Clinical Considerations for Return to Driving a Car following a Total Knee or Hip Arthroplasty: A Systematic Review

Table 3

TKA summary of surgical procedures.

Study	Approach	Incision	Cemented	Patella resurface	Prosthesis	Anesthesia	Postoperative care
Dalury et al. [14]	Limited extensor mechanism with cruciate retaining	10-14 cm	Yes	Yes	Sigma TKA	96.6% spinal; 3.4% general	Day 1 = WBAT with 5, 30 min acute PT sessions progress from walker to cane and ROM; day 3 = discharge to home or inpatient facility
Dalury et al. [4]	Tricompartment with trivector	—	Yes	—	—	Spinal	Day 1 = out of bed and PT
Davis et al. [15]	Midvastus with cruciate retaining		Yes	Yes	NexGen® complete knee solution	Spinal	After epidural removal, start PT. discharge to outpatient PT
Ellanti et al. [16]	Medial parapatellar with cruciate retaining	—	Yes	No	—	Spinal	Day 1 = full WB with PT.
Hernandez et al. [19]	Midvastus	—	—	—	—	Spinal	Day 1 = mobilization with PT.
Huang et al. [20]	Medial parapatellar	9 to 12 cm	—	—	Zimmer LPS-flex mobile	—	Hospital PT walking with walker and CPM. Discharge to home with exercise, no PT.
Jordan et al. [22]	—	—	—	—	Genesis II	—	—
Liebensteiner et al. [23]	Medial parapatellar	—	Yes	—	Kinemax, Stryker	—	CPM, ROM, then outpatient PT.
Marques et al. [25]	—	—	—	—		—	Day 2 = WBAT gait training
Marques et al. [26]	—	—	—	—		—	Day 1 = PT in bed; Day 2 = WBAT gait training
Pierson et al. [28]	Medial parapatellar	—	Yes	Yes	—	—	Day 1 = WBAT with device as needed

ROM: range of motion; WBAT: weight bearing as tolerated; PT: physical therapy; CPM: continuous passive motion.