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Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India
BACKGROUND: Although guidelines from multiple scientific studies decide the general trend in ACLR practice, there is often a variation between scientific guidelines and actual practice. METHODS: A 17-member committee comprised of sports surgeons with experience of a minimum of 10 years of arthroscop...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer India
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9485326/ https://www.ncbi.nlm.nih.gov/pubmed/36187588 http://dx.doi.org/10.1007/s43465-022-00719-z |
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author | Pandey, Vivek Madi, Sandesh Thonse, Chirag Joseph, Clement Rajan, David Varughese, Jacob Thilak, Jai Jayaprasad, P. S. Acharya, Kiran Ramamurthy, Krishna Gopal Reddy, Raghuveer Amravathi, Rajkumar Rao, Sharath Gangavarapu, Sridhar Srinivas, Moparthi Jose, Sujit Sundararjan, S. R. |
author_facet | Pandey, Vivek Madi, Sandesh Thonse, Chirag Joseph, Clement Rajan, David Varughese, Jacob Thilak, Jai Jayaprasad, P. S. Acharya, Kiran Ramamurthy, Krishna Gopal Reddy, Raghuveer Amravathi, Rajkumar Rao, Sharath Gangavarapu, Sridhar Srinivas, Moparthi Jose, Sujit Sundararjan, S. R. |
author_sort | Pandey, Vivek |
collection | PubMed |
description | BACKGROUND: Although guidelines from multiple scientific studies decide the general trend in ACLR practice, there is often a variation between scientific guidelines and actual practice. METHODS: A 17-member committee comprised of sports surgeons with experience of a minimum of 10 years of arthroscopy surgery finalized a survey questionnaire consisting of concepts in ACL tear management and perioperative trends, intraoperative and post-operative practices regarding single-bundle anatomic ACLR. The survey questionnaire was mailed to 584 registered sports surgeons in six states of south India. A single, non-modifiable response was collected from each member and analyzed. RESULTS: 324 responses were received out of 584 members. A strong consensus was present regarding Hamstring tendons preference for ACLR, graft diameter ≥ 7.5 mm, viewing femoral footprint through the anterolateral portal, drilling femoral tunnel from anteromedial portal guided by ridges and remnants of femoral footprint using a freehand technique, suspensory devices to fix the graft in femur and interference screw in the tibia and post-operative bracing. A broad consensus was achieved in using a brace to minimize symptoms of instability of an ACL tear and antibiotic soaking of graft. There was no consensus regarding the timing of ACLR, preferred graft in athletes, pre-tensioning, extra-articular procedure, and return to sports. There was disagreement over hybrid tibial fixation and suture tapes to augment graft. CONCLUSION: Diverse practices continue to prevail in the management of ACL injuries. However, some of the consensuses reached in this survey match global practices. Contrasting or inconclusive practices should be explored for potential future research. |
format | Online Article Text |
id | pubmed-9485326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer India |
record_format | MEDLINE/PubMed |
spelling | pubmed-94853262022-09-30 Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India Pandey, Vivek Madi, Sandesh Thonse, Chirag Joseph, Clement Rajan, David Varughese, Jacob Thilak, Jai Jayaprasad, P. S. Acharya, Kiran Ramamurthy, Krishna Gopal Reddy, Raghuveer Amravathi, Rajkumar Rao, Sharath Gangavarapu, Sridhar Srinivas, Moparthi Jose, Sujit Sundararjan, S. R. Indian J Orthop Original Article BACKGROUND: Although guidelines from multiple scientific studies decide the general trend in ACLR practice, there is often a variation between scientific guidelines and actual practice. METHODS: A 17-member committee comprised of sports surgeons with experience of a minimum of 10 years of arthroscopy surgery finalized a survey questionnaire consisting of concepts in ACL tear management and perioperative trends, intraoperative and post-operative practices regarding single-bundle anatomic ACLR. The survey questionnaire was mailed to 584 registered sports surgeons in six states of south India. A single, non-modifiable response was collected from each member and analyzed. RESULTS: 324 responses were received out of 584 members. A strong consensus was present regarding Hamstring tendons preference for ACLR, graft diameter ≥ 7.5 mm, viewing femoral footprint through the anterolateral portal, drilling femoral tunnel from anteromedial portal guided by ridges and remnants of femoral footprint using a freehand technique, suspensory devices to fix the graft in femur and interference screw in the tibia and post-operative bracing. A broad consensus was achieved in using a brace to minimize symptoms of instability of an ACL tear and antibiotic soaking of graft. There was no consensus regarding the timing of ACLR, preferred graft in athletes, pre-tensioning, extra-articular procedure, and return to sports. There was disagreement over hybrid tibial fixation and suture tapes to augment graft. CONCLUSION: Diverse practices continue to prevail in the management of ACL injuries. However, some of the consensuses reached in this survey match global practices. Contrasting or inconclusive practices should be explored for potential future research. Springer India 2022-08-20 /pmc/articles/PMC9485326/ /pubmed/36187588 http://dx.doi.org/10.1007/s43465-022-00719-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Pandey, Vivek Madi, Sandesh Thonse, Chirag Joseph, Clement Rajan, David Varughese, Jacob Thilak, Jai Jayaprasad, P. S. Acharya, Kiran Ramamurthy, Krishna Gopal Reddy, Raghuveer Amravathi, Rajkumar Rao, Sharath Gangavarapu, Sridhar Srinivas, Moparthi Jose, Sujit Sundararjan, S. R. Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title | Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title_full | Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title_fullStr | Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title_full_unstemmed | Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title_short | Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India |
title_sort | trends in primary anatomical single-bundle anterior cruciate ligament reconstruction practice in adult patients prevalent among arthroscopy surgeons of six southern states of india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9485326/ https://www.ncbi.nlm.nih.gov/pubmed/36187588 http://dx.doi.org/10.1007/s43465-022-00719-z |
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