Return to Driving After Hip Arthroscopy

Momaya, Amit; Stavrinos, Despina; McManus, Benjamin; Wittig, Shannon M.O.; Emblom, Benton A.; Estes, Reed

doi:10.1097/jsm.0000000000000457

Cited by 9 publications

(31 citation statements)

References 14 publications

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“…To the best of our knowledge, three studies have evaluated the time required to recover tness to drive after hip arthroscopy [2][3][4]. Two studies speci cally assessed patients undergoing arthroscopic FAI surgery using a simple driving simulator.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, Momaya et al analyzed the patients' braking performance using a realistic driving simulator similar to the simulator used in our study. They tested 14 patients who underwent various hip arthroscopy procedures on the right side and compared the braking parameters with those of 17 healthy volunteers [2]. The authors noticed signi cant improvements in the braking performance in the rst 2 weeks and concluded that return to driving at 2 weeks following right hip arthroscopy is recommended.…”

Section: Discussionmentioning

confidence: 99%

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Time Taken to Resume Driving Following Hip Arthroscopy

Lee

Jang

et al. 2020

Preprint

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Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Time Taken to Resume Driving Following Hip Arthroscopy

Lee

Jang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Conversely, Momaya et al analyzed the patients' braking performance using a realistic driving simulator similar to the simulator used in our study. They tested 14 patients who underwent various hip arthroscopy procedures on the right side and compared the braking parameters with those of 17 healthy volunteers [2]. The authors noticed significant improvements in the braking performance in the first 2 weeks and concluded that return to driving at 2 weeks following right hip arthroscopy is recommended.…”

Section: Discussionmentioning

confidence: 99%

“…Hip arthroscopy is often indicated in young active adults, and the waiting time before resuming driving following the surgery is a common concern among the patients [ 1 , 2 ]. Pain, loss of proprioception, and discomfort from the surgical intervention may result in delayed responses of the affected leg, which could potentially lead to poor driving performance [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…As it would be unethical to test the patients’ brake responses in real-life driving scenarios, an alternative method for measuring such responses is required. Various measurement methods, ranging from the use of simple brake reaction timers or force transducers to the application of more complex realistic driving simulators, have been used in studies that provide recommendations for returning to driving [ 2 , 7 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Time taken to resume driving following hip arthroscopy

Lee

Jang

et al. 2020

BMC Musculoskelet Disord

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Background 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. Methods 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. Results 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. Conclusions 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.

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