Jo Suenghwan, Lee Sang Hong, Jang Se Woong, Choi Hyun Bai, Kim Ba Rom, Jeong Jae Han, Kim Soo Ah
Department of Orthopedic Surgery, Chosun University Hospital, Gwangju, South Korea.
School of Medicine, Chosun University, 365 Pilmundae-ro, Dong-gu, Gwangju, 61453, South Korea.
BMC Musculoskelet Disord. 2020 Sep 30;21(1):643. doi: 10.1186/s12891-020-03662-y.
Resuming driving is a common concern among patients undergoing hip arthroscopy. The present study aimed to assess whether patients who had undergone right hip arthroscopy presented with poorer driving performance than patients with normal hips and to analyze the time required to regain preoperative driving performance.
Forty-seven patients who had undergone right hip arthroscopy and consented to our test protocol were included in this study. Using an immersive driving simulator, the patients were tested for their brake reaction time (BRT), total brake time (TBT), and brake pedal depression (BPD) preoperatively and postoperatively. The first postoperative assessments were conducted when the patients could comfortably sit on the driving seat, and the follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. The patients were divided into the following two groups based on the type of surgery that they underwent: the femoroacetabular impingement (FAI) surgery group and the simple hip arthroscopy (SA) group. Twenty healthy volunteers underwent driving assessments thrice at weekly intervals and constituted the control group. The braking parameters were compared between preoperative and postoperative measurements and among the FAI surgery, SA, and control groups.
The preoperative braking parameters of the patients who underwent arthroscopy did not differ significantly from those of the controls (p = 0.373, 0.763, and 0.447 for the BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI surgery group and in 1 week in the SA group.
Our study suggests that the driving performance of patients who underwent right hip arthroscopy is comparable to that of individuals with normal hips and that the braking parameters may normalize to the preoperative state at 1 week after SA and 2 weeks after FAI surgery.
恢复驾驶是接受髋关节镜手术患者普遍关心的问题。本研究旨在评估接受右髋关节镜手术的患者与髋关节正常的患者相比,驾驶性能是否较差,并分析恢复术前驾驶性能所需的时间。
本研究纳入了47例接受右髋关节镜手术并同意我们测试方案的患者。使用沉浸式驾驶模拟器,在术前和术后对患者进行制动反应时间(BRT)、总制动时间(TBT)和制动踏板下压(BPD)测试。术后首次评估在患者能够舒适地坐在驾驶座上时进行,后续评估连续6周每周进行一次。根据患者接受的手术类型将其分为以下两组:股骨髋臼撞击症(FAI)手术组和单纯髋关节镜检查(SA)组。20名健康志愿者每周进行三次驾驶评估,构成对照组。比较术前和术后测量结果以及FAI手术组、SA组和对照组之间的制动参数。
接受关节镜手术患者的术前制动参数与对照组相比无显著差异(BRT、TBT和BPD的p值分别为0.373、0.763和0.447)。FAI手术组所有制动参数在2周内恢复正常,SA组在1周内恢复正常。
我们的研究表明,接受右髋关节镜手术患者的驾驶性能与髋关节正常的个体相当,并且制动参数可能在SA术后1周和FAI手术后2周恢复到术前状态。