Mall Nathan A, Abrams Geoffrey D, Azar Frederick M, Traina Steve M, Allen Answorth A, Parker Richard, Cole Brian J
Department of Orthopedic Surgery, Stanford University School of Medicine, Redwood City, CA.
Am J Orthop (Belle Mead NJ). 2014 Jun;43(6):267-71.
Anterior cruciate ligament (ACL) tears are common in athletes. Techniques and methods of treatment for these injuries continue to vary among surgeons. Thirty National Basketball Association (NBA) team physicians were surveyed during the NBA Pre-Draft Combine. Survey questions involved current and previous practice methods of primary and revision ACL reconstruction, including technique, graft choice, rehabilitation, and treatment of combined ACL and medial collateral ligament injuries. Descriptive parametric statistics, Fisher exact test, and logistic regression were used, and significance was set at α = 0.05. All 30 team physicians completed the survey. Eighty-seven percent indicated they use autograft (81% bone-patellar tendon-bone) for primary ACL reconstruction in NBA athletes, and 43% indicated they use autograft for revision cases. Fourteen surgeons (47%) indicated they use an anteromedial portal (AMP) for femoral tunnel drilling, whereas 5 years earlier only 4 (13%) used this technique. There was a significant (P = .009) positive correlation between fewer years in practice and AMP use. NBA team physicians' use of an AMP for femoral tunnel drilling has increased over the past 5 years.
前交叉韧带（ACL）撕裂在运动员中很常见。这些损伤的治疗技术和方法在外科医生中仍存在差异。在NBA选秀前联合试训期间，对30名NBA球队医生进行了调查。调查问题涉及初次和翻修ACL重建的当前和以往的实践方法，包括技术、移植物选择、康复以及ACL和内侧副韧带联合损伤的治疗。使用了描述性参数统计、Fisher精确检验和逻辑回归，显著性水平设定为α = 0.05。所有30名球队医生都完成了调查。87%的人表示他们在NBA运动员的初次ACL重建中使用自体移植物（81%为骨-髌腱-骨），43%的人表示他们在翻修病例中使用自体移植物。14名外科医生（47%）表示他们在股骨隧道钻孔时使用前内侧入路（AMP），而5年前只有4名（13%）使用该技术。从业年限较少与使用AMP之间存在显著的正相关（P = .009）。在过去5年中，NBA球队医生在股骨隧道钻孔时使用AMP的情况有所增加。
