Web-based Survey Results: Surgeon Practice Patterns in Italy Regarding Anterior Cruciate Ligament Reconstruction and Rehabilitation

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2016 Feb 3

PMID 26831862

Citations 5

Authors

Alberto Vascellari

Alberto Grassi

Alberto Combi

Luca Tomaello

Gian Luigi Canata

Stefano Zaffagnini

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of this study was to report Italian orthopaedic surgeons' management of choice for ACL reconstruction and rehabilitation, and to compare surgical applications and rehabilitation approaches of Italian surgeons to the current approaches of "ACL Study Group". A secondary purpose was to compare the preferences of subgroup based on graft choice, surgical techniques and experience.

Methods: A web-based survey was developed to investigate the attitudes of members of a national association specialized in sports traumatology and knee surgery (SIGASCOT) regarding surgical techniques, routine post-operative applications, rehabilitation approaches and starting time of specific activities and exercises following ACL reconstruction.

Results: The response rate was 17 % (131 questionnaires). The most popular graft type was hamstring tendon (81 % in male patients, and 91 % in female patients). The rate of continuous passive motion use was 55 %. Half surgeons routinely used a brace (49 %), usually a hinged brace. In total, 33.0 % of surgeons allowed patients to load the operated knee as much as tolerated within the first 2 weeks. Fifty-nine per cent of surgeons did not limit full flexion within the first 2 weeks. Most surgeons advise to wait until 4 months or more (97 %) for return to sports not requiring contact, and 6 months or more for full-contact sport (86 %).

Conclusions: This survey demonstrates clear trends in the practice of ACL reconstruction and rehabilitation in Italy. The data obtained from the SIGASCOT members revealed a more conservative approach when compared to the current approaches of "ACL Study Group".

Level Of Evidence: Cross-sectional survey, Level III.

Citing Articles

"Trends and beliefs in ACL reconstruction surgery: Indian perspectives".

Sood M, Kulshrestha V, Kumar S, Kumar P, Amaravati R, Singh S J Clin Orthop Trauma. 2023; 39:102148.

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Bone-patellar tendon-bone autograft maturation is superior to double-bundle hamstring tendon autograft maturation following anatomical anterior cruciate ligament reconstruction.

Fukuda H, Ogura T, Asai S, Omodani T, Takahashi T, Yamaura I Knee Surg Sports Traumatol Arthrosc. 2021; 30(5):1661-1671.

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New Trends in Anterior Cruciate Ligament Reconstruction: A Systematic Review of National Surveys of the Last 5 Years.

Grassi A, Carulli C, Innocenti M, Mosca M, Zaffagnini S, Bait C Joints. 2018; 6(3):177-187.

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Anterolateral Complex Reconstruction: Another Fad or Method to Improve ACL Outcomes?.

Wood R, Marsh J, Getgood A Tech Orthop. 2018; 33(4):239-245.

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Analysis of 500 anterior cruciate ligament reconstructions from a private institutional register.

Costa L, Foni N, Antonioli E, de Carvalho R, Dias Paiao I, Lenza M PLoS One. 2018; 13(1):e0191414.

PMID: 29351558 PMC: 5774771. DOI: 10.1371/journal.pone.0191414.

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