CRITERI DI RITORNO ALLA GUIDA DOPO TRATTAMENTO CHIRURGICO DEL TENDINE D’ACHILLE: SCOPING REVIEW
RETURN TO DRIVING CRITERIA AFTER OPERATIVE TREATMENT OF ACHILLES TENDON: A SCOPING REVIEW
Autori
Simona Lo Cascio (Unimol, Palermo, Italia)
Roberto Pichero (Unimol, Bari, Italia)
Introduction
Review the current evidence on criteria for return to driving after Achilles tendon surgery.
Methods
The search yielded a total of 1955 articles, with five studies fulfilling the inclusion criteria, including four prospective studies, with a total of 195 patients, and one systematic review.
Results
The scoping study found that the average time for a safe return to driving following Achilles tendon surgery is 6 weeks after surgery. The most frequently used parameter was the Brake Response Time (BRT), with a value defined as safe if less than 0.850 seconds, administered in conjunction with rating scales such as the ATRS, AOFAS, VAS, and a driving readiness survey. Patients, who reported significantly better scores on the rating scales and the pre-driving survey, subsequently demonstrated a safe BRT.
Discussion and Conclusion
The only evidence in the literature has only provided indications for a return to safe driving, but further factors need to be investigated in future studies and research.
REFERENCES
- Mattila VM, Huttunen TT, Haapasalo H, Sillanpää P, Malmivaara A, Pihlajamäki H. Declining incidence of surgery for Achilles tendon rupture follows publication of major RCTs: evidence-influenced change evident using the Finnish registry study. Br J Sports Med. 2015 Aug;49(16):1084-6. doi: 10.1136/bjsports-2013-092756. Epub 2013 Oct 15. PMID: 24128757.
- Houshian S, Tscherning T, Riegels-Nielsen P. The epidemiology of Achilles tendon rupture in a Danish County. Injury. 1998 Nov;29(9):651-4. doi: 10.1016/s0020-1383(98)00147-8. PMID: 10211195.
- Lantto I, Heikkinen J, Flinkkilä T, Ohtonen P, Leppilahti J. Epidemiology of Achilles tendon ruptures: increasing incidence over a 33-year period. Scand J Med Sci Sports. 2015 Feb;25(1):e133-8. doi: 10.1111/sms.12253. Epub 2014 May 23. PMID: 24862178.
- Huttunen TT, Kannus P, Rolf C, Felländer-Tsai L, Mattila VM. Acute achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012. Am J Sports Med. 2014 Oct;42(10):2419-23. doi: 10.1177/0363546514540599. Epub 2014 Jul 23. PMID: 25056989.
- Yang X, Meng H, Quan Q, Peng J, Lu S, Wang A. Management of acute Achilles tendon ruptures: A review. Bone Joint Res. 2018 Nov 3;7(10):561-569. doi: 10.1302/2046-3758.710.BJR-2018-0004.R2. PMID: 30464836; PMCID: PMC6215245.
- David Beck, MD, Steven Raikin, MD, Jamal Ahmad, MD, Joseph N. Daniel, DO, Mary-Katherine Lynch, Anne Marie Madden, CCRC, David I. Pedowitz, MD, MS, Brian S. Winters, MDEvaluation of Brake Response Time Following Primary Achilles Tendon Repair Surgery.
Foot & Ankle Orthopaedics 1. August 2016;DOI:10.1177/2473011416S00060
17
7. Frane N, Bandovic I, Hu V, Bitterman A. Return-to-Driving Recommendations After Lower-Extremity Orthopaedic Procedures. JBJS Rev. 2020 Dec;8(12):e20.00066. doi: 10.2106/JBJS.RVW.20.00066. PMID: 33298680.
8. Reb CW, McDonald E, Shakked RJ, Winters BS, Pedowitz DI, Raikin SM, Daniel JN. Brake Response Time Recovery After Achilles Tendon Repair. Foot Ankle Spec. 2020 Jun;13(3):188-192. doi: 10.1177/1938640019843316. Epub 2019 Apr 23. PMID: 31014108.
9. Jennings AG, Sefton GK, Newman RJ. Repair of acute rupture of the Achilles tendon: a new technique using polyester tape without external splintage. Ann R Coll Surg Engl. 2004 Nov;86(6):445-8. doi: 10.1308/147870804957. PMID: 15527585; PMCID: PMC1964280.
10. Jennings AG, Sefton GK, Newman RJ. Repair of acute rupture of the Achilles tendon: a new technique using polyester tape without external splintage. Ann R Coll Surg Engl. 2004 Nov;86(6):445-8. doi: 10.1308/147870804957. PMID: 15527585; PMCID: PMC1964280.
11. Elizabeth L. McDonald, BA, Rachel Shakked, MD, Kristen Nicholson, PhD, Joseph N. Daniel, DO, David I. Pedowitz, MD, MS, Brian S. Winters, MD, Ryan Rogero, BA , and Steven M. Raikin, MD. Return to Driving After Foot and Ankle Surgery: A Novel Survey to Predict Passing Brake Reaction Time. Foot &AnkleSpecialist. Volume 14, Issue 1, February 2021, Pages 32-38. Doi: 10.1177/1938640019890970
12. Lemme NJ, Li NY, DeFroda SF, Kleiner J, Owens BD. Epidemiology of Achilles Tendon Ruptures in the United States: Athletic and Nonathletic Injuries From 2012 to 2016. Orthop J Sports Med. 2018 Nov 26;6(11):2325967118808238. doi: 10.1177/2325967118808238. PMID: 30505872; PMCID: PMC6259075.