Return to work in miners following anterior cruciate ligament reconstruction

Abstract

Introduction: The aim of the study is retrospectively investigated durations for returning to work  following anatomic ACL reconstruction by hamstring autograft in miners and the reasons in patients who were delayed to return to work.

Methods: Miners with symptomatic anterior cruciate ligament rupture underwent arthroscopic  reconstruction. Patients were evaluated in terms of range of motion (ROM) values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. By modifying the method used by Fitzgerald et al. we decided for the criteria returning to work.

Results: Thirty three patients were evaluated with mean followup of 22.7 ± 8.3 months (range 13-46  months). Mean age at the surgery was 27.8 (18-38) years. Lysholm, Cincinati and Tegner activity scales  were signifi cantly higher from preoperative scores (Lysholm scores: preoperative: 60.7 ± 12.5,  postoperative: 90.3 ± 4.8 (P < 0.001); Tegner activity scores: Preoperative 3.5 ± 1.4, postoperative: 6.2 ± 1.5 (P < 0.001); Cincinati scores: Preoperative: 14.8 ± 5.3, postoperative: 26.9 ± 1.6 (P < 0.001). The average time for returning to work was determined as 15,3 ± 4 weeks. There was no significant difference for knee scores and time for returning to work between patients with meniscal injuries and don't have meniscus lesions.

Conclusion: The reasons for delays in returning to work was work accident. Hematoma or effusion and
pain inside the knee were the most significant reason which affected returning to work.

Key words: Anterior cruciate ligament, injury, knee, reconstruction, miner, return to work