Factors Associated With Early Return to Driving Following Total Joint Arthroplasty

• Published in: The Journal of arthroplasty Vol. 36; no. 10; pp. 3392 - 3400
• Main Authors: Dugdale, Evan M., Siljander, Matthew P., Trousdale, Robert T.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-10-2021
• Subjects: Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Automobile Driving; driving after total joint arthroplasty; Humans; postoperative driving; Postoperative Period; Surveys and Questionnaires; total hip arthroplasty; total joint arthroplasty; total knee arthroplasty; United States; United States; total hip arthroplasty; total knee arthroplasty; total joint arthroplasty; driving after total joint arthroplasty; postoperative driving
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2021.05.028

Patients often ask when they can safely return to driving a car following total joint arthroplasty (TJA). Most prior research has relied on driving simulators. Our study sought to learn more about real-world patient experiences in returning to driving after total knee arthroplasty (TKA) or total hip arthroplasty (THA).
Our institutional total joint registry was used to identify living patients aged 18-85 who underwent primary TKA or primary THA for a primary diagnosis of osteoarthritis between January 1, 2019 and December 31, 2019. Patients who had undergone multiple TJA operations in 2019 or had a primary mailing address outside of the United States were excluded. Ultimately 2508 eligible TJA patients received a survey by mail.
A total of 1128 of 2508 eligible patients (45%) completed surveys and returned them by mail. After 121 surveys were discarded for incompletion, inconsistency, or limited preoperative driving volume, 1007 patients were included in our study. Among these patients, 99% returned to driving postoperatively, with 23% returning within 2 weeks, and 88% returning within 6 weeks. Factors associated with the odds of a patient returning to driving within 2 weeks included laterality, gender, postoperative confidence, postoperative comfort, and surgeon advice. Ten patients (1%) have been involved in a car accident postoperatively.
Almost all patients returned to driving postoperatively without being involved in a car accident. Gender, laterality, patient confidence, and comfort as well as surgeon advice were significantly associated with the odds of a patient returning to driving within 2 weeks postoperatively.