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When Can I Drive After Joint Replacement?

A driver's perspective from behind the steering wheel of a modern car, illustrating the return to independence and mobility following a joint replacement procedure with Dr. Cory Calendine. Driving after hip and knee replacement

Driving After Hip and Knee Replacement

Determining when it is safe to return to the driver’s seat after a hip or knee replacement is a top priority for patients regaining their independence. While there is no universal timeline, board-certified orthopaedic surgeon Dr. Cory Calendine of the Bone and Joint Institute of Tennessee outlines specific safety criteria that must be met before resuming driving. Key factors include being fully recovered from anesthesia, transitioning completely off narcotic pain medications, and regaining the lower extremity strength and reaction time necessary to operate a vehicle safely. Whether you’ve had an anterior approach hip replacement or a robotic-assisted knee procedure, understanding these clinical milestones is essential for a safe transition back to the road.

Dr. Calendine is a hip and knee specialist with the Bone and Joint Institute of Tennessee in Franklin, Tennessee. Dr. Calendine specializes in anterior approach hip replacementpartial and total knee replacement and state-of-the-art robotic-assisted joint replacement surgery. In the following video and article, Dr. Calendine answers a question he often hears from joint replacement patients, “When can I drive after my hip (or knee) replacement surgery?”

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Criteria for Driving After Surgery

After a joint replacement, what should a patient look for to be cleared to drive? How does the patient get cleared to drive?

This is a very common question for me to hear from both knee and hip replacement patients. The advice I give to my patients is that I cannot tell you a specific length of time it will require to be able to return to driving. There are a number of influencing factors, and there is no proven length of time. The most important factor is the type of surgery each patient is having. For instance, often hip replacement patients return to driving faster than most knee replacement patients.  

If operating on someone who is younger and in very good shape physically that has had left hip replacement and drives an automatic transmission – they’re likely to be back behind the wheel much quicker than a patient is less physically fit and recovering from the knee replacement surgery.

I often will two main criteria for returning to driving. First and foremost, patients must be fully recovered from any anesthesia used during surgery and be off of all narcotic pain medication. It is extremely dangerous to drive under the influence of narcotic or other sedating medication.

Secondly, patients should be able to walk easily with minimal cane assistance. As a driver, you have to be able to quickly to react, accelerate, and hit the brakes. Most patients are able to perform the necessary lower extremity movements needed for driving once they are easily able to walk (with minimal assistance from a cane).

Consult Cory Calendine, MD, Orthopaedic Surgeon

If you are suffering from joint pain and stiffness and have not found symptom relief with over-the-counter options, CONTACT our office today to schedule a consult with Dr. Calendine. The team at the Bone and Joint Institute of Tennessee can customize a treatment plan that is best for your individual situation.

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FREQUENTLY ASKED QUESTIONS

Common Questions From Readers

How soon can I realistically expect to drive after surgery?
There is no “one size fits all” timeframe because recovery varies based on the type of surgery and your physical fitness. Generally, patients who have a left-leg procedure and drive an automatic transmission may return to driving sooner than those who had surgery on their right (braking) leg. Dr. Calendine evaluates each patient individually to ensure they can react quickly enough to handle emergency braking situations.
Safety is the primary concern. Narcotic medications significantly impair your judgment, reflexes, and coordination—similar to the effects of alcohol. It is both dangerous and illegal to operate a motor vehicle while under the influence of these sedating medications. You must be completely off all narcotics and fully alert before being cleared to drive.
Walking with minimal assistance from a cane is a strong clinical indicator of your functional recovery. It demonstrates that you have regained enough strength and control in your hip or knee to perform the rapid movements required to pivot between the accelerator and the brake pedal. If you cannot yet walk easily, your reaction time in the car is likely still compromised.
Often, hip replacement patients—particularly those who undergo the muscle-sparing anterior approach—find they can return to driving faster than knee replacement patients. Knee surgery involves a different set of mechanical requirements for joint flexion and extension that are critical for vehicle operation, which can sometimes result in a slightly longer recovery window before it is safe to drive.
Yes. Patients driving vehicles with manual transmissions (stick shifts) usually require more time to recover regardless of which leg was operated on, as both legs are required for clutching and braking. Additionally, the ease of getting in and out of a vehicle (car vs. SUV) is an important factor in your overall comfort and safety during the early weeks of recovery.
Dr. Cory Calendine, MD, board-certified orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN, shown in a gray suit with glasses and a blue tie during a professional portrait session.

BOARD-CERTIFIED · FELLOWSHIP-TRAINED

About Cory Calendine, MD

Dr. Cory Calendine is a board-certified, fellowship-trained orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN. He performs more than 700 hip and knee replacement procedures annually and serves as a consultant to Stryker for the Mako® robotic platform.

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