Evidence map›Paper›PMID 33553439›Full record

ReviewOrthopaedic journal of sports medicine2021

Return to Driving After Anterior Cruciate Ligament Reconstruction: A Systematic Review.

Hytham S Salem, Do H Park, Jamie L Friedman, Steven D Jones, Jonathan T Bravman, Eric C McCarty, Rachel M Frank

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hytham S SalemDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Do H ParkDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jamie L FriedmanDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Steven D JonesDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jonathan T BravmanDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Eric C McCartyDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.
Rachel M FrankDivision of Sports Medicine, Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines for return to driving after anterior cruciate ligament reconstruction (ACLR) have not been established. PURPOSE: To review the literature pertaining to driving after ACLR and provide evidence-based guidelines to aid clinicians in counseling patients about driving after ACLR. STUDY

designSystematic review; Level of evidence, 4.

methodsA systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Two independent reviewers searched PubMed, EMBASE, and the Cochrane Library using the terms

resultsFive studies were included. Two studies included patients who underwent right-sided ACLR. Of these, 1 study evaluated bone-patellar tendon-bone autograft and reported that brake response time (BRT) returned to normal approximately 4 to 6 weeks postoperatively. The other study found that BRT returned to normal 3 weeks after allograft ACLR, but 6 weeks elapsed after autograft ACLR before values were not significantly different than controls. One study reported that patients who underwent left-sided hamstring tendon autograft ACLR demonstrated BRTs similar to controls within 2 weeks, while those with right-sided ACLR had significantly slower BRTs until 6 weeks postoperatively. Another study including patients who underwent either right- or left-sided ACLR and employed a manual transmission simulator found that 4 to 6 weeks should elapse after ACLR with hamstring tendon autograft. Survey data from 1 study demonstrated that the mean time for patients to resume driving was 13 and 10 days after right- and left-sided ACLR, respectively.

conclusionBRT returned to normal values approximately 4 to 6 weeks after right-sided ACLR and approximately 2 to 3 weeks after left-sided ACLR. According to 1 study in this review, ACLR laterality should be disregarded for patients who drive manual transmission automobiles, as a 4- to 6-week time period was required for driving ability to reach the level of healthy controls. Future studies should aim to elucidate the influence of graft choice and transmission type on return to driving after ACLR.

Indexed as

anterior cruciate ligament reconstructionkneerehabilitationreturn to driving

Identifiers

PMID33553439
PMCPMC7829529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.