample size. Four patients whose work was classified as heavy work (50%) and 3 whose work was classified as moderate work (18.8%) either switched jobs or kept the same job with lighter physical duties as a result of their procedures. CONCLUSION: In a young and active population, DFVO for valgus deformity reliably afforded the ability to RTW within a relatively short time for patients with sedentary, light, and moderate occupational demands. However, patients with moderate- to high-intensity occupational demands may be unable to RTW at their preoperative level. SAGE Publications 2020-12-03 /pmc/articles/PMC7720305/ /pubmed/33330734 http://dx.doi.org/10.1177/2325967120965966 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Puzzitiello, Richard N.
Liu, Joseph N.
Garcia, Grant H.
Redondo, Michael L.
Forlenza, Enrico M.
Agarwalla, Avinesh
Yanke, Adam B.
Cole, Brian J.
Return to Work After Distal Femoral Varus Osteotomy
title Return to Work After Distal Femoral Varus Osteotomy
title_full Return to Work After Distal Femoral Varus Osteotomy
title_fullStr Return to Work After Distal Femoral Varus Osteotomy
title_full_unstemmed Return to Work After Distal Femoral Varus Osteotomy
title_short Return to Work After Distal Femoral Varus Osteotomy
title_sort return to work after distal femoral varus osteotomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720305/
https://www.ncbi.nlm.nih.gov/pubmed/33330734
http://dx.doi.org/10.1177/2325967120965966
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