Acta Ortopédica Brasileira (May 2019)

CURRENT PANORAMA OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY IN BRAZIL

  • Gustavo Constantino de Campos,
  • Luccas Franco Bettencourt Nunes,
  • Luciano Rodrigo Peres Arruda,
  • Paulo Eduardo Portes Teixeira,
  • Guilherme Husemann Albamonte Amaral,
  • Wilson de Mello Alves Junior

DOI
https://doi.org/10.1590/1413-785220192703182208
Journal volume & issue
Vol. 27, no. 3
pp. 146 – 151

Abstract

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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.

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