Document Detail


When can I drive?: brake response times after contemporary total knee arthroplasty.
MedLine Citation:
PMID:  20700671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
David F Dalury; Kimberly K Tucker; Todd C Kelley
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  469     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-24     Completed Date:  2011-01-25     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-6     Citation Subset:  AIM; IM    
Affiliation:
Towson Orthopaedic Associates, LLC, Towson, MD, USA. ehenze1@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / prevention & control*
Activities of Daily Living*
Age Factors
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee* / adverse effects
Automobile Driving*
Biomechanics
Female
Humans
Knee Joint / physiopathology,  surgery*
Male
Middle Aged
Motor Skills
Prospective Studies
Reaction Time*
Recovery of Function
Sex Factors
Time Factors
Treatment Outcome
United States
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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