Davis Jason A, Bohl Daniel D, Gerlinger Tad L
Dallas Limb Restoration Center, 4001 West 15th Street, Suite 290, Plano, TX 75093, USA.
Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St, Suite 300, Chicago, IL 60612, USA.
Knee. 2018 Oct;25(5):939-945. doi: 10.1016/j.knee.2018.07.002. Epub 2018 Aug 11.
Recent advances in the performance of total knee arthroplasty may allow for return to driving sooner than the current recommendation of six to eight weeks. The purpose of this study was to evaluate at what time point patients may safely return to driving after modern total knee arthroplasty.
Thirty-two consecutive patients underwent pre-operative and weekly post-operative assessments of brake reaction time before and for eight weeks after undergoing total knee arthroplasty.
Overall, patients returned to their preoperative baseline brake reaction times by the second postoperative week. There was a significant difference in regard to gender but not laterality or age. Specifically, men achieved preoperative brake reaction times by the first postoperative week and women by the second.
Patients undergoing total knee arthroplasty with a modern perioperative pathway appear to achieve preoperative brake reaction times by the second postoperative week when not taking narcotic pain medication. However, the safe return to driving in each patient must be approached individually. Surgeon discretion to release a patient to drive is always prudent and the decision should be considered on an individual basis.
全膝关节置换术性能方面的最新进展可能使患者比目前建议的六至八周更早恢复驾驶。本研究的目的是评估现代全膝关节置换术后患者在什么时间点可以安全恢复驾驶。
32例连续患者在接受全膝关节置换术前及术后八周内每周进行制动反应时间的术前和术后评估。
总体而言，患者在术后第二周恢复到术前基线制动反应时间。在性别方面存在显著差异，但在侧别或年龄方面无差异。具体而言，男性在术后第一周达到术前制动反应时间，女性在第二周达到。
采用现代围手术期路径进行全膝关节置换术的患者，在不服用麻醉性止痛药的情况下，术后第二周似乎能达到术前制动反应时间。然而，每位患者安全恢复驾驶必须个体化对待。外科医生酌情决定让患者恢复驾驶总是谨慎的，并且该决定应基于个体情况考虑。
