Return to Driving After Hip Arthroscopy: A Systematic Review and Meta-analysis.
drive
femoroacetabular impingement
hip
hip arthroscopy
return to driving
Journal
Orthopaedic journal of sports medicine
ISSN: 2325-9671
Titre abrégé: Orthop J Sports Med
Pays: United States
ID NLM: 101620522
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
16
04
2022
accepted:
25
07
2022
entrez:
8
12
2022
pubmed:
9
12
2022
medline:
9
12
2022
Statut:
epublish
Résumé
Hip arthroscopy is an increasingly common procedure; however, recommendations for safely returning to driving after hip arthroscopy vary among surgeons. To systematically review and analyze the current available evidence on the optimal time to safely return to driving after hip arthroscopy. Systematic review; Level of evidence, 3. A systematic review and meta-analysis was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Two authors independently conducted a literature search throughout August 2021 using the PubMed, Google Scholar, Embase, and Cochrane databases. A total of 1425 articles were reviewed, and 5 articles were included. All included articles used brake reaction time (BRT) as an observer-reported outcome measure. A meta-analysis was performed to compare pre- and postoperative BRT values. Study sample sizes and mean BRT values were collected per each included study. First, data were analyzed for the right and left hips combined; then, a subgroup analysis stratified by laterality was performed. The BRT values were divided according to time periods of measurement: preoperatively and 2, 4, 6, and 8 weeks postoperatively. The included studies evaluated safety to return to driving after hip arthroscopy in 160 patients. Of these, 142 patients were treated for femoroacetabular impingement, while 18 patients underwent hip arthroscopy for other diagnoses. The mean weighted age was 33.7 ± 9.0 years, 47.5% of the patients were female, and the right hip was affected in 71.2%. The preoperative range of BRT was 566 to 1960 ms, and postoperative BRT range was 567 to 1840 ms at 1 to 2 weeks and 523 to 1860 ms at 3 to 12 weeks. Meta-analysis found the studies to be moderately heterogenic ( Return to driving is likely safe as early as 2 to 4 weeks after right-sided hip arthroscopy, and 2 weeks after a left-sided procedure, as driving performance returns to the preoperative level. CRD42021274460 (PROSPERO identifier).
Sections du résumé
Background
UNASSIGNED
Hip arthroscopy is an increasingly common procedure; however, recommendations for safely returning to driving after hip arthroscopy vary among surgeons.
Purpose
UNASSIGNED
To systematically review and analyze the current available evidence on the optimal time to safely return to driving after hip arthroscopy.
Study Design
UNASSIGNED
Systematic review; Level of evidence, 3.
Methods
UNASSIGNED
A systematic review and meta-analysis was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Two authors independently conducted a literature search throughout August 2021 using the PubMed, Google Scholar, Embase, and Cochrane databases. A total of 1425 articles were reviewed, and 5 articles were included. All included articles used brake reaction time (BRT) as an observer-reported outcome measure. A meta-analysis was performed to compare pre- and postoperative BRT values. Study sample sizes and mean BRT values were collected per each included study. First, data were analyzed for the right and left hips combined; then, a subgroup analysis stratified by laterality was performed. The BRT values were divided according to time periods of measurement: preoperatively and 2, 4, 6, and 8 weeks postoperatively.
Results
UNASSIGNED
The included studies evaluated safety to return to driving after hip arthroscopy in 160 patients. Of these, 142 patients were treated for femoroacetabular impingement, while 18 patients underwent hip arthroscopy for other diagnoses. The mean weighted age was 33.7 ± 9.0 years, 47.5% of the patients were female, and the right hip was affected in 71.2%. The preoperative range of BRT was 566 to 1960 ms, and postoperative BRT range was 567 to 1840 ms at 1 to 2 weeks and 523 to 1860 ms at 3 to 12 weeks. Meta-analysis found the studies to be moderately heterogenic (
Conclusion
UNASSIGNED
Return to driving is likely safe as early as 2 to 4 weeks after right-sided hip arthroscopy, and 2 weeks after a left-sided procedure, as driving performance returns to the preoperative level.
Registration
UNASSIGNED
CRD42021274460 (PROSPERO identifier).
Identifiants
pubmed: 36479461
doi: 10.1177/23259671221128281
pii: 10.1177_23259671221128281
pmc: PMC9720818
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
23259671221128281Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.
Références
Hip Int. 2021 Mar 18;:1120700021998028
pubmed: 33736494
Orthop J Sports Med. 2021 Jan 21;9(1):2325967120968556
pubmed: 33553439
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
Occup Ther Health Care. 2016;30(2):115-23
pubmed: 26376036
Injury. 1996 Sep;27(7):495-7
pubmed: 8977836
Clin Orthop Relat Res. 2001 Sep;(390):5-9
pubmed: 11550876
Hip Int. 2022 Jan;32(1):51-55
pubmed: 32573263
Arthroscopy. 2018 May;34(5):1463-1470.e1
pubmed: 29625800
Clin Orthop Relat Res. 2016 Dec;474(12):2557-2570
pubmed: 27492688
Bone Joint J. 2013 Mar;95-B(3):290-4
pubmed: 23450009
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
J Hip Preserv Surg. 2017 Feb 23;4(1):60-66
pubmed: 28630722
Accid Anal Prev. 2010 Jan;42(1):30-7
pubmed: 19887141
JBJS Rev. 2020 Dec;8(12):e20.00066
pubmed: 33298680
Arthroscopy. 2017 May;33(5):971-976
pubmed: 28089193
J Bone Joint Surg Br. 2006 Dec;88(12):1557-66
pubmed: 17159164
J Arthroplasty. 2017 Mar;32(3):750-755
pubmed: 27793498
BMC Musculoskelet Disord. 2020 Sep 30;21(1):643
pubmed: 32998710
J Knee Surg. 2021 May 01;:
pubmed: 33932951
Pain. 1989 Oct;39(1):13-16
pubmed: 2812850
J Arthroplasty. 2018 Jan;33(1):284-290.e1
pubmed: 28927563
Arthroscopy. 2018 Jun;34(6):1745-1747
pubmed: 29804595
Hum Factors. 1986 Feb;28(1):91-6
pubmed: 3710489
Arthroscopy. 2015 Mar;31(3):404-9
pubmed: 25442646
Arthroscopy. 2018 Mar;34(3):853-863.e1
pubmed: 29373289
Injury. 2015 Nov;46(11):2278-82
pubmed: 26298020
Clin J Pain. 2005 Jul-Aug;21(4):345-52
pubmed: 15951653
Hum Factors. 1971 Feb;13(1):23-7
pubmed: 5542208
J Pain Symptom Manage. 2000 Mar;19(3):200-8
pubmed: 10760625
Clin J Sport Med. 2018 May;28(3):299-303
pubmed: 28708706
Knee. 2018 Oct;25(5):939-945
pubmed: 30108010
Arthroscopy. 2010 Oct;26(10):1370-83
pubmed: 20887936
Prosthet Orthot Int. 2017 Aug;41(4):373-378
pubmed: 27091864
Hip Int. 2021 Apr 08;:11207000211006778
pubmed: 33829903
J Am Podiatr Med Assoc. 2019 Mar;109(2):132-140
pubmed: 31135204
Joints. 2019 Feb 01;6(4):232-240
pubmed: 31879720