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下肢骨科手术后的驾驶恢复建议。

Return-to-Driving Recommendations After Lower-Extremity Orthopaedic Procedures.

机构信息

Zucker School of Medicine at Hofstra/Northwell, Plainview, New York.

NYIT College of Osteopathic Medicine, Old Westbury, New York.

出版信息

JBJS Rev. 2020 Dec;8(12):e20.00066. doi: 10.2106/JBJS.RVW.20.00066.

DOI:10.2106/JBJS.RVW.20.00066
PMID:33298680
Abstract

Following lower-extremity orthopaedic surgery, recommendations for safe return to driving include at least 6 to 12 weeks for a right ankle fracture, 2 days to 2 weeks for a right ankle arthroscopy, 6 to 9 weeks for a total ankle arthroplasty, 6 to 7 weeks for a right Achilles tendon rupture repair, 1 to 4 weeks for a right total knee arthroplasty, 2 weeks for a left total knee arthroplasty, 3 to 6 weeks for a right anterior cruciate ligament repair, and 1 to 4 weeks for a total hip arthroplasty. Important individual factors such as extent of injury, laterality of injury, current driving habits, type of vehicle transmission (manual or automatic), and medical comorbidities must be taken into consideration. State laws vary widely and often use vague language to describe the legal responsibilities that orthopaedic surgeons have when providing return-to-driving recommendations.

摘要

下肢骨科手术后,安全驾驶的建议包括:右踝关节骨折至少 6 至 12 周,右踝关节镜检查 2 天至 2 周,全踝关节置换术 6 至 9 周,右跟腱断裂修复术 6 至 7 周,右全膝关节置换术 1 至 4 周,左全膝关节置换术 2 周,右前交叉韧带修复术 3 至 6 周,全髋关节置换术 1 至 4 周。必须考虑到重要的个体因素,如损伤程度、损伤的侧别、当前的驾驶习惯、车辆变速器类型(手动或自动)和合并症。州法律差异很大,并且经常使用模糊的语言来描述整形外科医生在提供驾驶恢复建议时的法律责任。

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引用本文的文献

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Surgical management of chronic Achilles tendon rupture: evidence-based guidelines.慢性跟腱断裂的手术治疗:循证指南。
J Orthop Surg Res. 2024 Feb 10;19(1):132. doi: 10.1186/s13018-024-04559-5.
2
Return to Driving After Hip Arthroscopy: A Systematic Review and Meta-analysis.髋关节镜检查后恢复驾驶:一项系统评价与荟萃分析
Orthop J Sports Med. 2022 Nov 30;10(11):23259671221128281. doi: 10.1177/23259671221128281. eCollection 2022 Nov.
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Patients value their own pain over braking safety when deciding when to return to driving: a discrete choice experiment on lower extremity injuries.
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OTA Int. 2022 Jul 7;5(3):e206. doi: 10.1097/OI9.0000000000000206. eCollection 2022 Sep.