Driving after Upper or Lower Extremity Orthopaedic Surgery.

Q1 Medicine Joints Pub Date : 2019-02-01 eCollection Date: 2018-12-01 DOI:10.1055/s-0039-1678562
James S MacKenzie, Alexander M Bitzer, Filippo Familiari, Rocco Papalia, Edward G McFarland
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引用次数: 5

Abstract

Orthopaedic procedures can affect patients' ability to perform activities of daily living, such as driving automobiles or other vehicles that require coordinated use of the upper and lower extremities. Many variables affect the time needed before a patient can drive competently after undergoing orthopaedic surgery to the extremities. These variables include whether the patient underwent upper or lower extremity surgery, the country in which the patient resides, whether the right or left lower extremity is involved, whether the dominant arm is involved, whether the extremity is in a cast or brace, whether the patient has adequate strength to control the steering wheel, and whether the patient is taking pain medication. The type and complexity of the procedure also influence the speed of return of driving ability. Few studies provide definitive data on driving ability after upper or lower extremity surgery. Patients should be counseled not to drive until they can control the steering wheel and the pedals competently and can drive well enough to prevent further harm to themselves or to others. This review discusses the limited recommendations in the literature regarding driving motorized vehicles after upper or lower extremity orthopaedic surgery.

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上肢或下肢矫形手术后驾车。
骨科手术会影响患者进行日常生活活动的能力,例如驾驶汽车或其他需要协调使用上肢和下肢的车辆。许多变量会影响患者在接受四肢矫形手术后能够熟练驾驶所需的时间。这些变量包括患者是否接受过上肢或下肢手术,患者所在国家,是否受累于右下肢或左下肢,是否受累于主臂,是否使用石膏或支架,患者是否有足够的力量来控制方向盘,以及患者是否正在服用止痛药。程序的类型和复杂程度也会影响驾驶能力恢复的速度。很少有研究提供上肢或下肢手术后驾驶能力的明确数据。应建议患者在能够熟练地控制方向盘和踏板并能驾驶到足以防止对自己或他人造成进一步伤害之前,不要开车。本综述讨论了文献中关于上肢或下肢矫形手术后驾驶机动车辆的有限建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Joints
Joints Medicine-Rehabilitation
CiteScore
4.30
自引率
0.00%
发文量
0
期刊介绍: Joints is the official publication of SIGASCOT (Italian Society of the Knee, Arthroscopy, Sports Traumatology, Cartilage and Orthopaedic Technology). As an Open Acccess journal, it publishes papers on clinical and basic research, review articles, technical notes, case reports, and editorials about the latest developments in knee surgery, arthroscopy, sports traumatology, cartilage, orthopaedic technology, upper limb, and related rehabilitation. Letters to the Editor and comments on the journal''s content are always welcome.
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