Resuming driving after a fracture of the lower extremity

Haverkamp, Daniël; Rossen, N.N.; Maas, Ad J.J.; Olsman, Jan

doi:10.1016/j.injury.2005.05.039

Cited by 21 publications

(16 citation statements)

References 13 publications

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“…1,[20][21][22] The advice given to patients varied, but it was agreed that the patient held the ultimate responsibility, although insurance companies and the police were reluctant to comment. All the surveys concluded further guidance was needed but none proposed specific advice.…”

Section: Recommendationsmentioning

confidence: 99%

“…In a survey of Dutch orthopaedic surgeons, 78.4% used weight-bearing as the main determinant. 20 In most countries, the patient carries the final responsibility in determining their ability to drive safely 22 but the importance of guidance given by various bodies differs. In the Netherlands, clinicians are primarily responsible in authorising patients to drive.…”

Section: Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

“When can I return to driving?”

Macleod

Lingham

Chatha

et al. 2013

The Bone & Joint Journal

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Clinicians are often asked by patients, "When can I drive again?" after lower limb injury or surgery. This question is difficult to answer in the absence of any guidelines. This review aims to collate the currently available evidence and discuss the factors that influence the decision to allow a patient to return to driving. Medline, Web of Science, Scopus, and EMBASE were searched using the following terms: 'brake reaction time', 'brake response time', 'braking force', 'brake pedal force', 'resume driving', 'rate of application of force', 'driving after injury', 'joint replacement and driving', and 'fracture and driving'. Of the relevant literature identified, most studies used the brake reaction time and total brake time as the outcome measures. Varying recovery periods were proposed based on the type and severity of injury or surgery. Surveys of the Driver and Vehicle Licensing Agency, the Police, insurance companies in the United Kingdom and Orthopaedic Surgeons offered a variety of opinions. There is currently insufficient evidence for any authoritative body to determine fitness to drive. The lack of guidance could result in patients being withheld from driving for longer than is necessary, or returning to driving while still unsafe.

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Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

“When can I return to driving?”

Macleod

Lingham

Chatha

et al. 2013

The Bone & Joint Journal

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“…However, research across a variety of countries suggests that health practitioners are reluctant to give advice to patients, largely due to the ambiguity in guidelines about returning to driving e.g. in the UK (Nunez and Giddins, 2004;Von Arx et al, 2004;Edwards et al, 2009); USA (Chen and Jupiter, 2007;Chong, 2010); Australia (Kalamaras et al,2006); Netherlands (Haverkamp et al, 2005); and Ireland (Kennedy et al, 2006).…”

Section: Driving With the Wrist Or Hand In Plastermentioning

confidence: 99%

Breaking the habit: Does fracturing your wrist change your travel and driver behaviour?

Musselwhite

Calcraft

Roberts

et al. 2016

Transportation Research Part F: Traffic Psychology and Behaviou

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When someone breaks their wrist it presents a disruption to everyday routine. Some of this is as a result of having to change travel patterns. This paper investigates the changes people make to their travel behaviour in the light of an unexpected change in their situation caused by fracturing their wrist and wearing a forearm plaster cast. One hundred and eleven participants, approached as they were having their plaster cast removed, completed a questionnaire addressing travel behaviour change, driver safety and information provision covering their time in a plaster cast (typically an average of 5-6 weeks). Eighteen percent of participants drove during the time they had a forearm plaster cast on. All reported they felt safe in doing so and that wearing the plaster cast did not compromise safety, though it was uncomfortable and compensatory behaviours took place. Risk and affective scales did not predict whether participants drove in a cast, suggesting that practical and utilitarian, rather than psychosocial, reasons were the motivation for driving in a plaster cast. Eightytwo percent found other ways of travelling without using their car. Participant's use of buses and trains, walking and taking lifts were all increased and overall, across all modes of transport, participants travelled fewer miles but made more journeys. There was a reduction in cycling, especially for those who drove in a cast, suggesting cyclists who broke their wrist changed to driving while their arm was in a cast. Information provision did not affect whether someone drove or not. Implications for providing travel information to help people avoid car use while their forearm is in a cast and maintaining behaviour change afterwards are discussed.

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“…An analysis of data from physicians, insurance companies, and police department surveys added more complexity to the subject (1)(2)(3)(4)(5). Most insurance companies relegate the decision of whether a patient can safely drive or not with an immobilization device to the physician.…”

Section: B S T R a C Tmentioning

confidence: 99%