Assaf Roy, Mitchnik Ilan, Beer Yiftah, Agar Gabriel, Tamir Eran, Lindner Dror, Gilat Ron
Department of Orthopaedic Surgery, Shamir Medical Center and Tel Aviv University, Tel Aviv, Israel.
Orthop J Sports Med. 2022 Nov 30;10(11):23259671221128281. doi: 10.1177/23259671221128281. eCollection 2022 Nov.
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 ( = .06). There were no statistically significant differences in BRT between the preoperative period and at 2, 4, 6, and 8 weeks postoperatively.
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).
髋关节镜检查是一种越来越常见的手术；然而，不同外科医生对于髋关节镜检查后安全恢复驾驶的建议各不相同。
系统回顾和分析目前关于髋关节镜检查后安全恢复驾驶的最佳时间的现有证据。
系统回顾；证据级别，3级。
根据PRISMA（系统评价和Meta分析的首选报告项目）指南进行系统回顾和Meta分析。两位作者于2021年8月独立使用PubMed、谷歌学术、Embase和Cochrane数据库进行文献检索。共检索了1425篇文章，纳入5篇文章。所有纳入文章均使用制动反应时间（BRT）作为观察者报告的结局指标。进行Meta分析以比较术前和术后BRT值。收集每项纳入研究的样本量和平均BRT值。首先，对左右髋关节合并的数据进行分析；然后，按侧别进行亚组分析。BRT值根据测量时间段进行划分：术前以及术后2、4、6和8周。
纳入研究评估了160例患者髋关节镜检查后恢复驾驶的安全性。其中，142例患者因股骨髋臼撞击症接受治疗，18例患者因其他诊断接受髋关节镜检查。平均加权年龄为33.7±9.0岁，47.5%的患者为女性，71.2%的患者右侧髋关节受累。术前BRT范围为566至1960毫秒，术后1至2周BRT范围为567至1840毫秒，3至12周为523至1860毫秒。Meta分析发现这些研究具有中度异质性（I² = 0.06）。术前与术后2、4、6和8周的BRT无统计学显著差异。
右侧髋关节镜检查后2至4周、左侧手术后2周恢复驾驶可能是安全的，因为驾驶性能已恢复到术前水平。
CRD42021274460（PROSPERO标识符）
