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Predictive Factors for Return to Driving following Volar Plate Fixation of Distal Radius Fracture
Journal article   Open access   Peer reviewed

Predictive Factors for Return to Driving following Volar Plate Fixation of Distal Radius Fracture

Spencer Poiset, Jack Abboudi, Gregory Gallant, Christopher Jones, William Kirkpatrick, Moody Kwok, Frederic Liss, Michael Rivlin, T. Robert Takei, Mark Wang, …
Journal of wrist surgery, v 9(4), pp 298-303
01 Aug 2020
PMID: 32760608
url
https://doi.org/10.1055/s-0040-1709189View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Scientific Article
Abstract Background  A common query by patients undergoing distal radius fracture (DRF) repair is when (s)he can resume driving postoperatively. A prospective cohort analysis was performed to assess fracture and patient factors on a patient's self-reported ability to return to driving to better inform patients and surgeons. Methods  Consecutive patients undergoing DRF repair with locking volar plate were enrolled. Preoperative demographic and radiographic characteristics, and postoperative time to return to driving were collected. Data collected included age, sex, hand dominance, body mass index (BMI), level of education, concomitant ulnar fracture, fracture setting prior to surgery, and AO fracture classification. Results  A total of 131 patients were enrolled (108 women, 23 men) with 36 AO type A, 22 AO type B, and 73 AO type C DRFs, with an average age of 59.5 years. Fracture severity by classification did not significantly affect time to return to driving. However, BMI, sex, and age were found to significantly affect time to return to driving. Patients aged 19 to 59 years, 60 to 75 years, and over 75 years returned to driving 13.1, 15.4, and 30.1 days following surgery, respectively ( p  < 0.01). Classified by BMI, patients that were normal weight, overweight, and obese returned to driving 11.5, 13.1, and 21.0 days following surgery, respectively ( p  < 0.05). Men returned to driving 8.8 days and women 17.3 days postoperatively ( p  = 0.001). Conclusion  Patients severity of fracture as determined by AO fracture type did not affect time to driving, while increased BMI, female sex, and increased age were found to be significant factors in patients' return to driving time after distal radius fracture repair. Level of Evidence  This is a Level II, prospective cohort study.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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