[article] 
inActa Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.738-746

Titre :	Surgical management of anterior cruciate ligament injuries in Belgium anno 2013
Type de document :	texte imprimé
Auteurs :	Hans Van der Bracht ; Laurent Goubau ; Bart Stuyts
Année de publication :	2015
Article en page(s) :	p.738-746
Langues :	Anglais (eng)
Résumé :	Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society. Results : Anatomic single bundle ACL repair with transportal femoral tunnel drilling, using an autologous hamstring graft fixed with a cortical suspension system proximal and an interference screw distal is currently the most common technique. The surgery is usually performed under general anesthesia with a one-night stay in the hospital. Postoperatively a hinge brace is mostly used. Conclusion : Although much research concerning double bundle ACL surgery is performed, only few surgeons perform this technique. Most surgeons perform an anatomic single bundle repair. This is in accordance with the current knowledge regarding cost effective care. Performing this procedure in day care with the aid of loco-regional anesthesia and avoidance of a hinged brace can help to reduce the cost for the healthcare system without compromising the outcome.
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[article] Surgical management of anterior cruciate ligament injuries in Belgium anno 2013 [texte imprimé] / Hans Van der Bracht ; Laurent Goubau ; Bart Stuyts . - 2015 . - p.738-746.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.738-746

Résumé :

Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society. Results : Anatomic single bundle ACL repair with transportal femoral tunnel drilling, using an autologous hamstring graft fixed with a cortical suspension system proximal and an interference screw distal is currently the most common technique. The surgery is usually performed under general anesthesia with a one-night stay in the hospital. Postoperatively a hinge brace is mostly used. Conclusion : Although much research concerning double bundle ACL surgery is performed, only few surgeons perform this technique. Most surgeons perform an anatomic single bundle repair. This is in accordance with the current knowledge regarding cost effective care. Performing this procedure in day care with the aid of loco-regional anesthesia and avoidance of a hinged brace can help to reduce the cost for the healthcare system without compromising the outcome.

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