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Return to driving after total knee arthroplasty

Year 2015, Volume: 49 Issue: 6, 593 - , 28.10.2015

Abstract

Objective: The aim of this study was to ascertain the duration from time of surgery to resumption of driving after total knee arthroplasty (TKA) and to examine recommendations in the literature.
Methods: All patients who underwent primary unilateral TKA and were driving within 6 months preceding the arthroplasty were included. The patients’ age, gender and side of the TKA were noted. The time taken to resume driving by each patient as well as the type of vehicle were noted.
Results: Ninety-eight patients were included in our survey. Fifty-five patients (56%) underwent TKA on their left knee and 94 (96%) were manual car drivers. Seventy-seven patients (79%) were able to resume driving within 6 weeks of TKA; 18 patients (18%) were able to do so at Week 12 postoperatively. The remaining 3 patients (3%) did not feel confident enough to drive at Week 12 postoperatively. No patient reported deterioration in driving ability, whereas 27 patients (27%) felt a subjective improvement in their driving ability.
Conclusion: The vast majority of patient resumed driving by 6 weeks postoperatively. Only a small number did not return to regular driving. Patients are advised to resume driving after 6 weeks but should wait until they feel comfortable and confident enough to do so.

DOI: 10.3944/AOTT.2015.14.0307

References

  • Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, et al. Health-related quality of life after knee replace- ment. J Bone Joint Surg Am 1998;80:163–73.
  • Singh JA, Vessely MB, Harmsen WS, Schleck CD, Melton LJ 3rd, Kurland RL, et al. A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. Mayo Clin Proc 2010;85:898–904.
  • Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007;89:780–5.
  • Ries MD, Philbin EF, Groff GD, Sheesley KA, Rich- man JA, Lynch F Jr. Improvement in cardiovascular fit- ness after total knee arthroplasty. J Bone Joint Surg Am 1996;78:1696–701.
  • Johnson JE. Urban older adults and the forfeiture of a driver’s license. J Gerontol Nurs 1999;25:12–8.
  • Alviar MJ, Olver J, Brand C, Hale T, Khan F. Do patient- reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues relevant to patients? Results of a systematic review and ICF linking process. J Rehabil Med 2011;43:374–81.
  • Spalding TJ, Kiss J, Kyberd P, Turner-Smith A, Simpson AH. Driver reaction times after total knee replacement. J Bone Joint Surg Br 1994;76:754–6.
  • Pierson JL, Earles DR, Wood K. Brake response time af- ter total knee arthroplasty: when is it safe for patients to drive? J Arthroplasty 2003;18:840–3.
  • Marques CJ, Cabri J, Barreiros J, Carita AI, Friesecke C, Loehr JF. The effects of task complexity on brake response time before and after primary right total knee arthroplasty. Arch Phys Med Rehabil 2008;89:851–5.
  • Activities After a Knee Replacement. Available from http://orthoinfo.aaos.org/topic.cfm?topic=A00357. Driving. Accessed 1 Dec 2010.
  • http://www.rcseng.ac.uk/patients/get-well soon/knee/ documents/Total%20Knee%20Replacement.pdf Ac- cessed 1 Dec 2010.
  • Liebensteiner MC, Kern M, Haid C, Kobel C, Niederseer D, Krismer M. Brake response time before and after total knee arthroplasty: a prospective cohort study. BMC Mus- culoskelet Disord 2010;11:267.
  • Egol KA, Sheikhazadeh A, Mogatederi S, Barnett A, Koval KJ. Lower-extremity function for driving an auto- mobile after operative treatment of ankle fracture. J Bone Joint Surg Am 2003;85-A:1185–9.
Year 2015, Volume: 49 Issue: 6, 593 - , 28.10.2015

Abstract

References

  • Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, et al. Health-related quality of life after knee replace- ment. J Bone Joint Surg Am 1998;80:163–73.
  • Singh JA, Vessely MB, Harmsen WS, Schleck CD, Melton LJ 3rd, Kurland RL, et al. A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. Mayo Clin Proc 2010;85:898–904.
  • Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007;89:780–5.
  • Ries MD, Philbin EF, Groff GD, Sheesley KA, Rich- man JA, Lynch F Jr. Improvement in cardiovascular fit- ness after total knee arthroplasty. J Bone Joint Surg Am 1996;78:1696–701.
  • Johnson JE. Urban older adults and the forfeiture of a driver’s license. J Gerontol Nurs 1999;25:12–8.
  • Alviar MJ, Olver J, Brand C, Hale T, Khan F. Do patient- reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues relevant to patients? Results of a systematic review and ICF linking process. J Rehabil Med 2011;43:374–81.
  • Spalding TJ, Kiss J, Kyberd P, Turner-Smith A, Simpson AH. Driver reaction times after total knee replacement. J Bone Joint Surg Br 1994;76:754–6.
  • Pierson JL, Earles DR, Wood K. Brake response time af- ter total knee arthroplasty: when is it safe for patients to drive? J Arthroplasty 2003;18:840–3.
  • Marques CJ, Cabri J, Barreiros J, Carita AI, Friesecke C, Loehr JF. The effects of task complexity on brake response time before and after primary right total knee arthroplasty. Arch Phys Med Rehabil 2008;89:851–5.
  • Activities After a Knee Replacement. Available from http://orthoinfo.aaos.org/topic.cfm?topic=A00357. Driving. Accessed 1 Dec 2010.
  • http://www.rcseng.ac.uk/patients/get-well soon/knee/ documents/Total%20Knee%20Replacement.pdf Ac- cessed 1 Dec 2010.
  • Liebensteiner MC, Kern M, Haid C, Kobel C, Niederseer D, Krismer M. Brake response time before and after total knee arthroplasty: a prospective cohort study. BMC Mus- culoskelet Disord 2010;11:267.
  • Egol KA, Sheikhazadeh A, Mogatederi S, Barnett A, Koval KJ. Lower-extremity function for driving an auto- mobile after operative treatment of ankle fracture. J Bone Joint Surg Am 2003;85-A:1185–9.
There are 13 citations in total.

Details

Primary Language English
Journal Section Original Article
Authors

Prasad Ellanti This is me

Pradyumna Raval This is me

Paul Harrington This is me

Publication Date October 28, 2015
Published in Issue Year 2015 Volume: 49 Issue: 6

Cite

APA Ellanti, P., Raval, P., & Harrington, P. (2015). Return to driving after total knee arthroplasty. Acta Orthopaedica Et Traumatologica Turcica, 49(6), 593. https://doi.org/10.3944/AOTT.2015.14.0307
AMA Ellanti P, Raval P, Harrington P. Return to driving after total knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. October 2015;49(6):593. doi:10.3944/AOTT.2015.14.0307
Chicago Ellanti, Prasad, Pradyumna Raval, and Paul Harrington. “Return to Driving After Total Knee Arthroplasty”. Acta Orthopaedica Et Traumatologica Turcica 49, no. 6 (October 2015): 593. https://doi.org/10.3944/AOTT.2015.14.0307.
EndNote Ellanti P, Raval P, Harrington P (October 1, 2015) Return to driving after total knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica 49 6 593.
IEEE P. Ellanti, P. Raval, and P. Harrington, “Return to driving after total knee arthroplasty”, Acta Orthopaedica et Traumatologica Turcica, vol. 49, no. 6, p. 593, 2015, doi: 10.3944/AOTT.2015.14.0307.
ISNAD Ellanti, Prasad et al. “Return to Driving After Total Knee Arthroplasty”. Acta Orthopaedica et Traumatologica Turcica 49/6 (October 2015), 593. https://doi.org/10.3944/AOTT.2015.14.0307.
JAMA Ellanti P, Raval P, Harrington P. Return to driving after total knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. 2015;49:593.
MLA Ellanti, Prasad et al. “Return to Driving After Total Knee Arthroplasty”. Acta Orthopaedica Et Traumatologica Turcica, vol. 49, no. 6, 2015, p. 593, doi:10.3944/AOTT.2015.14.0307.
Vancouver Ellanti P, Raval P, Harrington P. Return to driving after total knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. 2015;49(6):593.