When can I drive?: brake response times after contemporary total knee arthroplasty

Clin Orthop Relat Res. 2011 Jan;469(1):82-6. doi: 10.1007/s11999-010-1507-1.

Abstract

Background: After right total knee arthroplasty (TKA), patients are usually eager to return to driving. Previous studies suggest 6 weeks postsurgery is a safe time. However, recent advances in surgical technique, pain management, and rehabilitation have theoretically improved recovery after TKA.

Questions/purposes: We therefore determined if (1) the timeframe for return to driving, as determined by attainment of preoperative braking levels, would be shorter after contemporary right TKA than that reported previously for a traditional TKA; and (2) gender or age influence recovery of baseline response time.

Methods: Brake response times for all 29 patients undergoing right-sided TKA between January 17, 2008, and January 29, 2009, were scheduled to be measured by a trained occupational therapist before surgery and at 4, 6, and 8 weeks after surgery. For each patient, testing was discontinued once the preoperative level was achieved.

Results: All patients returned to baseline braking levels by 4 weeks after surgery. Gender and age did not influence recovery times.

Conclusions: If other requirements for driving are met, surgeons may consider allowing patients treated with contemporary right TKAs to drive 4 weeks after surgery.

MeSH terms

  • Accidents, Traffic / prevention & control*
  • Activities of Daily Living*
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee* / adverse effects
  • Automobile Driving*
  • Biomechanical Phenomena
  • Female
  • Humans
  • Knee Joint / physiopathology
  • Knee Joint / surgery*
  • Male
  • Middle Aged
  • Motor Skills
  • Prospective Studies
  • Reaction Time*
  • Recovery of Function
  • Sex Factors
  • Time Factors
  • Treatment Outcome
  • United States