Revision rates of trapeziometacarpal total joint arthroplasty in relation to occupational hand force requirements
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Revision rates of trapeziometacarpal total joint arthroplasty in relation to occupational hand force requirements. / Kirkeby, Lone; Frost, Poul; Svendsen, Susanne W.; Hansen, Torben B.
In: Journal of Hand Surgery: European Volume, Vol. 46, No. 9, 2021, p. 968-974.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Revision rates of trapeziometacarpal total joint arthroplasty in relation to occupational hand force requirements
AU - Kirkeby, Lone
AU - Frost, Poul
AU - Svendsen, Susanne W.
AU - Hansen, Torben B.
PY - 2021
Y1 - 2021
N2 - The purpose was to determine revision rates after trapeziometacarpal total joint arthroplasty in working age patients, hypothesizing that higher occupational hand force requirements lead to higher revision rates. We conducted a follow-up study of patients operated 2003-2015. Self-reported job titles at the time of primary surgery were linked with a job exposure matrix to estimate occupational hand force requirements. Time until revision was analysed using Cox regression. The study comprised 222 patients aged 39-65 years (mean 55, SD 6), including 133 patients in the labour market. The median follow-up period was 5 years (interquartile range 4-7) and the overall revision rate was 5/100 person-years. For high versus low occupational hand force requirements, the hazard ratio was 1.5 (95% confidence interval 0.5-4.4). For patients outside the labour market, the hazard ratio was 2.3 (0.9-5.6). Our results did not indicate large effects of high occupational hand force requirements on revision rates.
AB - The purpose was to determine revision rates after trapeziometacarpal total joint arthroplasty in working age patients, hypothesizing that higher occupational hand force requirements lead to higher revision rates. We conducted a follow-up study of patients operated 2003-2015. Self-reported job titles at the time of primary surgery were linked with a job exposure matrix to estimate occupational hand force requirements. Time until revision was analysed using Cox regression. The study comprised 222 patients aged 39-65 years (mean 55, SD 6), including 133 patients in the labour market. The median follow-up period was 5 years (interquartile range 4-7) and the overall revision rate was 5/100 person-years. For high versus low occupational hand force requirements, the hazard ratio was 1.5 (95% confidence interval 0.5-4.4). For patients outside the labour market, the hazard ratio was 2.3 (0.9-5.6). Our results did not indicate large effects of high occupational hand force requirements on revision rates.
KW - Arthroplasty
KW - implant failure
KW - implant revision
KW - job exposure matrix
KW - prognosis
KW - reoperation
KW - trapeziometacarpal joint osteoarthritis
KW - NEUROPATHY-LIKE SYMPTOMS
KW - FOLLOW-UP
KW - BIOMECHANICAL EXPOSURES
KW - ELEKTRA PROSTHESIS
KW - ULNAR NEUROPATHY
KW - OSTEOARTHRITIS
KW - CUP
U2 - 10.1177/1753193421996980
DO - 10.1177/1753193421996980
M3 - Journal article
C2 - 33709820
VL - 46
SP - 968
EP - 974
JO - Journal of Hand Surgery: European Volume
JF - Journal of Hand Surgery: European Volume
SN - 1753-1934
IS - 9
ER -
ID: 272291025