| Autor: |
Khaliq M; Leeds Orthopaedic & Trauma Sciences, School of Medicine, University of Leeds, Leeds, England., Giannoudis VP; Leeds Orthopaedic & Trauma Sciences, School of Medicine, University of Leeds, Leeds, England., Palan J; Leeds Teaching Hospitals NHS Trust, Leeds, England., Pandit HG; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, England., van Duren BH; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, England. |
| Jazyk: |
angličtina |
| Zdroj: |
EFORT open reviews [EFORT Open Rev] 2023 Dec 01; Vol. 8 (12), pp. 936-947. Date of Electronic Publication: 2023 Dec 01. |
| DOI: |
10.1530/EOR-23-0117 |
| Abstrakt: |
Patients undergoing planned or unplanned orthopaedic procedures involving their upper or lower extremity can prevent them from safe and timely return to driving, where they commonly ask, 'Doctor, when can I drive?' Driving recommendations after such procedures are varied. The current evidence available is based on a heterogenous data set with varying degrees of sample size and markedly differing study designs. This instructional review article provides a scoping overview of studies looking at return to driving after upper or lower extremity surgery in both trauma and elective settings and, where possible, to provide clinical recommendations for return to driving. Medline, EMBASE, SCOPUS, and Web of Science databases were searched according to a defined search protocol to elicit eligible studies. Articles were included if they reviewed adult drivers who underwent upper or lower extremity orthopaedic procedures, were written in English, and offered recommendations about driving. A total of 68 articles were included in the analysis, with 36 assessing the lower extremity and 37 reviewing the upper extremity. The evidence available from the studies reviewed was of poor methodological quality. There was a lack of adequately powered, high quality, randomised controlled trials (RCTs) with large sample sizes to assess safe return to driving for differing subset of injuries. Many articles provide generic guidelines on return to driving when patients feel safe to perform an emergency stop procedure with adequate steering wheel control. In future, RCTs should be performed to develop definitive return to driving protocols in patients undergoing upper and lower extremity procedures. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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