Dean Robert S, Hafen Tanner J, Braithwaite Collin L, Farley Kevin X, LaPrade Robert F, Guettler Joseph H, Bicos James
Department of Orthopaedics, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan, USA.
William Beaumont School of Medicine, Oakland University, Auburn Hills, Michigan, USA.
Orthop J Sports Med. 2024 Aug 20;12(8):23259671241263853. doi: 10.1177/23259671241263853. eCollection 2024 Aug.
Little is known regarding the opinions of the general population on anterior cruciate ligament (ACL) graft options.
To evaluate the general population's perception of the use of allografts versus autografts in ACL reconstruction using a previously validated online marketplace platform.
A prospective 34-question survey was distributed via the online marketplace. After collecting baseline demographics, participant preferences for ACL reconstruction with an allograft or autograft were established. All respondents completed a preeducation survey, reviewed an evidence-based education sheet, and completed a posteducation survey to assess their understanding. Upon completion, participants were asked which graft they would prefer. Participants were then asked if they would be willing to change their preference based on surgeon recommendation. Finally, participants were asked to rank the factors from the education sheet that were most influential.
Cross-sectional study.
There were 491 participants that completed the survey (mean age, 39.9 years [range, 19-72 years]; 244 male, 241 female, and 6 nonbinary/third-gender participants). Before reading the education sheet, 276 (56%) reported no graft preferences, 146 (30%) preferred autograft, and 69 (14%) preferred allograft. After reading the provided sheet, 226 (46%) participants preferred autograft, 185 (38%) preferred allograft, and 80 (16%) had no preference. The mean score on the preeducation test was 45%, and the mean score on the posteducation test was significantly greater (61%; < .01). Overall, 345 participants (83.9%) stated they would change their preference for autograft or allograft if their surgeon recommended it. Surgeon preference (n = 330; 67%), educational information provided (n = 117; 24%), and previous knowledge (n = 44; 9%) were the most important factors for making graft selections. The mean ages of the participants selecting each graft type before and after education were as follows: allograft (37.8 ± 10.1 vs 40.6 ± 11.8 years; = .05), autograft (38 ± 11.5 vs 39.5 ± 10.1 years; = .21), and no preference (41.5 ± 11.2 vs 39.4 ± 11.8 years; = .16).
Education resulted in a greater number of individuals' reporting a preference in graft type (either allograft or autograft) compared with preinformation questioning. In addition, 83.9% of the participants were willing to switch their graft choice if recommended by their surgeon.
关于普通人群对前交叉韧带（ACL）移植选择的看法，目前了解甚少。
使用先前经过验证的在线市场平台，评估普通人群对ACL重建中同种异体移植物与自体移植物使用的认知。
通过在线市场分发一份包含34个问题的前瞻性调查问卷。收集基线人口统计学数据后，确定参与者对同种异体移植物或自体移植物进行ACL重建的偏好。所有受访者完成一份教育前调查问卷，阅读一份循证教育资料，并完成一份教育后调查问卷以评估他们的理解程度。完成后，询问参与者他们更喜欢哪种移植物。然后询问参与者是否愿意根据外科医生的建议改变他们的偏好。最后，要求参与者对教育资料中最有影响力的因素进行排序。
横断面研究。
有491名参与者完成了调查（平均年龄39.9岁[范围19 - 72岁]；男性244名，女性241名，6名非二元/第三性别参与者）。在阅读教育资料之前，276名（56%）表示没有移植物偏好，146名（30%）更喜欢自体移植物，69名（14%）更喜欢同种异体移植物。阅读提供的资料后，226名（46%）参与者更喜欢自体移植物，185名（38%）更喜欢同种异体移植物，80名（16%）没有偏好。教育前测试的平均分数为45%，教育后测试的平均分数显著更高（61%；P <.01）。总体而言，345名参与者（83.9%）表示，如果他们的外科医生推荐，他们会改变对自体移植物或同种异体移植物的偏好。外科医生的偏好（n = 330；67%）、提供的教育信息（n = 117；24%）和先前的知识（n = 44；9%）是进行移植物选择的最重要因素。选择每种移植物类型的参与者在教育前后的平均年龄如下：同种异体移植物（37.8 ± 10.1岁对40.6 ± 11.8岁；P =.05），自体移植物（38 ± 11.5岁对39.5 ± 10.1岁；P =.21），无偏好（41.5 ± 11.2岁对39.4 ± 11.8岁；P =.16）。
与教育前询问相比，教育使更多人报告了对移植物类型（同种异体移植物或自体移植物）的偏好。此外，如果外科医生推荐，83.9%的参与者愿意改变他们的移植物选择。
