{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T12:35:12Z","timestamp":1788698112844,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Distal femoral varus osteotomy (DFVO) is a well-described procedure to address valgus deformity of the knee. There is a paucity of information available regarding patients\u2019 ability to return to work (RTW) after DFVO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the objective findings for RTW rates and times for patients receiving a DFVO for lateral compartment osteoarthritis secondary to valgus deformity of the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study of patients who received a lateral-wedge opening DFVO. Patients must have worked within 3 years before their operation to be included for analysis. Patients were contacted at a minimum of 2 years postoperatively for interview and questionnaire evaluation, including a subjective work questionnaire, visual analog scale (VAS) for pain, Single Assessment Numerical Evaluation (SANE), and a satisfaction questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 32 patients were contacted at a mean follow-up of 7.1 \u00b1 4.1 years (range, 2.2-13.3 years). The mean \u00b1 SD age at the time of surgery was 30.8 \u00b1 8.8 years (range, 17.2-46.5 years), and 65.6% of patients were female. Eleven patients (34.4%) received a concomitant meniscal allograft transplant, and 12 (37.5%) received a cartilage grafting procedure. The average VAS pain score decreased significantly from 6.1 preoperatively to 3.2 postoperatively ( P = .03). All patients were able to RTW, at a mean time of 6.0 \u00b1 13.2 months postoperatively (range, 0-72 months). When stratified by work intensity, the average time to return was 13.8, 3.1, 2.7, and 2.9 months for high, moderate, light, and sedentary occupations, respectively. There was no significant difference between these RTW times ( P = .16), although this analysis may have been limited by the small sample size. Four patients whose work was classified as heavy work (50%) and 3 whose work was classified as moderate work (18.8%) either switched jobs or kept the same job with lighter physical duties as a result of their procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In a young and active population, DFVO for valgus deformity reliably afforded the ability to RTW within a relatively short time for patients with sedentary, light, and moderate occupational demands. However, patients with moderate- to high-intensity occupational demands may be unable to RTW at their preoperative level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967120965966","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T13:38:40Z","timestamp":1607002720000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Return to Work After Distal Femoral Varus Osteotomy"],"prefix":"10.1177","volume":"8","author":[{"given":"Richard N.","family":"Puzzitiello","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Tufts University Medical Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Loma Linda Medical Center, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant H.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Seattle Orthopaedic Center, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Redondo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Illinois Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico M.","family":"Forlenza","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Westchester Medical Center, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinesh","family":"Agarwalla","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam B.","family":"Yanke","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Cole","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, 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