Avinesh Agarwalla1, Joseph N Liu2, Hao-Hua Wu3, Irene L Kalbian4, Grant H Garcia5, Beth E Shubin Stein6. 1. Department of Orthopedic Surgery, Westchester Medical Center, Valhalla, NY, USA. 2. Department of Orthopedic Surgery, Loma Linda Medical Center, Loma Linda, CA, USA. 3. Department of Orthopedic Surgery, University of California-San Francisco, San Francisco, CA, USA. 4. The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA. 5. Seattle Orthopaedic Center, Seattle, WA, USA. 6. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Abstract
PURPOSE: To evaluate the ability of patients to return to work following anteromedialization (AMZ) tibial tubercle osteotomy (TTO) due to isolated patellofemoral osteoarthritis or pain. METHODS: Consecutive patients undergoing AMZ TTO were reviewed retrospectively at a minimum of 1 year postoperatively. Patients completed a subjective work questionnaire, a visual analog scale for pain, as well as a Kujala questionnaire and satisfaction questionnaire. RESULTS: Fifty-seven patients (61 knees; average age: 32.7 ± 9.6 years) were contacted at an average follow-up of 4.86 ± 2.84 years postoperatively. The preoperative Kujala score improved from 55.7 ± 17.8 to 84.6 ± 15.8 at final follow-up (P < 0.001). Thirty-seven patients (64.9%) were employed within 3 years prior to surgery and 34 patients (91.9%) were able to return to work by 2.8 ± 2.6 months postoperatively. However, only 27 patients (73.0%) of patients were able to return to the same level of occupational intensity. Patients who held sedentary, light-, medium-, or high-intensity occupations were able to return to work at a rate of 100.0%, 93.8%, 77.8%, and 100.0% by 2.2 months, 3.0 months, 3.1 months, and 4.0 months, postoperatively. No patients underwent revision TTO or conversion to arthroplasty by the time of final follow-up. CONCLUSION: In patients with focal patellofemoral osteoarthritis or pain, AMZ TTO provides a high rate of return to work (91.9%) by 2.8 ± 2.6 months postoperatively. Patients with higher intensity occupations may take longer to return to work than those with less physically demanding occupations. LEVEL OF EVIDENCE: III.
PURPOSE: To evaluate the ability of patients to return to work following anteromedialization (AMZ) tibial tubercle osteotomy (TTO) due to isolated patellofemoral osteoarthritis or pain. METHODS: Consecutive patients undergoing AMZ TTO were reviewed retrospectively at a minimum of 1 year postoperatively. Patients completed a subjective work questionnaire, a visual analog scale for pain, as well as a Kujala questionnaire and satisfaction questionnaire. RESULTS: Fifty-seven patients (61 knees; average age: 32.7 ± 9.6 years) were contacted at an average follow-up of 4.86 ± 2.84 years postoperatively. The preoperative Kujala score improved from 55.7 ± 17.8 to 84.6 ± 15.8 at final follow-up (P < 0.001). Thirty-seven patients (64.9%) were employed within 3 years prior to surgery and 34 patients (91.9%) were able to return to work by 2.8 ± 2.6 months postoperatively. However, only 27 patients (73.0%) of patients were able to return to the same level of occupational intensity. Patients who held sedentary, light-, medium-, or high-intensity occupations were able to return to work at a rate of 100.0%, 93.8%, 77.8%, and 100.0% by 2.2 months, 3.0 months, 3.1 months, and 4.0 months, postoperatively. No patients underwent revision TTO or conversion to arthroplasty by the time of final follow-up. CONCLUSION: In patients with focal patellofemoral osteoarthritis or pain, AMZ TTO provides a high rate of return to work (91.9%) by 2.8 ± 2.6 months postoperatively. Patients with higher intensity occupations may take longer to return to work than those with less physically demanding occupations. LEVEL OF EVIDENCE: III.
Authors: Jan M Pestka; Matthias J Feucht; Stella Porichis; Gerrit Bode; Norbert P Südkamp; Philipp Niemeyer Journal: Am J Sports Med Date: 2015-12-09 Impact factor: 6.202
Authors: Nicholas J Zarkadis; Philip J Belmont; Michael A Zachilli; Courtney A Holland; Allison R Kinsler; Michael S Todd; Mark P Pallis; Brian R Waterman Journal: Am J Sports Med Date: 2018-10-11 Impact factor: 6.202
Authors: Alexander Hoorntje; Suzanne Witjes; P Paul F M Kuijer; Koen L M Koenraadt; Rutger C I van Geenen; Joost G Daams; Alan Getgood; Gino M M J Kerkhoffs Journal: Sports Med Date: 2017-11 Impact factor: 11.136
Authors: Alex A Johnson; Elizabeth L Wolfe; Douglas N Mintz; Shadpour Demehri; Beth E Shubin Stein; Andrew J Cosgarea Journal: Orthop J Sports Med Date: 2018-10-19
Authors: Avinesh Agarwalla; Joseph N Liu; David R Christian; Grant H Garcia; Gregory L Cvetanovich; Anirudh K Gowd; Adam B Yanke; Brian J Cole Journal: Cartilage Date: 2020-07-02 Impact factor: 3.117
Authors: Tarik Bayoumi; Dennis C van Duijvenbode; Joyce L Benner; Kirsten D S Boerma-Argelo; Michel H J Stavenuiter; Jelle P van der List Journal: Arthrosc Sports Med Rehabil Date: 2021-06-15
Authors: Avinesh Agarwalla; Anirudh K Gowd; Joseph N Liu; Grant H Garcia; Gregory P Nicholson; Brian Forsythe; Anthony A Romeo; Nikhil N Verma Journal: Orthop J Sports Med Date: 2021-12-15