Return to activity after first metatarsal osteotomy

NewsBot · Aug 5, 2008

Members do not see these Ads. Sign Up.
Emergency brake response time after first metatarsal osteotomy.
Holt G, Kay M, McGrory R, Kumar CS.
J Bone Joint Surg Am. 2008 Aug;90(8):1660-4

BACKGROUND: There is sparse information upon which to recommend a return to activity after foot surgery. The purpose of this study was to determine whether six weeks is sufficient time for the emergency brake response time to return to preoperative levels after a first metatarsal osteotomy for symptomatic hallux valgus.

METHODS: We conducted a prospective, observational study to assess the effect of surgery on emergency brake response time in a group of twenty-eight patients undergoing a unilateral first metatarsal osteotomy on the right side for symptomatic hallux valgus. A custom-made driving simulator was used to assess total brake response time, reaction time, and brake time. Patients were assessed preoperatively and at two and six weeks postoperatively. A control group of twenty-eight individuals matched for age, driving status, and sex was included for baseline comparison.

RESULTS: Total brake response time, reaction time, and brake time were significantly lower for the control cohort compared with the preoperative values recorded in the study cohort (p < 0.05). Only seven of the twenty-eight study patients were able to complete the assessment at two weeks; the remainder were not able to complete it because of postoperative pain. All patients were able to comfortably complete the study at six weeks. In the study cohort, the total brake response time, reaction time, and brake time had significantly improved compared with preoperative recordings (p < 0.05).

CONCLUSIONS: By six weeks after surgery, emergency braking time in patients undergoing a first metatarsal osteotomy is similar to that of healthy individuals.
Click to expand...

drsarbes · Aug 6, 2008

Interesting study.
Lawyers will love getting a hold of this study.
Anyone less then 6 weeks post op involved in a MVA while driving will be able to sue their surgeon for allowing them to drive too early......and in an unsafe manner.

Correct?

Steve

Bruce Williams · Aug 6, 2008

drsarbes said: ↑

Interesting study.
Lawyers will love getting a hold of this study.
Anyone less then 6 weeks post op involved in a MVA while driving will be able to sue their surgeon for allowing them to drive too early......and in an unsafe manner.

Correct?

Steve
Click to expand...

Steve;

that's only for patients with bunions on the right foot!

No worries!!! :D

Bruce

Lee · Aug 6, 2008

Bruce Williams said: ↑

Steve;

that's only for patients with bunions on the right foot!

No worries!!! :D

Bruce
Click to expand...

Or if they're left-foot braking rally drivers or have a manual (aka. stick-shift across the pond) car. Don't forget to add those questions to your pre-op workup
;)

drsarbes · Aug 6, 2008

HAHAHAHA
I'm SO HAPPY I decided to become a left foot specialist!
I do, at times, perform surgery on the right, but, I have to use a mirror!
Steve

NewsBot The Admin that posts the news.

drsarbes Well-Known Member

Bruce Williams Well-Known Member

Lee Active Member

drsarbes Well-Known Member

Return to play after a foot fracture

Returning To Practice After a few years of Not being in Practice

Return to sport after calcaneal apophysitis (Sever’s disease)

Hello from a returning podiatrist

Return to sport after ankle sprain

Return to running following bunion surgery

The big return!

Share This Page