Ellanti Prasad, Raval Pradyumna, Harrington Paul
Our Ladys Hospital, Regional Orthopaedic Unit, Navan, Co-Meath, Ireland.
Acta Orthop Traumatol Turc. 2015;49(6):593-6. doi: 10.3944/AOTT.2015.14.0307.
The aim of this study was to ascertain the duration from time of surgery to resumption of driving after total knee arthroplasty (TKA) and to examine recommendations in the literature.
All patients who underwent primary unilateral TKA and were driving within 6 months preceding the arthroplasty were included. The patients' age, gender and side of the TKA were noted. The time taken to resume driving by each patient as well as the type of vehicle were noted.
Ninety-eight patients were included in our survey. Fifty-five patients (56%) underwent TKA on their left knee and 94 (96%) were manual car drivers. Seventy-seven patients (79%) were able to resume driving within 6 weeks of TKA; 18 patients (18%) were able to do so at Week 12 postoperatively. The remaining 3 patients (3%) did not feel confident enough to drive at Week 12 postoperatively. No patient reported deterioration in driving ability, whereas 27 patients (27%) felt a subjective improvement in their driving ability.
The vast majority of patient resumed driving by 6 weeks postoperatively. Only a small number did not return to regular driving. Patients are advised to resume driving after 6 weeks but should wait until they feel comfortable and confident enough to do so.
本研究旨在确定全膝关节置换术（TKA）后从手术时间到恢复驾驶的时长，并审视文献中的相关建议。
纳入所有接受初次单侧TKA且在关节置换术前6个月内仍在开车的患者。记录患者的年龄、性别以及TKA的手术侧别。记录每位患者恢复驾驶所需的时间以及车辆类型。
98例患者纳入我们的调查。55例患者（56%）行左侧TKA，94例（96%）为手动挡汽车驾驶者。77例患者（79%）在TKA后6周内能够恢复驾驶；18例患者（18%）在术后12周能够恢复驾驶。其余3例患者（3%）在术后12周仍没有足够信心驾驶。没有患者报告驾驶能力下降，而27例患者（27%）感觉自己的驾驶能力有主观改善。
绝大多数患者在术后6周恢复驾驶。只有少数患者未恢复正常驾驶。建议患者在6周后恢复驾驶，但应等到他们感觉舒适且有足够信心时再驾驶。
