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  11. Preferences In Anterior Cruciate Ligament Reconstruction: A Survey Among Orthopedic Surgeons In China

Preferences in anterior cruciate ligament reconstruction: A survey among orthopedic surgeons in China

Hang Tang1, Yi-Fan Xiao1, Wei-Jie Liu1

  • 1Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China.

Medicine
|February 16, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Chinese orthopedic surgeons favor single-bundle anterior cruciate ligament (ACL) reconstruction using hamstring autografts, prioritizing remnant preservation and early surgery within three months for optimal outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Reconstruction

Background:

  • Anterior cruciate ligament (ACL) injuries are common, necessitating effective surgical reconstruction.
  • Understanding current surgical trends and preferences is crucial for standardizing ACL reconstruction techniques.
  • Regional variations in surgical approaches may exist, particularly in large, diverse healthcare systems like China's.

Purpose of the Study:

  • To investigate the contemporary trends and preferences of orthopedic surgeons in China concerning ACL reconstruction.
  • To identify preferred surgical techniques, graft choices, timing, and postoperative management strategies for ACL reconstruction.

Main Methods:

  • A nationwide web-based survey was conducted among Chinese orthopedic surgeons.
  • A 52-question survey covering 8 sections was distributed via WeChat.

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  • Data were collected using Questionnaire Star, with 812 valid responses analyzed.

    • Main Results:

    • 94.21% preferred single-bundle ACL reconstruction, with 61.70% favoring hamstring autografts (semitendinosus plus gracilis).
    • 76.35% preferred establishing the femoral tunnel first, often via a medial auxiliary approach (47.29%).
    • 85.10% recommended surgery within 3 months, 92.98% advocated remnant preservation, and 94.09% recommended postoperative knee braces.

    Conclusions:

    • The study recommends arthroscopic single-bundle ACL reconstruction using hamstring autografts with remnant preservation within 3 months of injury.
    • Postoperative functional bracing is widely supported.
    • These findings provide valuable insights into current Chinese surgical practices for ACL reconstruction.