Anterior cruciate ligament reconstruction: how do we perform it? Brazilian orthopedic surgeons' preference

Purpose We evaluated current trends and common practice of Brazilian orthopedic surgeons while selecting approaches for anterior cruciate ligament (ACL) reconstruction surgery. Methods Orthopedic surgeons (n = 191) completed a survey consisting of seven questions regarding their profiles and prefere...

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Detalles Bibliográficos
Autores: Ambra, Luiz Felipe Morlin [UNIFESP], Rezende, Fernando Cury [UNIFESP], Xavier, Bruno [UNIFESP], Shumaker, Felipe Conrado [UNIFESP], Franciozi, Carlos Eduardo da Silveira [UNIFESP], Luzo, Marcus Vinicius Malheiros [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/57921
Acceso en línea:https://dx.doi.org/10.1007/s00264-015-2905-5
https://repositorio.unifesp.br/handle/11600/57921
Access Level:acceso abierto
Palabra clave:Anterior cruciate ligament
Surgeons
Orthopedic surgeons
Surgical approach
Descripción
Sumario:Purpose We evaluated current trends and common practice of Brazilian orthopedic surgeons while selecting approaches for anterior cruciate ligament (ACL) reconstruction surgery. Methods Orthopedic surgeons (n = 191) completed a survey consisting of seven questions regarding their profiles and preference for ACL reconstruction techniques. Results Most surgeons were from Southeast Brazil (56.6 %) and had specialized in knee surgery (79.5 %); most participants (55.1 %) had worked in this field for > five years, and 46.8 % had performed >50 ACL reconstructions. Further, 93.1 % respondents preferred the hamstring graft. Analysis of preference for the femoral tunnel approach in terms of years of experience showed that surgeons with ten to 15 years' experience preferred the transtibial approach; those with < five years of experience, the transportal technique; those with >15 years' experience, the two-incision technique. Conclusions Surgeons' preferences for ACL reconstruction are variable, and are influenced by learning time and availability of tools rather than research evidence.