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Early resumption of driving within 3 weeks following patient-specific instrumented total knee arthroplasty: an evaluation of 160 cases
  1. Ikram Nizam1,
  2. Ashish Batra1,
  3. Sophia Gogos2
  1. 1Dept of Orthopaedics, Ozorthopaedics, Melbourne, Victoria, Australia
  2. 2Monash University Surgical Interest Group, Melbourne, Victoria, Australia
  1. Correspondence to Dr Ikram Nizam, Orthopaedics, Ozorthopaedics, Melbourne, VIC 3144, Australia; info{at}


Objectives Most patients want to resume normal activities as soon as possible after total knee arthroplasty (TKA), with driving an integral aspect to re-establish social and recreational independence. This study aimed to determine when patients resumed driving after TKA.

Methods All patients undergoing patient-specific instrumented (PSI) medial pivot TKA between January 2017 and April 2018 were included. Patients who did not drive were excluded. A detailed questionnaire was sent to patients 2 weeks after surgery to record their driving status. 50 patients were randomly selected to assess flexion at the hip, knee and ankle joints while seated in the driver’s seat of their own vehicle.

Results 160 patients (female=94 and male=66) with a mean age of 68 years (45–90 years) underwent a PSI TKA (left side [L]=75, right side [R]=85). 73% patients returned to driving within the first 3 weeks after surgery, of which 15 (10%) resumed driving within the first postoperative week, 52 (35%) in the second week and 41 (28%) in the third week. The median time to resume driving following surgery was 3 weeks for both operative sides, with IQR of 2.0 (L) and 1.0 (R).

Conclusion A majority of patients resume driving within 3 weeks after undergoing a PSI TKA, regardless of operative side or transmission of vehicle.

Level of evidence IV

  • resuming driving
  • total knee arthroplasty
  • minimally invasive
  • patient specific instrumentation
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  • Contributors IN: senior author and surgeon who performed all the procedures and postoperative outcome, clinical and radiological assessments and designed the study, methodology and questionnaire. Also wrote sections of the paper and edited the paper in its entirety. AB: orthopaedic fellow who wrote the paper in conjunction with the senior author with guidance from the senior author. SG contributed to the analysis and interpretation of data in addition to drafting and critically revising the manuscript.

  • Funding There are no conflicts of interest to report. No funding was received for this study.

  • Competing interests There are no conflicts of interest to report. No funding was received for this study.

  • Ethics approval The study was approved by the local institutional review board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There is no unpublished data of this study that is available online or elsewhere.

  • Author note Attribution: figure 2 has been reproduced in its original form with permission from SICOT-J under Creative Commons License CC BY 4.0.

  • Patient consent for publication Not required.

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