EXTRA-ARTICULAR RECONSTRUCTION ASSOCIATED WITH THE ANTERIOR CRUCIATE LIGAMENT IN BRAZIL

• Published in: Acta ortopedica brasileira Vol. 27; no. 4; pp. 202 - 206
• Main Authors: Helito, Camilo Partezani, do Amaral, Carlos, Camargo, Danilo Bordini, Bonadio, Marcelo Batista, Pecora, Jose Ricardo, Demange, Marco Kawamura
• Format: Journal Article
• Language: English
• Published: Brazil ATHA EDITORA 01.08.2019; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Anterior cruciate ligament; Anterolateral ligament; Joint instability; Knee joint; Original; ORTHOPEDICS; Knee joint; Joint instability; Anterior cruciate ligament; Anterolateral ligament; Ligamento anterolateral; Ligamento cruzado anterior; Instabilidade articular; Articulação do joelho
• ISSN: 1413-7852; 1809-4406; 1809-4406
• DOI: 10.1590/1413-785220192704192828

To assess the knowledge and technical preferences of Brazilian knee surgeons in relation to the treatment of Anterior Cruciate Ligament (ACL) injuries using intra-articular reconstruction in combination with extra-articular reconstruction. A questionnaire consisting of 16 questions about intra-articular ACL reconstruction in combination with extra-articular procedures and about the Anterolateral Ligament (ALL) was applied at the 48 Brazilian Congress of Orthopedics. One hundred thirty-seven surgeons answered the questionnaire. Most surgeons perform 10-30 ACL reconstructions per year, with the transtibial technique appearing as the most common. Most surgeons find some percentage of residual pivot-shift after reconstructions, but the minority performs extra-articular procedures on a routine basis. The main indications for extra-articular reconstruction are revision and profuse pivot-shift cases. Most surgeons consider the ALL a true ligament, but 46.7% with less biomechanical importance and 32.3% with greater importance in knee stability. However, 91.4% had a positive perception of the reconstruction of this structure. Although the preferred technique is still the transtibial procedure, combined anatomical reconstructions already make up more than 50% of cases. Extra-articular reconstructions associated with the ACL are still performed by the minority of Brazilian surgeons, but 91.4% of them report having had a positive perception with their reconstruction.