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When Do Patients Return to Driving After Outpatient Foot and Ankle Surgery?
Matthew Burnham1, Anne Wright1, Thomas J K Kane1
1Division of Orthopaedic Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
Patients often resume driving sooner than recommended after foot and ankle surgery. Self-assessment of readiness, not surgeon advice, appears to be the primary factor influencing return to driving decisions.
Area of Science:
- Orthopedic Surgery
- Patient Safety
- Rehabilitation Medicine
Background:
- Returning to driving after foot and ankle surgery is challenging to counsel.
- Traditional recommendations are based on brake reaction times, often suggesting 6-9 weeks post-procedure.
Purpose of the Study:
- To determine when patients actually return to driving after outpatient foot and ankle surgery.
- To identify factors influencing patients' return-to-driving decisions.
- To assess for any driving-related adverse events.
Main Methods:
- Retrospective telephone survey of 17 patients who underwent outpatient foot and ankle surgery.
- Inquiry into patient experiences and attitudes regarding return to driving.
- Data collected on timing of return to driving and surgeon recommendations.
Main Results:
- 59% of patients discussed return-to-driving timelines with their surgeon.
- Only 23.5% of patients returned to driving at the recommended time.
- No driving-related adverse events were reported, with some patients returning to driving sooner than advised.
Conclusions:
- Patients frequently return to driving earlier than surgeon recommendations after foot and ankle procedures.
- Patient self-assessment of driving readiness may be more influential than surgical advice.
- Current recommendations may not align with patient-reported return-to-driving behaviors.
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