Anterior Cruciate Ligament Reconstruction Practice Patterns by NFL and NCAA Football Team Physicians

被引:75
作者
Erickson, Brandon J. [1 ]
Harris, Joshua D. [1 ]
Fillingham, Yale A. [1 ]
Frank, Rachel M. [1 ]
Bush-Joseph, Charles A. [1 ]
Bach, Bernard R., Jr. [1 ]
Cole, Brian J. [1 ]
Verma, Nikhil N. [1 ]
机构
[1] Rush Univ, Med Ctr, Midwest Orthopaed Rush, Chicago, IL 60612 USA
关键词
TENDON-BONE AUTOGRAFT; DOUBLE-BUNDLE; SURGICAL TECHNIQUE; INJURIES; METAANALYSIS; ALLOGRAFT; OUTCOMES; GRAFT; EPIDEMIOLOGY; CHOICE;
D O I
10.1016/j.arthro.2014.02.034
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Purpose: This study aimed to determine practice patterns for National Football League (NFL) and National Collegiate Athletic Association (NCAA) Division I football team orthopaedic surgeons regarding management of anterior cruciate ligament (ACL) tears in elite, young, and middle-aged recreational athletes. Methods: Two hundred sixty-seven NFL and NCAA Division I team orthopaedic surgeons were surveyed through an online survey. A 9-question survey assessed surgeon experience, graft choice, femoral tunnel drilling access, number of graft bundles, and rehabilitation after ACL reconstruction. Results: One hundred thirty-seven team orthopaedic surgeons (51%) responded (mean experience 16.75 +/- 8.7 years). Surgeons performed 82 +/- 50 ACL reconstructions in 2012. One hundred eighteen surgeons (86%) would use bone-patellar tendon-bone (BPTB) autografts to treat their starting running backs. Ninety (67%) surgeons drill the femoral tunnel through an accessory anteromedial portal (26% through a transtibial portal). Only 1 surgeon prefers a double-bundle to a single-bundle reconstruction. Seventy-seven (55.8%) surgeons recommend waiting at least 6 months before return to sport, whereas 17 (12.3%) wait at least 9 months. No surgeon recommends waiting 12 months or more before return to sport. Eighty-eight (64%) surgeons do not recommend a brace for their starting running backs during sport once they return to play. Conclusions: BPTB is the most frequently used graft for ACL reconstruction by NFL and NCAA Division I team physicians in their elite-level running backs. Nearly all surgeons always use a single-bundle technique, and most do not recommend a brace on return to sport in running backs. Return to sport most commonly occurs at least 6 months postoperatively, with some surgeons requiring a normal examination and normal return-to-sport testing (single leg hop).
引用
收藏
页码:731 / 738
页数:8
相关论文
共 34 条
[1]
[Anonymous], 2013, SPORTS IND OV
[2]
Effect of Graft Selection on the Incidence of Postoperative Infection in Anterior Cruciate Ligament Reconstruction [J].
Barker, Joseph U. ;
Drakos, Mark C. ;
Maak, Travis G. ;
Warren, Russell F. ;
Williams, Riley J., III ;
Allen, Answorth A. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2010, 38 (02) :281-286
[3]
Comparison of tunnel expansion and isometric muscle strength after ACL reconstruction with single- or dual-bundle hamstring allograft: a prospective, randomized study [J].
Beyaz, Salih ;
Ozkoc, Gurkan ;
Akpinar, Sercan ;
Demir, Senay ;
Adam, Mehmet ;
Tuncay, Ismail Cengiz .
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 2012, 46 (05) :353-360
[4]
Arthroscopic anterior cruciate ligament reconstruction using a patellar tendon graft in press-fit technique: Surgical technique and follow-up [J].
Boszotta, H .
ARTHROSCOPY, 1997, 13 (03) :332-339
[5]
Anterior cruciate ligament injuries in the national football league: Epidemiology and current treatment trends among team physicians [J].
Bradley, JP ;
Klimkiewicz, JJ ;
Rytel, MJ ;
Powell, JW .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2002, 18 (05) :502-509
[6]
A Systematic Review of Anterior Cruciate Ligament Reconstruction with Autograft Compared with Allograft [J].
Carey, James L. ;
Dunn, Warren R. ;
Dahm, Diane L. ;
Zeger, Scott L. ;
Spindler, Kurt P. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2009, 91A (09) :2242-2250
[7]
Anteromedial Versus Transtibial Tunnel Drilling in Anterior Cruciate Ligament Reconstructions: A Systematic Review [J].
Chalmers, Peter N. ;
Mall, Nathan A. ;
Cole, Brian J. ;
Verma, Nikhil N. ;
Bush-Joseph, Charles A. ;
Bach, Bernard R., Jr. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2013, 29 (07) :1235-1242
[8]
An international survey on anterior cruciate ligament reconstruction practices [J].
Chechik, Ofir ;
Amar, Eyal ;
Khashan, Morsi ;
Lador, Ran ;
Eyal, Gil ;
Gold, Aviram .
INTERNATIONAL ORTHOPAEDICS, 2013, 37 (02) :201-206
[9]
Magnitude of Head Impact Exposures in Individual Collegiate Football Players [J].
Crisco, Joseph J. ;
Wilcox, Bethany J. ;
Machan, Jason T. ;
McAllister, Thomas W. ;
Duhaime, Ann-Christine ;
Duma, Stefan M. ;
Rowson, Steven ;
Beckwith, Jonathan G. ;
Chu, Jeffrey J. ;
Greenwald, Richard M. .
JOURNAL OF APPLIED BIOMECHANICS, 2012, 28 (02) :174-183
[10]
The effects of response rate changes on the index of consumer sentiment [J].
Curtin, R ;
Presser, S ;
Singer, E .
PUBLIC OPINION QUARTERLY, 2000, 64 (04) :413-428