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, 27 (3), 146-151

CURRENT PANORAMA OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY IN BRAZIL

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CURRENT PANORAMA OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY IN BRAZIL

Gustavo Constantino de Campos et al. Acta Ortop Bras.

Abstract

Objective: This study aims to establish the current panorama of the anterior cruciate ligament reconstruction surgery in Brazil.

Methods: A survey that consisted of a 24-item questionnaire including surgeon's demographics, preferred technique, graft selection, graft positioning, use of braces, drains, antibiotic prophylaxis and most common complications was conducted at the last three editions of a national knee surgery event.

Results: Six hundred eight questionnaires were analyzed. Brazilian knee surgeons are mostly male, with mean age of 42 years (26-68) and are affiliated to at least one orthopedic society. Thirty-six percent (36%) perform more than 50 reconstructions per year. The preferred graft is the hamstring tendons graft (64%). The frequency of use of anatomical technique increased approximately from 55% from 2011 to 2013, to 85.5% in 2015 (p<0.001). From 2011 to 2015, there was a progressive reduction from 56.8% to 18.1% in the frequency of use of transtibial femoral tunnel drilling (p<0.001).

Conclusion: Our findings show that Brazilian knee surgeons' preferences are evolving according to the current world practice. Level of Evidence V, Economic and Decision analysis study.

Keywords: Anterior Cruciate Ligament; Knee; Reconstruction; Surgery; Survey.

Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Figures

Figure 1
Figure 1. Comparison of frequency of utilization of medical procedures between 2011, 2013 and 2015.
Figure 2
Figure 2. Frequency of utilization of the anatomic technique in 2011, 2013 and 2015.
Figure 3
Figure 3. Type of hamstrings harvest incision.
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