Driver reaction times after total knee replacement

Spalding, T. J. W.; Kiss, János; Kyberd, Peter; Turner-Smith, Alan; Simpson, A. H. R. W.

doi:10.1302/0301-620x.76b5.8083265

Cited by 96 publications

(109 citation statements)

References 3 publications

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“…A similar correlation was found in these patients between stepping and standing tests and brake response time [22]. Patients with a right TKA had normal brake response times and total brake times 2 to 8 weeks postoperatively [9,28,36,37,42,50,57] and normal brake response times 0 to 3 weeks after a left TKA [36,37,41,50,57]. Data showed that a step test was the best predictor of safety when correlated with total brake time after TKA [28].…”

Section: Observer-reported Outcome Measuressupporting

confidence: 65%

When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive.

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Section: Observer-reported Outcome Measuressupporting

confidence: 65%

When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Several previous publications document a return to baseline braking ability after right TKA [6,10,11]. Our study, looking at contemporary TKA, shows a quicker recovery to baseline compared with that of more traditional TKA (Table 3).…”

Section: Discussionsupporting

confidence: 52%

“…'' Data to guide a response are sparse. The available literature recommends that patients undergoing right-sided TKAs should wait to drive until 6 [10] to 8 [11] weeks after surgery.…”

Section: Introductionmentioning

confidence: 99%

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

Dalury

Tucker

Kelley

2011

Clinical Orthopaedics &Amp; Related Research

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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 under-

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“…Current literature recommends patient return to driving 4 -8 weeks after total hip surgery [4,5] and anywhere from 10 days to 8 weeks following TKA [6][7][8][9]. Even though our patients seemed to fall within these recommended guidelines, all recorded accidents occurred within 6 months.…”

Section: Discussionmentioning

confidence: 72%

“…One factor thought to predict driving ability is reaction time, or the time it takes to react to a stimulus and move from the accelerator to the brake. The literature quotes anywhere from 4 -6 weeks to up to 8 months following hip arthroplasty [4,5] and 10 days to 8 weeks for total knee arthroplasty [6][7][8][9]. To our knowledge, there is no literature in regards to total shoulder arthroplasty and when patients can safely return to driving.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Joint Replacement on Driver Function and Safety

Muh¹,

Shishani²,

Streit³

et al. 2012

OJO

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Background: The timing of return-to-driving following total joint replacement has not been well-defined. The primary aim is to study the impact of joint replacement on driver safety. A secondary aim is to investigate the possible predictors for increased car accidents in patients undergoing total joint replacement surgery. This data will provide the background to support further prospective studies on the relationship of driver safety to joint replacement surgery. Methods: A retrospective analysis of driver safety in the postoperative period was performed by analyzing the self-reporting of 485 patients who had undergone a Total Hip Arthroplasty (n = 196), Total Knee Arthroplasty (n = 258) or Total Shoulder Arthroplasty (n = 31). The mean age was 70 (28 -88) with 164 male (34%) and 319 female (66%). Patients were mailed a questionnaire and the responses were analyzed to determine what factors affect driving after joint replacement. Results: Overall, increased patient age and gender were associated with increased accidents following surgery. Our subgroup analysis demonstrated that in patients undergoing TSA, increased patient age was associated with increased accidents. TKA patients showed that older patient age predicted increased accidents following surgery. Conclusion: While age and gender are correlated with increased accidents after joint replacement in general, no factors specific to joint replacement surgery are related to increased incidence of accidents.

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Driver reaction times after total knee replacement

Cited by 96 publications

References 3 publications

When Can I Drive After Orthopaedic Surgery? A Systematic Review

When Can I Drive After Orthopaedic Surgery? A Systematic Review

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

The Impact of Joint Replacement on Driver Function and Safety

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