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Updated: Jul 15, 2026

Driving Simulation in the Clinic: Testing Visual Exploratory Behavior in Daily Life Activities in Patients with Visual Field Defects
Published on: September 18, 2012
Clinical decision making: doctor, when can I drive?
1Michigan State University College of Osteopathic Medicine, Genesys Regional Medical Center, Grand Blanc, Michigan, USA. jcooper@bonejoint.net
Orthopedic surgeons lack evidence for determining patient fitness to drive after surgery. This review synthesizes literature to aid informed decisions on return-to-driving timelines for orthopedic patients.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Traffic Safety
Background:
- Limited evidence-based literature exists for orthopedic surgeons regarding patient driving fitness post-surgery.
- Current guidance relies on empirical data from soft-tissue and bone healing studies.
- Determining a patient's readiness to drive after orthopedic procedures is a common clinical challenge.
Purpose of the Study:
- To review and synthesize existing research on orthopedic surgery and driving.
- To provide evidence-based recommendations for orthopedic surgeons on return-to-driving decisions.
- To identify gaps in the literature for future research on orthopedic fitness to drive.
Main Methods:
- Systematic literature search of PubMed and Medline databases using keywords 'surgery' and 'driving'.
- Inclusion of English-language research published from 1960 to the present.
- Screening of 975 studies, with 35 selected for orthopedic relevance, including studies on extremities.
Main Results:
- A review of 35 relevant orthopedic studies was conducted.
- Recommendations for return to driving after orthopedic procedures were formulated.
- The findings aim to support informed clinical decision-making.
Conclusions:
- Orthopedic surgeons can utilize this review to aid in patient return-to-driving assessments.
- Further evidence-based research is needed to establish definitive guidelines for orthopedic fitness to drive.
- This synthesis provides a foundation for informed decision-making and future investigations.
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