The effect of total hip replacement on driving reactions

Macdonald, Warren; Owen, John Wyn

doi:10.1302/0301-620x.70b2.3346288

Cited by 104 publications

(74 citation statements)

References 4 publications

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“…Procedures such as TKA have a substantial effect on brake response time, but the postoperative duration of this effect was reported to range from as brief as 10 days to as long as 8 weeks [40]. Similar discrepancies exist for other procedures such as THA, with one study [39] suggesting a return to driving at 6 weeks whereas others recommended 8 weeks [15,18]. To our knowledge, these controversies have not been approached using a systematic review, and the discussion of driving after orthopaedic surgery can be enhanced with inclusion of postoperative patient survey data and quality appraisal of any relevant articles.…”

Section: Introductionmentioning

confidence: 83%

“…Total brake time is the amount of time elapsed between the appearance of a stimulus and when a brake pedal is fully depressed. Brake force was reported in four articles [30,39,60,64]. Upper extremity immobilization studies used driving abilities score, simulators, and standardized tracks [6,7,20,21].…”

Section: Study Design and Populationsmentioning

confidence: 99%

“…Data showed that a step test was the best predictor of safety when correlated with total brake time after TKA [28]. Patients with THAs had normal brake response times, total brake times, and brake forces 2 to 8 weeks after right-sided procedures [15,23,30,39,53] and 1 to 8 weeks after left-sided procedures [15,30,39]. Driving measures such as brake response time, total brake time, and brake force were significantly impaired when a driver wore a right lower-extremity hard cast, aerated orthosis, controlled ankle-motion cast, short leg cast, above-or belowknee plaster cast, or ROM-restricting brace [10,48,60,63].…”

Section: Observer-reported Outcome Measuresmentioning

confidence: 99%

See 2 more Smart Citations

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: Introductionmentioning

confidence: 83%

Section: Study Design and Populationsmentioning

confidence: 99%

Section: Observer-reported Outcome Measuresmentioning

confidence: 99%

See 1 more Smart Citation

When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…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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Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia

Wilson

Deans

Brough

1995

Journal of British Surgery

100

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A prospective study of 242 patients with inguinal hernia who underwent tension-free mesh repair by the laparoscopic transperitoneal (n = 121) or the open Lichtenstein (n = 121) technique was performed. There was no significant difference in operation time between the laparoscopic (median (range) 35 (20-90) min) and Lichtenstein (40 (20-90) min) procedures. Discharge within 24 h of operation was more common after laparoscopic surgery (89.3 per cent versus 48.7 per cent). Consequently, hospital stay was reduced with this approach (median (range) 1 (1-7) days versus 2 (1-10) days for patients who had a Lichtenstein repair). There was no significant difference in parenteral analgesia requirements or visual analogue pain scores between the two groups. Although use of oral analgesia in hospital was greater in patients who underwent Lichtenstein hernioplasty, this may reflect their longer stay. Rehabilitation to normal activity and return to work was shorter in patients receiving laparoscopic repair (median 7 and 10 days, respectively) than Lichtenstein repair (14 and 21 days) (P < 0.001). Initial results suggest that laparoscopic procedures may be associated with more rapid rehabilitation compared with that of open tension-free mesh surgery. Most patients with inguinal hernia undergoing tension-free mesh repair by either technique would be suitable for day-case surgery.

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The effect of total hip replacement on driving reactions

Cited by 104 publications

References 4 publications

When Can I Drive After Orthopaedic Surgery? A Systematic Review

When Can I Drive After Orthopaedic Surgery? A Systematic Review

The Impact of Joint Replacement on Driver Function and Safety

Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia

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