巴西前交叉韧带重建手术的当前全景。
CURRENT PANORAMA OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY IN BRAZIL.
作者信息
de Campos Gustavo Constantino, Nunes Luccas Franco Bettencourt, Arruda Luciano Rodrigo Peres, Teixeira Paulo Eduardo Portes, Amaral Guilherme Husemann Albamonte, Alves Wilson de Mello
机构信息
Orthopedics and Traumatology Department, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
Instituto Wilson Mello, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2019 May-Jun;27(3):146-151. doi: 10.1590/1413-785220192703182208.
OBJECTIVE
This study aims to establish the current panorama of the anterior cruciate ligament reconstruction surgery in Brazil.
METHODS
A survey that consisted of a 24-item questionnaire including surgeon's demographics, preferred technique, graft selection, graft positioning, use of braces, drains, antibiotic prophylaxis and most common complications was conducted at the last three editions of a national knee surgery event.
RESULTS
Six hundred eight questionnaires were analyzed. Brazilian knee surgeons are mostly male, with mean age of 42 years (26-68) and are affiliated to at least one orthopedic society. Thirty-six percent (36%) perform more than 50 reconstructions per year. The preferred graft is the hamstring tendons graft (64%). The frequency of use of anatomical technique increased approximately from 55% from 2011 to 2013, to 85.5% in 2015 (p<0.001). From 2011 to 2015, there was a progressive reduction from 56.8% to 18.1% in the frequency of use of transtibial femoral tunnel drilling (p<0.001).
CONCLUSION
Our findings show that Brazilian knee surgeons' preferences are evolving according to the current world practice.
目的
本研究旨在确立巴西前交叉韧带重建手术的当前概况。
方法
在最近三届全国膝关节手术活动中进行了一项调查，该调查由一份包含24个项目的问卷组成，内容包括外科医生的人口统计学信息、首选技术、移植物选择、移植物定位、支具使用、引流管、抗生素预防以及最常见的并发症。
结果
分析了608份问卷。巴西膝关节外科医生大多为男性，平均年龄42岁（26 - 68岁），且隶属于至少一个骨科协会。36%的医生每年进行超过50例重建手术。首选的移植物是腘绳肌腱移植物（64%）。解剖技术的使用频率从2011年至2013年的约55%增加到2015年的85.5%（p<0.001）。从2011年到2015年，经胫骨股骨隧道钻孔的使用频率从56.8%逐渐降至18.1%（p<0.001）。
结论
我们的研究结果表明，巴西膝关节外科医生的偏好正在根据当前的世界实践不断演变。
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