[Reconstruction of insufficient anterior cruciate ligament].
OBJECTIVE
Reconstruction of insufficient anterior cruciate ligament (ACL) has become a standard operative procedure. Still, graft choice and fixation technique are discussed controversially. The objective of this study was to ascertain the current treatment of ACL reconstruction in german orthopedic surgery and trauma centers.


METHODS
A total of 250 trauma and 220 orthopedic surgery centers were asked for their treatment strategy and postoperative procedure of ACL reconstruction in an anonymous German-wide survey.


RESULTS
230 questionnaires (48.9 %) were returned for evaluation. 90.4 % of the surgeons reconstruct the anterior cruciate ligament. Patellar tendon is used by 73 % of orthopedists and 80.7 % of trauma surgeons. Reconstruction with semitendinosus tendon transplant is performed by 71.6 % of the orthopedists and 41.6 % of trauma surgeons. For tibial fixation the interference screw is as well of the semitendinosus tendon as of the patellar tendon the most common technique. In about 30 % each the femoral fixation results from interference screw and endo-button.


CONCLUSIONS
There is still no generally accepted intra- and postoperative strategy for reconstruction of ACL. Reconstruction with semitendinosus tendon becomes more common.
Lüring
C
C
Orthopädische Klinik der Universität Regensburg, Badd Abbach. c_luering@yahoo.de
Bäthis
H
H
Perlick
L
L
Tingart
M
M
Grifka
J
J
D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D001863:Bone Screws; D005858:Germany; D006306:Health Surveys; D006801:Humans; D007270:Injections, Intra-Articular; D017847:Patellar Ligament / Q000637:transplantation; D017060:Patient Satisfaction; D011182:Postoperative Care; D019651:Plastic Surgery Procedures; D011795:Surveys and Questionnaires; D013709:Tendon Transfer; D013710:Tendons / Q000637:transplantation; D013977:Tibia / Q000601:surgery; D013997:Time Factors
D000700:Analgesics
Therapie der vorderen Kreuzbandruptur des Kniegelenks. Ergebnisse einer Umfrage an unfallchirurgischen und orthopädischen Kliniken in Deutschland.