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The Journal of arthroplasty v.33 no.1, 2018년, pp.284 - 290.e1   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Braking Time Following Total Knee Arthroplasty: A Systematic Review

Hartman, Jeffrey    (Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada   ); Thornley, Patrick    (Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada   ); Oreskovich, Stephan    (Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada   ); Adili, Anthony    (Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada   ); Bedi, Asheesh    (Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan   ); Khan, Moin    (Division of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada  );
  • 초록  

    Abstract Background Currently, no guidelines exist to assist surgeons in providing recommendations to patients undergoing total knee arthroplasty (TKA) on when it is safe to return to driving. The purpose of this systematic review is to analyze the best available literature to assist surgeons in providing evidence-based recommendations on when it is safe to return to driving after TKA. Methods Following established methodology for the conduct of systematic reviews, a literature search was performed for prospective studies on driving after TKA. Two reviewers screened citations for inclusion, assessed methodological quality, and extracted data. Results Nine studies with 330 subjects met the inclusion criteria. Normalization of brake response time, movement time, and reaction time to preoperative baseline was assessed by pooling data across studies between 0 and 4 weeks and >4 weeks after TKA. Patients who underwent left TKA and right TKA showed normalization by 2 and 4 weeks, respectively. The limited studies that evaluated brake response time, movement time, and reaction time prior to 2 weeks postoperatively also showed normalization to preoperative levels. Conclusion Patients with right TKA have normalization of braking time by 4 weeks, and normalization is as early as 2 weeks following left TKA. Surgeons must consider these recommendations and other patient factors that determine fitness to drive prior to deeming a patient safe to return to driving.


  • 주제어

    braking time .   knee .   arthroplasty .   driving .   response time.  

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