前交叉韧带重建：我们如何进行？巴西骨科医生的偏好。
Anterior cruciate ligament reconstruction: how do we perform it? Brazilian orthopedic surgeons' preference.
作者信息
Ambra Luiz Felipe Morlin, Rezende Fernando Cury, Xavier Bruno, Shumaker Felipe Conrado, da Silveira Franciozi Carlos Eduardo, Luzo Marcos Vinicius Malheiros
机构信息
Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
出版信息
Int Orthop. 2016 Mar;40(3):595-600. doi: 10.1007/s00264-015-2905-5. Epub 2015 Jul 15.
PURPOSE
We evaluated current trends and common practice of Brazilian orthopedic surgeons while selecting approaches for anterior cruciate ligament (ACL) reconstruction surgery.
METHODS
Orthopedic surgeons (n = 191) completed a survey consisting of seven questions regarding their profiles and preference for ACL reconstruction techniques.
RESULTS
Most surgeons were from Southeast Brazil (56.6%) and had specialized in knee surgery (79.5%); most participants (55.1%) had worked in this field for > five years, and 46.8% had performed >50 ACL reconstructions. Further, 93.1% respondents preferred the hamstring graft. Analysis of preference for the femoral tunnel approach in terms of years of experience showed that surgeons with ten to 15 years' experience preferred the transtibial approach; those with < five years of experience, the transportal technique; those with >15 years' experience, the two-incision technique.
CONCLUSIONS
Surgeons' preferences for ACL reconstruction are variable, and are influenced by learning time and availability of tools rather than research evidence.
目的
我们评估了巴西骨科医生在选择前交叉韧带（ACL）重建手术入路时的当前趋势和常见做法。
方法
骨科医生（n = 191）完成了一项调查，该调查包含七个关于他们的个人资料以及对ACL重建技术偏好的问题。
结果
大多数外科医生来自巴西东南部（56.6%），并且专门从事膝关节手术（79.5%）；大多数参与者（55.1%）在该领域工作超过五年，46.8%进行过超过50例ACL重建手术。此外，93.1%的受访者更喜欢腘绳肌移植物。根据经验年限分析对股骨隧道入路的偏好表明，有10至15年经验的外科医生更喜欢经胫骨入路；经验少于五年的，更喜欢经皮内镜辅助技术；经验超过15年的，更喜欢双切口技术。
结论
外科医生对ACL重建的偏好各不相同，并且受学习时间和工具可用性的影响，而非研究证据。
Zotero 插件