Resuming motor vehicle driving following orthopaedic surgery or limb trauma

Fleury, Thierry Rod; Favrat, Bernard; Belaieff, Wilson; Hoffmeyer, Pierre

doi:10.4414/smw.2012.13716

Cited by 9 publications

(10 citation statements)

References 20 publications

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“…total knee arthroplasty), patients are “temporarily” unable to drive [10]. After hospital discharge, patients are often eager to return to driving, which allows them to resume their social and recreational activities or even to return to work.…”

Section: Introductionmentioning

confidence: 99%

Timeframe for return to driving for patients with minimally invasive knee arthroplasty is associated with knee performance on functional tests

Huang

Liang

Hung

et al. 2014

BMC Musculoskelet Disord

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BackgroundThis study hopes to establish the timeframe for a safe return to driving under different speed conditions for patients after minimally invasive total knee arthroplasty and further explores how well various kinds of functional tests on knee performance can predict the patients’ braking ability.Methods14 patients with right knee osteoarthritis were included in the present study and instructed to perform three simulated driving tasks at preoperative, 2 weeks postoperative and 4 weeks postoperative.ResultsThe results showed that the total braking time at 4 week postoperative has attained the preoperative level at the driving speed 50 and 70 km/hr but not at the driving speed 90 km/hr. It had significantly improving in knee reaction time and maximum isometric force at 4 weeks postoperative. Besides, there was a moderate to high correlation between the scores of the step counts and the total braking time.ConclusionsSummary, it is recommended that driving may be resumed 4 weeks after a right knee replacement but had to drive at low or moderate speed and the best predictor of safety driving is step counts.

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Section: Introductionmentioning

confidence: 99%

Timeframe for return to driving for patients with minimally invasive knee arthroplasty is associated with knee performance on functional tests

Huang

Liang

Hung

et al. 2014

BMC Musculoskelet Disord

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“…On the basis of the inclusion and exclusion criteria, a total of 19 relevant articles remained. The articles were classified as either prospective cohort, comparative, or case-control studies 14 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ; repeated-measures design 27 ; surveys or questionnaires 6 , 28 ; literature reviews 8 , 9 , 10 , 28 , 29 ; or systematic reviews. 11 Of the remaining studies, 8 contained quantitative data on BRTs and were included in the meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“… Aspects of consent, when patients returned to driving, and whether patients experienced any adverse events Driving After Orthopaedic Surgery Marecek and Schafer 5 Review 2013 — — — — Resuming Motor Vehicle Driving Following Orthopaedic Surgery or Limb Trauma Fleury et al. 10 Review 2012 — — — — Clinical Decision Making: Doctor, When Can I Drive? Cooper 29 Review 2007 — — — — Driving Following Acute Lower Limb Painful Events Ho and Furlan 9 Review 2012 — — — — Driving After Upper or Lower Extremity Orthopaedic Surgery MacKenzie et al.…”

Section: Resultsmentioning

confidence: 99%

“… Yes Yes Yes — — Low — — Fleury et al. 10 Yes Yes Yes Yes Yes — For knee arthroplasty, the review cited an article comparing 30 surgical subjects with 25 healthy subjects. For most patients, TTB times returned to normal after 4 wk; however, approximately 30% of those patients still had suboptimal TTB times after 1 mo.…”

Section: Resultsmentioning

confidence: 99%

“…Previous reviews have combined and presented the results and recommendations from existing studies, but none have completed a meta-analysis of the existing data to search for overarching trends or patterns. 5 , 8 , 9 , 10 , 11 , 12 …”

mentioning

confidence: 99%

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Patients Generally May Return to Driving 4 Weeks After Hip Arthroscopy and 6 Weeks After Knee Arthroscopy: A Systematic Review and Meta-analysis

Palma

Giannoudis

Patel

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To consolidate the evidence from the available literature and undertake a meta-analysis to provide a reference for physicians to make evidence-based recommendations to their patients regarding the return to driving after hip or knee arthroscopic procedures. Methods: A systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The OVID, Embase, and Cochrane databases were searched through June 2020 for articles containing keywords and/or MeSH (Medical Subject Headings) terms "hip arthroscopy" and "knee arthroscopy" in conjunction with "total brake response time" or "reaction time" in the context of automobile driving. A title review and full article review were performed to assess quality and select relevant articles. A meta-analysis of qualifying articles was undertaken. Results: Eight studies met the inclusion criteria for meta-analysis of brake reaction time (BRT). Meta-analysis of all knee BRTs showed times slower than or equal to baseline BRTs through 5 weeks, with a trend of improving BRTs from 6 to 10 weeks (weeks 8 and 10 were significant, P < .05). Among all hip BRTs, week 2 showed times slower than baseline BRTs, but after week 4, a trend toward faster BRTs was observed through week 8 (week 8 was significant, P < .05). Conclusions: BRTs met baseline or control values and continued to improve after 6 weeks after knee arthroscopy and after 4 weeks after hip arthroscopy. On the basis of these results, it would be safe to recommend a return to driving at 6 weeks after knee arthroscopic procedures and 4 weeks after hip arthroscopic procedures. Clinical Relevance: These results can be used by surgeons to base their recommendations on to provide guidance for their patients on the resumption of driving. Although BRT is an important aspect of driving ability, there are additional factors that need to be taken into consideration when making these recommendations, including cessation of opioid analgesics, strength of the surgical limb, and range of motion.H ip and knee arthroscopies are some of the most common orthopaedic procedures performed. Studies in the United States have suggested that 70,000 hip arthroscopies are performed annually, with a further 984,607 knees arthroscopies. 1,2 Such procedures have many advantages over their open-procedure counterparts, such as less postoperative swelling, reduced pain, faster recovery time, and reduced risk of complications. 3 Arthroscopy is available for the treatment of a wide variety of orthopaedic conditions, including anterior cruciate ligament (ACL) reconstruction, meniscectomy, labral repair, femoroacetabular

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Safe driving recommendations following lower extremity orthopedic surgery: a systematic review

Venugopal,

O’Leary,

Robledo

et al. 2023

Eur J Orthop Surg Traumatol

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Resuming motor vehicle driving following orthopaedic surgery or limb trauma

Cited by 9 publications

References 20 publications

Timeframe for return to driving for patients with minimally invasive knee arthroplasty is associated with knee performance on functional tests

Timeframe for return to driving for patients with minimally invasive knee arthroplasty is associated with knee performance on functional tests

Patients Generally May Return to Driving 4 Weeks After Hip Arthroscopy and 6 Weeks After Knee Arthroscopy: A Systematic Review and Meta-analysis

Safe driving recommendations following lower extremity orthopedic surgery: a systematic review

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