Current practice in the management of anterior cruciate ligament injuries in the United Kingdom
Current practice in the management of anterior cruciate ligament injuries in the United Kingdom
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DOI：
10.1136/bjsm.2002.002568
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发表时间：
2004-10-01
影响因子：
18.4
通讯作者：
Maffulli, N
中科院分区：
文献类型：
--
作者：
Kapoor, B;Clement, DJ;Maffulli, N
目的：概述英国前交叉韧带（ACL）损伤的治疗现状。方法：向英国321名矫形外科医生发送了一份旨在包括各种临床情况的邮寄问卷，这些外科医生隶属于英国矫形协会的一个专业协会，即英国膝关节外科协会（BASK）或英国骨科运动创伤协会（BOSTA），对治疗此类损伤表现出兴趣。大多数外科医生每年诊断和手术的ACL损伤少于50例。结果：58%（76/132）采用自体骨-髌腱-骨移植，而33%（44/132）采用自体半腱肌/股薄肌移植，84%（108/129）不将ACL残端纳入重建，14%（19/135）对8岁急性断裂儿童进行ACL重建，14%（19/135）对ACL损伤儿童进行ACL重建。30%（42/141）将执行ACL重建在一个14岁的急性ACL rupture.Conclusions：有很大的变化，在不列颠群岛的骨科医生之间的急性和慢性ACL损伤的管理。未来的研究和随机对照试验应该解决这项调查提出的问题。
Objective: To outline the current practice in the management of anterior cruciate ligament (ACL) injuries in the United Kingdom.Methods: A postal questionnaire designed to include various clinical scenarios was sent out to the 321 orthopaedic surgeons in the United Kingdom who, being affiliated to one of the specialist societies of the British Orthopaedic Association, namely the British Association for Surgery of the Knee ( BASK) or the British Orthopaedic Sports Trauma Association (BOSTA), have a manifested interest in treating such injuries.Results: The response rate was 60% (192/321). Most surgeons diagnose and operate on less than 50 ACL injuries a year. The following results were obtained: 58% (76/132) use bone-patellar tendon-bone autografts, whereas 33% (44/132) use semitendinosis/gracilis autografts; 84% (108/129) would not incorporate the ACL remnant in the reconstruction; 14% (19/135) would perform an ACL reconstruction in an 8 year child with an acute rupture; 30% (42/141) would perform an ACL reconstruction in a 14 year old with an acute ACL rupture.Conclusions: There is wide variation in the management of acute and chronic ACL injuries among orthopaedic surgeons in the British Isles. Future research and randomised controlled trials should address the issues that this investigation has raised.