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Updated: Mar 9, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Driving After Microinvasive Total Hip Arthroplasty.

Suleman Qurashi¹, Jason Chinnappa², Sarah J Lord³

¹Department of Orthopaedic Surgery, The Canterbury Hospital, Canterbury, NSW, Australia; Harbour City Orthopaedics, Sydney, NSW, Australia.

The Journal of Arthroplasty

|January 7, 2017

Summary

Patients can likely drive sooner after microinvasive total hip arthroplasty (THA). Brake reaction time (BRT) returned to preoperative levels by day 2, suggesting earlier return to driving is possible.

Keywords:

automobile driving brake reaction time minimally invasive surgical procedures postoperative period total hip arthroplasty

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Area of Science:

Orthopedic Surgery
Biomechanics
Rehabilitation Medicine

Background:

Traditional total hip arthroplasty (THA) recovery guidelines recommend avoiding driving for 6 weeks.
This recommendation is based on conventional THA techniques and concerns about postoperative hip precautions and brake reaction time (BRT).

Purpose of the Study:

To evaluate the early postoperative driving ability of patients following microinvasive THA.
To assess brake reaction time (BRT) in patients undergoing microinvasive THA to determine a safe return-to-driving timeline.

Main Methods:

Prospective cohort study of 100 consecutive patients undergoing SuperPATH® THA.
Brake reaction time (BRT) measured using a driving simulator preoperatively and at 1-2 days postoperation.
Repeat BRT testing at 2 weeks for a subset of 25 patients; paired t-test used for analysis.

Main Results:

Mean preoperative BRT was 0.63 s.
BRT showed a significant improvement of -0.1 s by day 1-2 postoperation (P < .0001).
At 2 weeks, BRT further improved by 0.15 s compared to preoperative values (P < .0001).

Conclusions:

Brake reaction time (BRT) recovers to preoperative levels by 2 days after microinvasive THA.
Patients may be cleared to drive earlier than the conventional 6-week postoperative period.
Microinvasive THA techniques may allow for a faster return to driving activities.