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Letters to the Editor   |    
Lower-Extremity Function for Driving an Automobile After Operative Treatment of Ankle Fracture To The Editor
Michael R. Carmont, MRCS1
1 Department of Trauma and OrthopaedicsUniversity Hospital ofNorth StaffordshirePrinces RoadHartshill, Stoke on Trent ST4 7LNUnited Kingdommcarmont@hotmail.com
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The author did not receive grants or outside funding in support of his research or preparation of this work. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Aug 01;86(8):1829-a-1830
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Extract

I read with considerable interest the article "Lower-Extremity Function for Driving an Automobile After Operative Treatment of Ankle Fracture" (2003;85:1185-9), by Egol et al. I would like to thank the authors for their excellent research. Their conclusion that, by nine weeks following internal fixation of a displaced ankle fracture, total braking time returns to normal baseline values provides good information with which we can counsel patients on postoperative activities.I noted that patients who had suffered injuries of only the right ankle were tested on a computerized driving simulator that consisted of a brake and accelerator pedal assembly. I appreciate that automobiles with an automatic transmission are more common in North America; however, in the United Kingdom, the majority of vehicles have a manual transmission, with the clutch controlled with the left foot and ankle.
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