Scientific article

Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: analysis of longitudinal data from two cohorts

Published inOccupational and environmental medicine, vol. 79, no. 7, p. 486-493
Publication date2022-07
First online date2022-01-13

Objectives: To investigate the rates of return to work and workability among working-age people following total hip arthroplasty (THA).

Methods: Participants from the Geneva Arthroplasty Registry and the Clinical Outcomes for Arthroplasty Study aged 18-64 years when they had primary THA and with at least 5 years' follow-up were mailed a questionnaire 2017-2019. Information was collected about preoperative and post-THA employment along with exposure to physically demanding activities at work or in leisure. Patterns of change of job were explored. Survival analyses using Cox proportional hazard models were created to explore risk factors for having to stop work because of difficulties with the replaced hip.

Results: In total, 825 returned a questionnaire (response 58%), 392 (48%) men, mean age 58 years, median follow-up 7.5 years post-THA. The majority (93%) of those who worked preoperatively returned to work, mostly in the same sector but higher rates of non-return (36%-41%) were seen among process, plant and machine operatives and workers in elementary occupations. 7% reported subsequently leaving work because of their replaced hip and the risk of this was strongly associated with: standing >4 hours/day (HR 3.81, 95% CI 1.62 to 8.96); kneeling/squatting (HR 3.32, 95% CI 1.46 to 7.55) and/or carrying/lifting ≥10 kg (HR 5.43, 95% CI 2.29 to 12.88).

Conclusions: It may be more difficult to return to some (particularly physically demanding) jobs post-THA than others. Rehabilitation may need to be targeted to these types of workers or it may be that redeployment or job change counselling are required.

  • Epidemiology
  • Exercise
  • Longitudinal studies
  • Occupational health
  • Osteoarthritis
  • Arthroplasty, Replacement, Hip / rehabilitation
  • Arthroplasty, Replacement, Knee / rehabilitation
  • Employment
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupations
Citation (ISO format)
ZABALLA, Elena et al. Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: analysis of longitudinal data from two cohorts. In: Occupational and environmental medicine, 2022, vol. 79, n° 7, p. 486–493. doi: 10.1136/oemed-2021-107970
Main files (1)
Article (Published version) - Article + Supplementary Materials
ISSN of the journal1351-0711

Technical informations

Creation01/26/2022 1:44:00 PM
First validation01/26/2022 1:44:00 PM
Update time03/16/2023 6:47:49 AM
Status update03/16/2023 6:47:48 AM
Last indexation10/19/2023 6:16:00 PM
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