Carroll John J, McClain William D, Dowd Thomas C
Department of Orthopaedic Surgery, SAUSHEC Orthopaedic Residency Program Position, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
Department of Orthopaedic Surgery, SAUSHEC Orthopaedic Residency Program Position, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
Orthop Clin North Am. 2018 Oct;49(4):527-539. doi: 10.1016/j.ocl.2018.06.002. Epub 2018 Aug 16.
This article provides a review of the existing literature regarding driving limitations following lower extremity orthopedic surgery. Medicolegal requirements and insurance recommendations are often vague and subject to interpretation. Several studies have examined the impact of surgery and immobilization on brake reaction time. This study summarizes the findings of these studies. Additionally, the authors consider the impact of lower extremity amputations and peripheral vascular disease on driving. Literature regarding opioid use, obesity, sleep apnea, increasing age, and distraction is also reviewed. An improved understanding of these topics will enhance the orthopedic surgeon's ability to counsel patients and optimize their safety.
本文综述了关于下肢骨科手术后驾驶限制的现有文献。法医学要求和保险建议往往含糊不清且有待解读。多项研究探讨了手术和固定对制动反应时间的影响。本研究总结了这些研究的结果。此外，作者还考虑了下肢截肢和外周血管疾病对驾驶的影响。同时也综述了关于阿片类药物使用、肥胖、睡眠呼吸暂停、年龄增长和注意力分散的文献。对这些主题的深入理解将提高骨科医生为患者提供咨询并优化其安全性的能力。
