前十字韧带重建术后恢复驾驶能力的评估。

IF 2.2 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2025-10-01 DOI:10.1016/j.otsr.2025.104308

Aurore Emery, Grégoire Duval, Gaëlle Maroteau, Alexandre Ferreira, Guillaume Mergenthaler, Marianne Wiklund, Christophe Hulet

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引用次数: 0

摘要

背景：前交叉韧带（ACL）重建在法国广泛应用于年轻的活跃患者。手术后恢复驾驶的延迟是这一人群中常见的问题。关于这个问题没有明确的建议。本研究的主要目的是确定前交叉韧带重建患者术后恢复驾驶所需的平均时间。材料和方法：一项前瞻性、单中心、多操作者观察性研究共纳入54例ACL。患者手术时平均年龄28.9±8.3岁（18.55岁）。在纳入时前瞻性地收集行为和功能评分数据。患者被要求在术前、6周和3个月完成一份关于他们驾驶习惯的标准化问卷，在术前和3个月完成ACL-RSI问卷和IKDC评分。影响恢复驾驶的因素包括：性别、年龄、BMI、手术部位、手术技术、是否进行前外侧韧带重建或半月板缝合、止血带使用时间、驾驶执照年数、术前车辆使用频率、手动或自动变速箱、术前运动能力。结果：50例（93%）患者恢复驾驶的平均时间为4.4周±2.33（1,11）周。没有交通事故报告。54例患者中有4例在3个月时未恢复驾驶。平均膝关节屈曲度为125.7°±9.48（100,140）。ACL-RSI评分为56.5±19.6 (10.6,94.1)，IKDC评分为65.1±14.3（43.7,93.1）。经半月板缝合或未经半月板缝合的ACL组间无差异。在研究的因素中，只有运动水平有利于早日恢复驾驶。结论：前交叉韧带重建术后恢复驾驶情况不同，应与患者讨论。在临床实践中，可以采用4周的时间。证据等级：四级；前瞻性队列研究。

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Assessment of Return To Driving After Anterior Cruciate reconstruction

Background

Anterior cruciate ligament (ACL) reconstruction is widely performed in France in young active patients. The delay in resuming driving after the operation is a frequent issue in this population. There is no clear recommendation on this subject. The main purpose of this study was to determine the average time taken to resume driving postoperatively in patients undergoing anterior cruciate ligament reconstruction.

Material and methods

In total, 54 ACL were included in a prospective, single centre, multioperator observational study. The mean age of the patients at the time of surgery was 28.9 ± 8.3 years old (18, 55). Data on behavior and functional scores were collected prospectively at the time of inclusion. Patients were asked to complete a standardized questionnaire concerning their driving habits preoperatively, at 6 weeks and at 3 months, the ACL-RSI questionnaire and the IKDC score preoperatively and at 3 months. Factors that could influence the return to driving included sex, age, BMI, operated side, surgical technique, association with anterolateral ligament reconstruction or meniscal suture, time of tourniquet, number of years driving license, frequency of vehicle use pre-operatively, manual or automatic gearbox, and pre-operative sporting ability.

Results

The mean time to return to driving was 4.4 weeks ± 2.33 (1, 11) for the 50 patients (93%) who returned to driving. No road accidents were reported. Four out of 54 patients had not returned to driving at 3 months. Mean knee flexion was 125.7 ° ± 9.48 (100, 140. The ACL-RSI score was 56.5 ± 19.6 (10.6, 94.1) and the IKDC score was 65.1 ± 14.3 (43.7, 93.1). There was no difference between the ACL groups with or without meniscal suture. Among the factors studied, only sport level favored an earlier resumption of driving.

Conclusion

Resumption of driving after ACL reconstruction surgery varies and must be discussed with the patient. In clinical practice, a period of 4 weeks may be adopted.

Level of evidence

IV; prospective cohort study.

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.