Lakomek Felix, Hilsmann Falk, Schiffner Erik, Gehrmann Sebastian, Schöps Dominique, Prost Max, Windolf Joachim, Latz David
Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
Klinik für Orthopädie und Unfallchirurgie, Karl-Leisner-Klinikum Kleve, Albersallee 5, 47533, Kleve, Deutschland.
Unfallchirurgie (Heidelb). 2025 Jan;128(1):38-46. doi: 10.1007/s00113-024-01502-5. Epub 2024 Nov 25.
Individual mobility in road traffic is of high importance in Germany, both individually and socioeconomically; however, diseases and injuries of the musculoskeletal system in particular can lead to temporary impairments. The aim of this prospective patient survey was to record how patients assessed their driving capability during an injury and the associated immobilization and on what basis the decision on driving capability was made on the part of the patients.
A systematic questionnaire was used to analyze a total of 100 patients with a diagnosis in orthopedics/trauma surgery and associated joint immobilization. In addition to personal data and the injuries/illnesses, an analysis on risk tolerance was performed and patients were asked about their knowledge regarding driving capability. Finally, it was recorded which patients drove a motor vehicle and for what reasons despite immobilization.
Overall, 40.2% reported knowledge of the applicable laws regarding driving capability and 55.6% considered the treating physician to be responsible regarding the decision on driving capability. The patients who drove a motor vehicle reported higher personal and professional dependence on the motor vehicle (personal: 60.6% vs. 45.7%; professional: 48.5% vs. 36.1%). In the group of patients who drove a motor vehicle during immobilization, overall a fracture was less likely to be the reason for immobilization (33.3% vs. 51.0%).
Overall, the patient population rated their knowledge of the law as low and viewed the treating physician as having the majority of the decision-making responsibility regarding driving capability. The patients who drove a motor vehicle during immobilization reported a higher personal as well as professional dependence on driving a motor vehicle. At the same time the injury severity had an influence on the decision, so that patients with fractures were more likely to avoid driving a motor vehicle. Further studies, particularly at the biomechanical level, are needed to ensure a better basis for the physician in making decisions with respect to the driving capability of orthopedic and trauma surgery patients.
在德国，道路交通中的个人出行在个人层面和社会经济层面都极为重要；然而，特别是肌肉骨骼系统的疾病和损伤会导致暂时的功能障碍。这项前瞻性患者调查的目的是记录患者在受伤及相关固定期间如何评估自己的驾驶能力，以及患者基于何种依据做出驾驶能力的决定。
使用一份系统问卷对总共100名诊断为骨科/创伤外科且伴有关节固定的患者进行分析。除了个人数据和损伤/疾病情况外，还进行了风险承受能力分析，并询问患者关于其驾驶能力的知识。最后，记录了哪些患者尽管处于固定状态仍驾驶机动车以及原因。
总体而言，40.2%的患者表示了解关于驾驶能力的适用法律，55.6%的患者认为治疗医生应对驾驶能力的决定负责。驾驶机动车的患者表示个人和职业上对机动车的依赖程度更高（个人：60.6%对45.7%；职业：48.5%对36.1%）。在固定期间驾驶机动车的患者组中，总体而言骨折作为固定原因的可能性较小（33.3%对51.0%）。
总体而言，患者群体对法律的了解程度较低，并认为治疗医生在驾驶能力的决策中承担主要责任。在固定期间驾驶机动车的患者表示个人和职业上对驾驶机动车的依赖程度更高。同时，损伤严重程度对决策有影响，因此骨折患者更有可能避免驾驶机动车。需要进一步开展研究，特别是在生物力学层面，以便为医生在做出关于骨科和创伤外科患者驾驶能力的决策时提供更好的依据。
