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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 1

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Ortho-tips 2023; 19 (1)

Current status of anterior cruciate ligament reconstruction in Mexico.National Survey

Rangel GF, Hernández AG, Macías GEDJ, López AL, Gutiérrez MI

Language: Spanish
References: 23
Page: 5-10
PDF size: 158.24 Kb.


ABSTRACT

Introduction: anterior cruciate ligament (ACL) injury accounts for more than half of all knee injuries. Different surgical techniques and variants in their reconstruction are described in the medical literature. Objective: to know the current trend in the reconstruction of the anterior cruciate ligament (ACL) in México. Material and methods: a survey was applied through the Mexican Federation of Orthopedic and Traumatology Colleges with multiple choice answers, to orthopedic surgeons who perform ACL reconstruction. Results: 373 orthopedic surgeons responded to the 14-question survey about the treatment of ACL ruptures resulting in the following data; the average time to perform the surgery was greater than 4 weeks in 45.6% of the cases. 39.9% of the surgeons said they find associated meniscal injuries in more than 50% of all cases. 76% of those surveyed use hamstring grafts in primary ACL reconstruction surgery; and in revision surgeries, 38.9% use allograft whereas 38.1% use bone tendon bone graft. The femoral fixation method most frequently used is the cortical suspension system, used by 72% of the surgeons and for the tibial fixation the 81.2% use bioabsorbable screws. The current trend in perforation for the femoral tunnel is through the anteromedial approach in 47.7%. 37.5% of surgeons do not leave a knee brace in the postoperative period. Conclusion: this study reports the current trend in anterior cruciate ligament reconstruction in México in different aspects of the surgical technique.


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