eprintid: 26108
rev_number: 13
eprint_status: archive
userid: 1589
dir: disk0/00/02/61/08
datestamp: 2019-04-05 12:23:03
lastmod: 2024-05-09 01:23:57
status_changed: 2019-04-05 12:23:03
type: article
metadata_visibility: show
creators_name: Porschke, Felix
creators_name: Schnetzke, Marc
creators_name: Studier-Fischer, Stefan
creators_name: Gruetzner, Paul Alfred
creators_name: Guehring, Thorsten
title: Return to work after acromioclavicular joint stabilization: a retrospective case control study
subjects: ddc-610
divisions: i-910100
keywords: Acromioclavicular joint, Acromioclavicular stabilization, Tightrope, Endobutton, Return to work, Work
abstract: Background: Considering the epidemiology of acromioclavicular (AC) dislocation related to young and active patients, the impact on working capacity is highly relevant. The purpose of this study was to determine the capacity of work and time to return to work (RTW) after AC joint stabilization. We hypothesized that manual working patients show more restrictions returning to work.

Methods: In this retrospective case series, pre- and posttraumatic working capacity of 54 patients (FU-rate 80.1%, FU time 23, range 18–45 month) stabilized in single TightRope technique was analyzed. Clinical outcome (DASH, Constant-Murley score) and complications were evaluated in addition.

Results: Fifty one of 54 patients (94.5%) were returned to work at final follow-up. The median time to return was 13 (5–143) weeks. Manual working patients showed lower RTW-rates (91.2% vs. 100%; p = .151), longer RTW-time (15.5 vs. 6 weeks; p = .008), and more often persistent shoulder symptoms at work (55.9% vs. 5%; p < .001).

Conclusion: After stabilization of AC joint dislocation, the majority of patients returned to work, needing substantial time to return. Manual working patients required more time and often suffer under persistent symptoms at work.
date: 2019
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1665120800
own_urn: urn:nbn:de:bsz:16-heidok-261085
language: eng
bibsort: PORSCHKEFERETURNTOWO2019
full_text_status: public
publication: Journal of Orthopaedic Surgery and Research
volume: 14
number: 45
place_of_pub: London
pagerange: 1-7
issn: 1749-799X
citation:   Porschke, Felix ; Schnetzke, Marc ; Studier-Fischer, Stefan ; Gruetzner, Paul Alfred ; Guehring, Thorsten  (2019) Return to work after acromioclavicular joint stabilization: a retrospective case control study.  Journal of Orthopaedic Surgery and Research, 14 (45).  pp. 1-7.  ISSN 1749-799X     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/26108/1/13018_2019_Article_1071.pdf