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Updated: Jan 20, 2026
Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
CURRENT PANORAMA OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION SURGERY IN BRAZIL
Gustavo Constantino de Campos1, Luccas Franco Bettencourt Nunes2, Luciano Rodrigo Peres Arruda2
1Orthopedics and Traumatology Department, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
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.
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