Literature review

TOTAL HIP ARTHROPLASTY: TOTAL AND PERMANENT INCAPACITY FOR WORK IN WHICH ACTIVIES?

How to cite: Picos GSIC, Azevedo M, Gianvecchio VAP, Framil VMS, Muñoz DR. Total hip arthroplasty: total and permanente incapacity for work in which activities? Persp Med Legal Pericia Med. 2022; 7: e221116

https://dx.doi.org/10.47005/221116

Submitted 09/09/2022
Accepted 11/23/2022

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This article derives from the conclusion work of the Postgraduate course in Medical Forensics/ Legal Medicine, at the Faculty of Medical Sciences of Santa Casa de São Paulo, which was presented as a Digital Poster at the V Brazilian Congress of Legal Medicine and Medical Forensics. The authors inform no conflict of interest.

ARTROPLASTIA TOTAL DE QUADRIL: INCAPACIDADE LABORATIVA TOTAL E PERÍODO INDEFINIDO PARA QUAIS ATIVIDADES?

Gabriel Sato Ikuhara Cavalcanti Picos (1)

http://lattes.cnpq.br/6676615351278665 – https://orcid.org/0000-0002-1392-6721

Marcos de Azevedo (2)

http://lattes.cnpq.br/7900462216651566 – https://orcid.org/0000-0003-4671-479X

Daniele Muñoz Gianvecchio (3)

http://lattes.cnpq.br/3804734858598400 – https://orcid.org/0000-0001-6188-6130

Victor A. P. Gianvecchio (4)

http://lattes.cnpq.br/3884908558329312 – https://orcid.org/0000-0002-7549-1815

Valéria M. S. Framil (5)

http://lattes.cnpq.br/7732985938207855 – https://orcid.org/0000-0002-8747-1926

Daniel Romero Muñoz (6)

http://lattes.cnpq.br/3863004771570436 

(1) Perito Judicial Médico Ortopedista e Traumatologista. Mestrando em Direito da Saúde pela Universidade Santa Cecília – UNISANTA. Pós-Graduado em Perícias Médicas/ Medicina Legal, pela Faculdade de Ciências Médicas da Santa Casa de São Paulo, Assis – SP, Brasil.(autor principal)

(2) Médico Ortopedista e Traumatologista Pós-Graduado em Perícias Médicas/ Medicina Legal, pela Faculdade de Ciências Médicas da Santa Casa de São Paulo,

São Paulo-SP, Brasil.(autor secundário)

(3) Médica Legista Professora da Pós-Graduação em Perícias Médicas/ Medicina Legal da Faculdade de Ciências Médicas da Santa Casa de São Paulo,

São Paulo-SP, Brasil.(revisão)

(4) Médico Legista Professor da Pós-Graduação em Perícias Médicas/ Medicina Legal da Faculdade de Ciências Médicas da Santa Casa de São Paulo,

São Paulo-SP, Brasil.(revisão)

(5) Professora Colaboradora da Pós-Graduação em Perícias Médicas/ Medicina Legal da Faculdade de Ciências Médicas da Santa Casa de São Paulo,

São Paulo-SP, Brasil.(orientadora)

(6) Professor Titular do Departamento de Medicina Legal, Ética Médica e Medicina Social e do Trabalho da Faculdade de Medicina da Universidade de São Paulo,

São Paulo-SP, Brasil.(coordenador)

ortopicos@gmail.com

ABSTRACT

Introduction: Total hip arthroplasty has a high rate of improvement in pain, function and quality of life of individuals undergoing this procedure. However, the hip prosthesis has a period of duration, or “lifespan”, which is influenced by the activities performed by the wearer, creating permanent limitations. Objectives: The objectives were to describe total and permanent incapacity for work activities that generate risks to the health of individuals undergoing hip replacement. Methodology: This study has an exploratory and descriptive nature, through literature research in Google Scholar, Pubmed, Medline and Scielo databases, review in books, newspapers, journals, scientific articles and national and international consensuses, related to the objective of this work. Results: Consensus and articles bring restrictions, in the long term, after total hip arthroplasty, due to the risks of early wear, dislocation, osteolysis, loosening, higher frequency of reoperations, revisions and their possible complications such as infection, thromboembolic phenomena and death. Discussion: Notably, professions with a high demand in physical activities are associated with a high rate of non-return to work and longer periods of rehabilitation when return occurs. Conclusion: Incapacity for work should be individually assessed by a qualified medical expert, however, we suggest considering total and permanent work incapacity for patients undergoing total hip arthroplasty in high-demand professions that require weight bearing, contact sports, extremes movements of the hip joint and long periods of standing or walking.

Keywords: Hip Arthroplasty, Replacement Arthroplasty, Disabled Person, Statistics on Sequelae and Disability, Health Law, Health’s Judicialization, Functional Residual Capacity.

Bibliographical references

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