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Reverse Total Shoulder Arthroplasty
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Changes in Driving Performance Following Shoulder Arthroplasty.

Saqib Hasan1, Alan McGee2, Garret Garofolo2

  • 1Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY saqib.hasan@nyumc.org.

The Journal of Bone and Joint Surgery. American Volume
|September 9, 2016
PubMed
Summary

Driving performance after shoulder arthroplasty returns to preoperative levels by 6 weeks and improves by 12 weeks. Patients with greater pain or less experience may need longer recovery before returning to driving.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Human Factors Engineering

Background:

  • Shoulder arthroplasty (anatomic or reverse) is a common procedure.
  • Quantifying the impact of surgery on driving ability is crucial for patient safety and recovery.

Purpose of the Study:

  • To evaluate perioperative driving performance changes in patients undergoing shoulder arthroplasty.
  • To establish a timeline for safe return to driving post-surgery.

Main Methods:

  • A driving simulator assessed 30 patients (20 anatomic, 10 reverse) preoperatively and at 2, 6, and 12 weeks postoperatively.
  • Key metrics included collisions, centerline crossings, and off-road excursions.
  • Pain (VAS) and Shoulder Pain and Disability Index (SPADI) were also recorded.

Main Results:

  • Mean collisions decreased significantly from 5.9 preoperatively to 4.0 at 12 weeks (p=0.0149).
  • Centerline crossings reduced by 12 weeks (p<0.05).
  • Increased pain, older age, and less driving experience negatively impacted performance.

Conclusions:

  • Driving performance recovers to preoperative levels by 6 weeks and improves by 12 weeks post-shoulder arthroplasty.
  • A 6-12 week window is suggested for gradual return to driving.
  • Individualized recommendations are necessary for older patients, those with less experience, or higher pain levels.