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Analysis of 500 anterior cruciate ligament reconstructions from a private institutional register.

Analysis of 500 anterior cruciate ligament reconstructions from a private institutional register.
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Costa LA, Foni NO, Antonioli E, Teixeira de Carvalho R, Paião ID, Lenza M, Ferretti M,


Costa LA, Foni NO, Antonioli E, Teixeira de Carvalho R, Paião ID, Lenza M, Ferretti M, (click to view)

Costa LA, Foni NO, Antonioli E, Teixeira de Carvalho R, Paião ID, Lenza M, Ferretti M,

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PloS one 2018 01 1913(1) e0191414 doi 10.1371/journal.pone.0191414
Abstract
PURPOSE
The aims of this study are to describe the epidemiological characteristics of anterior cruciate ligament reconstructions in a private hospital in Brazil and to determine trends in medical practice for comparison with previous studies.

METHODS
We retrospectively reviewed the anterior cruciate ligament institutional register to obtain data from all patients who underwent primary anterior cruciate ligament reconstruction from July 2014 to June 2016. Descriptive statistics were used to summarize the sample. Specific statistical tests were used to assess associations between the meniscal lesion and other variables.

RESULTS
During the study period, 72.6% out of 500 patients were male. The mean age at surgery was 35.1 years. The mean age was higher among females than among males (37.3 ± 12.1 vs 34.3 ± 10.8 years). The median time from injury to surgery was 44 days. The most common femoral and tibial fixations used were suspensory fixation (60.8%) and interference screw (96%), respectively. The most commonly used graft was hamstring tendon (70.2%), followed by bone-patellar tendon-bone (28.8%). A meniscal lesion was noted in 44.8% of cases. Partial meniscectomy was performed in 69.5% of meniscal lesions, and meniscal repair was performed in 14.1% of lesions. The mean length of hospital stay was 1.4 days. The proportion of men in the group of patients with an associated meniscal lesion was higher than that in the group of patients without a meniscal lesion (p = 0.007).

CONCLUSIONS
In this study, we identified that the vast majority of surgeries were performed in male patients in all age groups, and patients older than 30 years and with a short time from injury to surgery predominated. Concerning surgical technique, we noted a low rate of meniscal repair and a higher preference for the use of hamstring graft and suspensory fixation on the femoral side.

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