Dear Surgeon,

Thank you for considering participating in this survey. The purpose of this study is to determine the current operative management techniques for the ACL-deficient knee. This survey has been previously delivered and published three times – citations of these articles are available at the bottom of this section. Collecting and analyzing the preferred management strategies will elucidate the development in treatment progression over the previous two decades, and will highlight areas for potential improvement.  Please know that your completion of this questionnaire is completely voluntary and your responses will be held strictly confidential.

Answering this online survey takes approximately 30 minutes.  Return of this questionnaire will imply that you consent to participate in this study. 

If you have any questions or concerns please contact us:

Email address: jwkocan@buffalo.edu
 

Thank you for your participation in our study!

UBMD Orthopaedics & Sports Medicine

 


Delay, Brian S., et al. "Current practices and opinions in ACL reconstruction and rehabilitation: results of a survey of the American Orthopaedic Society for Sports Medicine." The American journal of knee surgery 14.2 (2001): 85-91.

Duquin, Thomas R., et al. "Current trends in anterior cruciate ligament reconstruction." The journal of knee surgery 22.01 (2009): 7-12.

Budny, Jacob, et al. "Emerging trends in anterior cruciate ligament reconstruction." The journal of knee surgery 30.01 (2017): 63-69.

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* 1. Do you perform ACL reconstruction surgery?

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* 2. How many years have you been in practice?

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* 3. Are you subspecialty trained?

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* 4. Did you complete a CAQ in sports medicine?

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* 5. How many ACL reconstructions do you perform yearly?

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* 6. How long after injury do you routinely perform ACL reconstruction?

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* 7. How significant are the following factors in determining the timing of your ACL reconstruction?

  Not Significant Somewhat Significant Very Significant
Degree of knee effusion
Strength of quadriceps
Weight bearing status
Pain in knee
Level of knee flexion
Full knee extension
Time since injury
Desire to return to competitive sports

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* 8. What is your preferred surgical technique for ACL reconstruction?

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* 9. If you perform arthroscopic assisted ACL reconstructions do you typically drill your femoral tunnel through:

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* 10. If you perform arthroscopic assisted ACL reconstructions do you typically drill your tibial tunnel:

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* 11. What method do you use to determine your tibial tunnel angle? (Check all that apply)

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* 13. In what percentage of your primary ACL reconstructions do you CURRENTLY use the following types of grafts? (Please fill in the percentages for each graft so that the total equals 100%)

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* 14. In what percentage of your primary ACL reconstructions did you use the following types of grafts 5 years ago? (Please fill in the percentages for each graft so that the total equals 100%, or indicate "X" if not applicable)

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* 15. In what percentage of your primary ACL reconstructions do you use allograft to augment your hamstring autograft? Please indicate "X" if you do not perform. 

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* 17. What is your minimal acceptable graft width size for reconstruction? Which factor(s) most heavily influence your decision?

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* 18. What is your preferred fixation technique for a bone patellar tendon bone graft?

  Femur Tibia
Metal interference screw 
Bioabsorbable interference screw 
Tenodesis screw
Suture tied over screw / post 
Suture button 
Staple
Transfixation pin 
Fixed length flip button (Endobutton)
Tensionable flip button (Tight Rope)
Combined (mark above types of fixation used together)
N/A

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* 19. What is your preferred fixation technique for a soft tissue graft?

  Femur Tibia
Metal interference screw 
Bioabsorbable interference screw 
Tenodesis screw
Suture tied over screw / post 
Suture button 
Staple
Transfixation pin 
Fixed length flip button (Endobutton)
Tensionable flip button (Tight Rope)
Combined (mark above types of fixation used together)
N/A

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* 20. If you use a bone patellar tendon bone autograft do you routinely (Please indicate by checking box, or if not applicable):

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* 21. Do routinely use any biological augmentation during ACL reconstruction (e.g. BMAC, PRP)?

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* 22. What percentage of your yearly ACL reconstructions are revision cases?

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* 23. Do you routinely use antibiotic prophylaxis after your ACL reconstructions?

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* 24. Do you routinely use DVT prophylaxis after ACL reconstruction? Which agent do you use?

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* 25. Do you routinely use a tourniquet during your ACL reconstruction?

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* 26. Do you typically perform ACL reconstruction as:

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* 27. Do you perform “Double Bundle” ACL reconstructions (ant-lat and post-med)?

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* 28. Do you think there is a role for “Double Bundle” ACL reconstruction?

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* 29. Do you perform ACL repair?

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* 30. Do you think there is a role for ACL repair?

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* 31. Do you routinely perform ALL reconstruction in conjunction with ACL reconstruction? What factors influence your decision?

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* 32. Do you have any experience using computer navigation in ACL reconstruction?

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* 33. Do you think there is a role for computer navigation in ACL reconstruction?

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* 34. What is your typical immediate post-operative weight bearing status protocol? 

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* 35. Do you use continuous passive motion post-operatively? If so, for how long?

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* 36. What is your preferred method of post-operative immobilization?

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* 37. What is your preferred time to start physical therapy after reconstruction?

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* 38. What is your preferred duration of physical therapy?

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* 39. What is your average time to unrestricted activity status for each graft type

  1-2 months 3-4 months 5-6 months 7-9 months 10-12 months > 1 year N/A
Bone patellar tendon bone
Hamstring Tendon
Quadriceps Tendon
Allograft
Revision

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* 40. How significant are the following factors in your decision to allow a patient to return to unrestricted activity after ACL reconstruction

  Not significant Somewhat significant Very significant
Time from reconstruction
Range of knee motion
Degree of swelling/effusion
Pain with sports specific activity
Strength of quadriceps (compared to contralateral side)
Functional performance (i.e. hop test, limb symmetry index)
Psychological Readiness

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* 41. Do you routinely use functional bracing after ACL reconstruction? If yes, for how long? 

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* 42. Do you use blood flow restriction in your rehabilitation protocol?

0 of 42 answered
 

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