Skip to main content
Top
Published in: Clinical Orthopaedics and Related Research® 1/2011

01-01-2011 | Symposium: Papers Presented at the Annual Meetings of the Knee Society

When Can I Drive?: Brake Response Times After Contemporary Total Knee Arthroplasty

Authors: David F. Dalury, MD, Kimberly K. Tucker, MD, Todd C. Kelley, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2011

Login to get access

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.
Literature
1.
go back to reference Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963–974.PubMed Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963–974.PubMed
2.
go back to reference Fisher DA, Trimble SM, Breedlove K. The medial trivector approach in total knee arthroplasty. Orthopedics. 1998;21:53–56.PubMed Fisher DA, Trimble SM, Breedlove K. The medial trivector approach in total knee arthroplasty. Orthopedics. 1998;21:53–56.PubMed
3.
go back to reference Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, Katz B, Bombardier C, Heck D, Freund D. Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998;80:163–173.PubMed Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, Katz B, Bombardier C, Heck D, Freund D. Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998;80:163–173.PubMed
4.
go back to reference Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989;248:13–14.PubMed Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989;248:13–14.PubMed
5.
go back to reference Marques CJ, Barreiros J, Cabri J, Carita AI, Friesecke C, Loehr JF. Does the brake response time of the right leg change after left total knee arthroplasty? A prospective study. Knee. 2008;15:295–298.CrossRefPubMed Marques CJ, Barreiros J, Cabri J, Carita AI, Friesecke C, Loehr JF. Does the brake response time of the right leg change after left total knee arthroplasty? A prospective study. Knee. 2008;15:295–298.CrossRefPubMed
6.
go back to reference 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;89:851–855.CrossRefPubMed 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;89:851–855.CrossRefPubMed
7.
go back to reference McAllister CM, Stepanian JD. The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. J Arthroplasty. 2008;23:10–18.CrossRefPubMed McAllister CM, Stepanian JD. The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. J Arthroplasty. 2008;23:10–18.CrossRefPubMed
8.
go back to reference National Institutes of Health Consensus Panel. NIH consensus statement on total knee replacement, December 8–10, 2003. J Bone Joint Surg Am. 2004;86:1328–1335. National Institutes of Health Consensus Panel. NIH consensus statement on total knee replacement, December 8–10, 2003. J Bone Joint Surg Am. 2004;86:1328–1335.
9.
go back to reference Parvataneni HK, Shah VP, Howard H, Cole N, Ranawat AS, Ranawat CS. Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections. A prospective randomized study. J Arthroplasty. 2007;22:33–38.CrossRefPubMed Parvataneni HK, Shah VP, Howard H, Cole N, Ranawat AS, Ranawat CS. Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections. A prospective randomized study. J Arthroplasty. 2007;22:33–38.CrossRefPubMed
10.
go back to reference Pierson JL, Earles DR, Wood K. Brake response time after total knee arthroplasty. When is it safe for patients to drive? J Arthroplasty. 2003;18:840–843.CrossRefPubMed Pierson JL, Earles DR, Wood K. Brake response time after total knee arthroplasty. When is it safe for patients to drive? J Arthroplasty. 2003;18:840–843.CrossRefPubMed
11.
go back to reference Spalding TJW, Kiss J, Kyberd P, Turner-Smith A, Simpson AHRW. Driver reaction times after total knee replacement. J Bone Joint Surg Br. 1994;76:754–756.PubMed Spalding TJW, Kiss J, Kyberd P, Turner-Smith A, Simpson AHRW. Driver reaction times after total knee replacement. J Bone Joint Surg Br. 1994;76:754–756.PubMed
Metadata
Title
When Can I Drive?: Brake Response Times After Contemporary Total Knee Arthroplasty
Authors
David F. Dalury, MD
Kimberly K. Tucker, MD
Todd C. Kelley, MD
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 1/2011
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-010-1507-1

Other articles of this Issue 1/2011

Clinical Orthopaedics and Related Research® 1/2011 Go to the issue

Symposium: Papers Presented at the Annual Meetings of the Knee Society

Technical Challenges of Total Knee Arthroplasty in Skeletal Dysplasia