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Clin J Sport Med. 2011 May;21(3):249-58. doi: 10.1097/JSM.0b013e318219a649.

Survey study of members of the Canadian Orthopaedic Association on the natural history and treatment of anterior cruciate ligament injury.

Author information

1
Department of Orthopaedic Surgery, Pan Am Clinic, Winnipeg, Manitoba, Canada. smcrae@panamclinic.com

Abstract

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.

PMID:
21519299
DOI:
10.1097/JSM.0b013e318219a649
[Indexed for MEDLINE]

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