dc.contributor.author
Kirschbaum, Stephanie
dc.contributor.author
Fuchs, Michael
dc.contributor.author
Otto, Marion
dc.contributor.author
Gwinner, Clemens
dc.contributor.author
Perka, Carsten
dc.contributor.author
Sentürk, Ufuk
dc.contributor.author
Pfitzner, Tilman
dc.date.accessioned
2022-11-10T12:46:51Z
dc.date.available
2022-11-10T12:46:51Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/36792
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-36505
dc.description.abstract
Purpose: This prospective cohort study aimed to examine objective and subjective parameters in patients who underwent total knee replacement (TKR) to assess from when on driving a car can be deemed safe again.
Methods: Thirty patients (16 women, 14 men, age 66±11 years) who received TKR of the right knee and 45 healthy controls (26 women, 19 men, age 32±9 years) were asked to perform an emergency braking manoeuvre using a driving simulator. Brake pedal force (BPF), neuronal reaction time (NRT), brake reaction time (BRT), and subjective parameters (pain, subjective driving ability) were measured preoperatively as well as 5 days, 3–4, and 6 weeks after TKR.
Results: Preoperative NRT was 506±162 ms, BRT 985±356 ms, and BPF 614±292 N. NRT increased to 561±218 ms, BRT to 1091±404 ms and BPF decreased to 411±191 N 5 days after TKR. Three weeks after surgery, NRT was 581±164 ms and BRT 1013±260 ms, while BPF increased to 555±200 N. Only BPF showed signifcant diferences (p<0.01). In week
6, all parameters were restored to baseline levels; patients showed signifcant pain decrease and evaluated their driving abil ity as “good” again.
Conclusion: BPF was the only parameter displaying a signifcant postoperative decrease. However, preoperative patients’ baseline levels and subjective confdence in driving ability were only reached 6 weeks after the operation. These results indicate that a minimum waiting period of 6 weeks should be considered before patients can safely participate in road traffic at their individual preoperative safety level again.
Level of evidence II.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Brake reaction time
en
dc.subject
Brake pedal force
en
dc.subject
Braking force
en
dc.subject
Total knee arthroplasty
en
dc.subject
Total knee replacement
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Reaction time and brake pedal force after total knee replacement: timeframe for return to car driving
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00167-020-06105-2
dcterms.bibliographicCitation.journaltitle
Knee Surgery, Sports Traumatology, Arthroscopy
dcterms.bibliographicCitation.number
10
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
3213
dcterms.bibliographicCitation.pageend
3220
dcterms.bibliographicCitation.volume
29
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32583024
dcterms.isPartOf.issn
0942-2056
dcterms.isPartOf.eissn
1433-7347