This study aims to describe the medical, social, and organizational determinants of returning to work after an osteoarticular injury, particularly limb fractures.
Using observational data, the study will evaluate the modalities of returning to work within 12 months of the injury and analyze the factors influencing professional reintegration, including the severity of the injury, functional recovery, pain, professional characteristics, workplace accommodations, and administrative support measures such as recognition of disabled worker status.
The study will also explore the point at which the issue of returning to work is first raised with the patient during hospitalization, a period during which professional reintegration is often insufficiently anticipated. By identifying current practices and breaking points, this study aims to improve understanding of the pathways to returning to work in the context of the healthcare system and the world of work in France.
Adults who were treated for osteoarticular trauma at the hospital between June 2021 and June 2024
Patients who were employed prior to the injury
Death or major disability preventing completion of the questionnaire
Protected persons
Refusal to participate or no contact after follow-up
Patients who were unemployed prior to the trauma
The study population consists of adult patients of working age who were employed prior to experiencing an osteoarticular trauma, including fractures of the limbs. Participants were followed at a tertiary hospital center and received care for osteoarticular trauma between June 2021 and June 2024. The study includes patients with available medical records allowing retrospective data extraction, as well as prospective collection of self-reported data through questionnaires, without any modification of standard clinical care.
Cohort
Other
Not listed
Return-to-work rate within 12 months after osteoarticular trauma
Assess the professional impact of osteoarticular trauma by measuring the rate of return to work within 12 months of the trauma.
Time to return to work after osteoarticular trauma
Duration between the date of osteoarticular trauma and the date of return to work, expressed in days
Workplace accommodations implemented after trauma
Implementation of workplace accommodations following osteoarticular trauma, including job adjustments, modified duties, or adapted working conditions
Recognition of disability status (RQTH)
Implementation of disability recognition status (Reconnaissance de la Qualité de Travailleur Handicapé, RQTH), a French administrative measure allowing access to workplace accommodations and vocational support.
Time to return to work and predictors (hazard ratios)
Time from inclusion to return to work will be measured in months. Time-to-event analysis will be performed using Kaplan-Meier survival curves. Medical, social, and occupational variables will be evaluated as predictors of time to return to work using Cox proportional hazards regression models. Results will be expressed as hazard ratios (HR) with 95% confidence intervals.
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