Sood Munish, Kulshrestha Vikas, Kumar Santhosh, Kumar Pardeep, Amaravati Rajkumar S, Singh Shalendra
INHS Asvini, 500004, India.
5AFH, Jorhat, 785085, India.
J Clin Orthop Trauma. 2023 Mar 17;39:102148. doi: 10.1016/j.jcot.2023.102148. eCollection 2023 Apr.
The survey aimed to assess trends and beliefs in the management of anterior cruciate ligament reconstruction (ACLR) amongst orthopaedic surgeons in India.
A survey was created and distributed among the various orthopaedic surgeons from India. The questionnaire included brief details of surgeons and their experience, clinical assessment, management strategies and the rehabilitation protocol.
135 surgeons completed the survey. 35% of them were having experience of more than 12 years. A large number of surgeons were from government academic institutes (35.5%). The most common criteria for deciding about surgery was Clinical evaluation (94.8%). The most common graft choice was hamstring tendon (94%), and suspensory fixation on the femur side and interference screw on the tibial side (80%) is the most common fixation method. Almost two-thirds of surgeons in this survey use bracing to protect ACL graft in the initial phase.
We presented the preferences amongst the group of surgeons on the management of ACL injuries. Hamstring tendon graft remains the most preferred graft for ACL reconstruction. Further, the suspensory loop on the femoral side and interference screw on the tibial side are the preferred fixation method. This group of surgeons is conservative in terms of the timing of surgeries and post-operative bracing. Level of evidence Level V, Expert Opinion.
该调查旨在评估印度骨科医生在前交叉韧带重建（ACLR）管理方面的趋势和观念。
设计了一项调查并分发给来自印度的不同骨科医生。问卷包括医生的简要信息及其经验、临床评估、管理策略和康复方案。
135名医生完成了调查。其中35%有超过12年的经验。大量医生来自政府学术机构（35.5%）。决定手术的最常见标准是临床评估（94.8%）。最常用的移植物选择是腘绳肌腱（94%），股骨侧悬吊固定和胫骨侧挤压螺钉（80%）是最常见的固定方法。在本次调查中，近三分之二的医生在初始阶段使用支具保护ACL移植物。
我们展示了骨科医生群体对ACL损伤管理的偏好。腘绳肌腱移植物仍然是ACL重建最常用的移植物。此外，股骨侧悬吊环和胫骨侧挤压螺钉是首选的固定方法。这组医生在手术时机和术后支具使用方面较为保守。证据级别：V级，专家意见。
