OBJECTIVE: To describe current preferences and opinions of members of the Canadian Orthopaedic Association (COA) pertaining to anterior cruciate ligament (ACL) reconstruction. DESIGN: Survey study. PARTICIPANTS: All orthopedic surgeon members of the COA residing in Canada were invited to participate. MAIN OUTCOME MEASURES: The primary measure was a survey completed via an Internet-based survey manager. It was composed of 30 questions on the natural history of ACL-injured knees, and surgical and postsurgical treatment choices. RESULTS: Two hundred eighty-three surgeons (50%) responded to the survey. One hundred forty-four performed ACL reconstruction in the past year. In terms of natural history, the only area of agreement was that hamstring and quadricep strength affects function in ACL-deficient knees (92%). A majority of surgeons indicated preference for hamstring autograft (73%), transtibial versus anteromedial portal for establishment of the femoral tunnel (70% vs 28%), and promotion of full weight bearing and range of motion immediately after surgery (72% and 75%, respectively). The most frequent surgeon-reported complication was tunnel widening (10%). A greater proportion of high-volume surgeons permitted earlier return to sport (P < 0.008). CONCLUSIONS: In the rapidly evolving area of ACL reconstruction, no recent surveys of opinions and preferences of Canadian orthopedic surgeons have been published. In addition to providing information from a Canadian perspective, the findings from this study will allow surgeons to evaluate a range of treatment decisions based on the general opinions of their colleagues and also highlights areas of dissimilarity that can be targeted for more extensive research. 2011 by Lippincott Williams & Wilkins.
OBJECTIVE: To describe current preferences and opinions of members of the Canadian Orthopaedic Association (COA) pertaining to anterior cruciate ligament (ACL) reconstruction. DESIGN: Survey study. PARTICIPANTS: All orthopedic surgeon members of the COA residing in Canada were invited to participate. MAIN OUTCOME MEASURES: The primary measure was a survey completed via an Internet-based survey manager. It was composed of 30 questions on the natural history of ACL-injured knees, and surgical and postsurgical treatment choices. RESULTS: Two hundred eighty-three surgeons (50%) responded to the survey. One hundred forty-four performed ACL reconstruction in the past year. In terms of natural history, the only area of agreement was that hamstring and quadricep strength affects function in ACL-deficient knees (92%). A majority of surgeons indicated preference for hamstring autograft (73%), transtibial versus anteromedial portal for establishment of the femoral tunnel (70% vs 28%), and promotion of full weight bearing and range of motion immediately after surgery (72% and 75%, respectively). The most frequent surgeon-reported complication was tunnel widening (10%). A greater proportion of high-volume surgeons permitted earlier return to sport (P < 0.008). CONCLUSIONS: In the rapidly evolving area of ACL reconstruction, no recent surveys of opinions and preferences of Canadian orthopedic surgeons have been published. In addition to providing information from a Canadian perspective, the findings from this study will allow surgeons to evaluate a range of treatment decisions based on the general opinions of their colleagues and also highlights areas of dissimilarity that can be targeted for more extensive research. 2011 by Lippincott Williams & Wilkins.
Authors: Peter MacDonald; Chris Kim; Sheila McRae; Jeff Leiter; Ryan Khan; Daniel Whelan Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-08-11 Impact factor: 4.342
Authors: Alberto Grassi; Alberto Vascellari; Alberto Combi; Luca Tomaello; Gian Luigi Canata; Stefano Zaffagnini Journal: Eur J Orthop Surg Traumatol Date: 2016-03-14
Authors: Alexandre R M Pelegrinelli; Leandro C Guenka; Josilainne M Dias; Lais F Dela Bela; Mariana F Silva; Felipe A Moura; Lee E Brown; Jefferson R Cardoso Journal: Int J Sports Phys Ther Date: 2018-08