R. Assaf (Be'er Ya'akov, IL)

Shamir Medical Center

Presenter Of 1 Presentation

Podium Presentation Others

24.2.6 - Return to Driving Following Hip Arthroscopy – A Systematic Review and Meta-Analysis.

Presentation Topic
Lecture Time
11:45 - 11:54
Potsdam 3
Session Type
Free Papers
No Significant Commercial Relationship



One of the first questions patients ask their physician after orthopedic surgery is when they can safely resume driving. Hip arthroscopy is an increasingly common procedure, however recommendations for safely returning to drive after hip arthroscopy are controversial and vary among surgeons.

The purpose of this article is to systematically review and analyze the current available evidence on the optimal time to safely return to drive after hip arthroscopy.

Methods and Materials

A systematic review and meta-analysis were performed in accordance with the PRISMA guidelines. Two authors independently conducted a literature search throughout August 2021 using the following databases: PubMed, Google Scholar, Embase, and Cochrane. 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.


Five articles met the inclusion criteria. Included studies evaluated safety to return to drive after hip arthroscopy in a total of 160 patients. Of these, 142 patients were treated for femoroacetabular impingement (FAI) and 18 patients undergone other hip arthroscopy procedures. Mean weighted age was 33.7±9.0 years, 47.5% females, with the right hip affected in 71.2%. Preoperative range of BRT was 566-1960ms. Postoperative BRT range at 1-2 weeks was 567-1,840ms, and at 3-12 weeks 523-1,860ms. Meta-analysis found the studies to be moderately heterogenic (p=0.06) and comparison of pre- and post-operative BRT found 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 two to four weeks following hip arthroscopy, as driving performance returns to the preoperative level. Further high-quality studies are needed to assess alternative clinical tests for the evaluation of driving performance, postoperative incidence and severity of motor vehicle accidents and the effect of other factors such as laterality, weight-bearing restrictions, and manual vs automatic transmission.