Yoshida Brandon, Bolia Ioanna K, Collon Kevin, Lan Rae, Matthews Robert, Hatch George F, Weber Alexander E
USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, CA, USA.
Hip Int. 2023 Jan;33(1):112-118. doi: 10.1177/11207000211006778. Epub 2021 Apr 8.
(1) To compare the pre- and postoperative driving performance in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS); (2) to examine the differences in driving performance between patients with versus without capsular repair.
Patients who underwent arthroscopic hip surgery for FAIS were included. Driving performance of participating patients was collected using a driving simulator preoperatively and at 2 weeks, 4-6 weeks and 8-12 weeks postoperatively. Data collected included demographics, surgery laterality, intraoperative procedures, left and right turn reaction time, total turn reaction time, gas off time (GOF), and break reaction time (BRT). Repeated measures analysis of variance (ANOVA) was used for statistical analysis.
21 subjects (9 males, 12 females) with a mean age of 30 ± 9 years were included and 57.1% of the subjects had right-sided surgery. There was no difference between the mean preoperative and the 2-week postoperative left (0.72 seconds and 0.75 seconds, respectively) right (0.77 seconds and 0.75 seconds, respectively), and total (0.74 seconds and 0.75 seconds, respectively) turn reaction times as well as GOF (0.62 seconds and 0.60 seconds, respectively) and BRT (0.92 seconds and 0.93 seconds, respectively), indicating that the patients' driving performance returned to the preoperative level as early as 2 weeks following hip arthroscopy for FAIS. There was no significant difference amongst any of the driving variables between patients who underwent capsular repair (50%) and those who did not. There was no significant difference amongst any of the driving variable s between patients who underwent left versus right hip arthroscopy.
Patients' driving performance returns to the preoperative level as early as 2 weeks after hip arthroscopy for FAIS. Surgery laterality nor capsular repair make any significant difference in the time for driving abilities to return to baseline. The impact of intraoperative procedures performed, and the analgesic medications used postoperatively on the driving ability of patients undergoing hip arthroscopy warrants further investigation in larger patient populations.
（1）比较接受髋关节镜手术治疗股骨髋臼撞击综合征（FAIS）患者术前和术后的驾驶表现；（2）检查行与未行关节囊修复患者之间驾驶表现的差异。
纳入接受FAIS关节镜髋关节手术的患者。术前以及术后2周、4 - 6周和8 - 12周，使用驾驶模拟器收集参与患者的驾驶表现。收集的数据包括人口统计学资料、手术侧别、术中操作、左右转弯反应时间、总转弯反应时间、松气时间（GOF）和制动反应时间（BRT）。采用重复测量方差分析（ANOVA）进行统计分析。
纳入21名受试者（9名男性，12名女性），平均年龄30±9岁，57.1%的受试者接受右侧手术。术前与术后2周时，左侧（分别为0.72秒和0.75秒）、右侧（分别为0.77秒和0.75秒）以及总转弯反应时间（分别为0.74秒和0.75秒），以及GOF（分别为0.62秒和0.60秒）和BRT（分别为0.92秒和0.93秒）之间无差异，表明FAIS髋关节镜检查术后仅2周，患者的驾驶表现就恢复到术前水平。行关节囊修复的患者（50%）与未行修复的患者之间，任何驾驶变量均无显著差异。接受左侧与右侧髋关节镜检查的患者之间，任何驾驶变量也无显著差异。
FAIS髋关节镜检查术后仅2周，患者的驾驶表现就恢复到术前水平。手术侧别和关节囊修复对驾驶能力恢复至基线的时间均无显著影响。术中所进行的操作以及术后使用的镇痛药物对髋关节镜检查患者驾驶能力的影响，值得在更大规模患者群体中进一步研究。
