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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2017

01-08-2017 | Knee

Web-based survey results: surgeon practice patterns in Italy regarding anterior cruciate ligament reconstruction and rehabilitation

Authors: Alberto Vascellari, Alberto Grassi, Alberto Combi, Luca Tomaello, Gian Luigi Canata, Stefano Zaffagnini, SIGASCOT Sports Committee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2017

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Abstract

Purpose

The aim of this study was to report Italian orthopaedic surgeons’ management of choice for ACL reconstruction and rehabilitation, and to compare surgical applications and rehabilitation approaches of Italian surgeons to the current approaches of “ACL Study Group”. A secondary purpose was to compare the preferences of subgroup based on graft choice, surgical techniques and experience.

Methods

A web-based survey was developed to investigate the attitudes of members of a national association specialized in sports traumatology and knee surgery (SIGASCOT) regarding surgical techniques, routine post-operative applications, rehabilitation approaches and starting time of specific activities and exercises following ACL reconstruction.

Results

The response rate was 17 % (131 questionnaires). The most popular graft type was hamstring tendon (81 % in male patients, and 91 % in female patients). The rate of continuous passive motion use was 55 %. Half surgeons routinely used a brace (49 %), usually a hinged brace. In total, 33.0 % of surgeons allowed patients to load the operated knee as much as tolerated within the first 2 weeks. Fifty-nine per cent of surgeons did not limit full flexion within the first 2 weeks. Most surgeons advise to wait until 4 months or more (97 %) for return to sports not requiring contact, and 6 months or more for full-contact sport (86 %).

Conclusions

This survey demonstrates clear trends in the practice of ACL reconstruction and rehabilitation in Italy. The data obtained from the SIGASCOT members revealed a more conservative approach when compared to the current approaches of “ACL Study Group”.

Level of evidence

Cross-sectional survey, Level III.
Appendix
Available only for authorised users
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Metadata
Title
Web-based survey results: surgeon practice patterns in Italy regarding anterior cruciate ligament reconstruction and rehabilitation
Authors
Alberto Vascellari
Alberto Grassi
Alberto Combi
Luca Tomaello
Gian Luigi Canata
Stefano Zaffagnini
SIGASCOT Sports Committee
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4007-3

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