Return to car driving is safe 6 weeks after operative treatment of right ankle fractures

Archives of Orthopaedic and Trauma Surgery
Sean W L HoErnest B K Kwek

Abstract

There is no clear consensus on when patients with surgically treated right ankle fractures can return to car driving, or how best to assess their fitness to drive. Through a rigorous driving assessment program consisting of both off-road and on-road tests, we aim to determine if these patients are able to pass a standard driving test, even before weight bearing has been initiated. A prospective grant-funded (Supported by AOTrauma Asia Pacific Ref: AOTAP12-17) clinical study was conducted. Patients aged 25-65 years who underwent surgery for right ankle fractures and held a valid motorcar driving license were recruited in a single institution from 2013 to 2015. The surgeon and a specialist occupational therapist assessed the patients at 2, 6 and 12 weeks post-surgery. A Short Musculoskeletal Functional Assessment (SMFA) Questionnaire was administered and the brake reaction time was measured using a driving simulator. Patients who met the minimal criteria were then subjected to a full on-road driving test in a real-world environment with a driving instructor. A follow-up telephone questionnaire was administered at least 6 months after return to driving to determine if patients had returned to driving safely. A total of 23 patients...Continue Reading

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Citations

Dec 11, 2020·JBJS Reviews·Nicholas FraneAdam Bitterman
Apr 9, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Brandon YoshidaAlexander E Weber

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