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• W2037228445 abstract "Outcomes following rotator cuff repair in workers compensation patients are generally reported to be inferior to the general population. The purpose of this study is to evaluate the outcome of arthroscopic rotator cuff repair in workers compensation patients and to identify prognostic factors which may help predict the ability to return to pre-injury level of work. A retrospective cohort of 78 consecutive adult patients (mean age 54.9 +/− 8.2 years) was evaluated at a minimum 1 year follow-up following arthroscopic repair of full-thickness rotator cuff tears. Exclusion criteria included patients presenting with partial-thickness or irreparable tears, subscapularis involvement and/or revision surgery. Multiple variables including preoperative work level, gender, medical comorbidities, alcohol or tobacco use, and tear size were recorded. Contingency table analysis was used to identify significant associations between these variables and return to work at preoperative levels, time to maximum medical improvement (MMI) and failure of repair requiring revision. Patients were evaluated at an average follow-up of 2.5yrs (range 1.0-6.4, sd 1.1). 89.7% of patients returned to their preoperative level of work, at an average time to MMI of 7.6 +/− 2.6 months. 5.1% of patients had failure of their repairs requiring revision. Preoperative work level, smoking status, gender and tear size did not influence return to work status, MMI or failure rate in this population. A history of preoperative alcohol use (>6 beers/wk) was significantly associated with not returning to preoperative work levels following surgery (p=0.011). Nondiabetics and patients who did not drink alcohol (<6 beers/wk) were significantly less likely to have repair failure requiring revision (p=0.012 and 0.009, respectively). Compensable patients undergoing arthroscopic full-thickness rotator cuff repair return to preoperative levels of work in the majority of cases, regardless of preoperative work level, smoking status, gender or tear size. Diabetes and reported alcohol use may predict a less likely return to work and a higher failure rate in these patients." @default.
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• W2037228445 date "2012-09-01" @default.
• W2037228445 modified "2023-10-05" @default.
• W2037228445 title "Paper 37: Outcome of Worker's Compensation Patients Following Arthroscopic Full-Thickness Rotator Cuff Repair" @default.
• W2037228445 doi "https://doi.org/10.1016/j.arthro.2012.05.520" @default.
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