title: Anterior cruciate ligament reconstruction: how do we perform it? Brazilian orthopedic surgeons' preference.
abstract: OBJECTIVE
  We evaluated current trends and common practice of Brazilian orthopedic surgeons while selecting approaches for anterior cruciate ligament (ACL) reconstruction surgery.
  
  
  METHODS
  Orthopedic surgeons (n = 191) completed a survey consisting of seven questions regarding their profiles and preference for ACL reconstruction techniques.
  
  
  RESULTS
  Most surgeons were from Southeast Brazil (56.6%) and had specialized in knee surgery (79.5%); most participants (55.1%) had worked in this field for > five years, and 46.8% had performed >50 ACL reconstructions. Further, 93.1% respondents preferred the hamstring graft. Analysis of preference for the femoral tunnel approach in terms of years of experience showed that surgeons with ten to 15 years' experience preferred the transtibial approach; those with < five years of experience, the transportal technique; those with >15 years' experience, the two-incision technique.
  
  
  CONCLUSIONS
  Surgeons' preferences for ACL reconstruction are variable, and are influenced by learning time and availability of tools rather than research evidence.
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil. felipeambra71@gmail.com.
authors.forename: Luiz Felipe Morlin
authors.initials: LF
authors.lastname: Ambra
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
authors.forename: Fernando Cury
authors.initials: FC
authors.lastname: Rezende
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
authors.forename: Bruno
authors.initials: B
authors.lastname: Xavier
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
authors.forename: Felipe Conrado
authors.initials: FC
authors.lastname: Shumaker
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: da Silveira Franciozi
authors.affiliation: Departamento de Ortopedia e Traumatologia, da Universidade Federal de São Paulo - Escola Paulista de Medicina (DOT - Unifesp/EPM), Rua Caraíbas, 666 Apto 101 Perdizes, CEP 05020-000, São Paulo, SP, Brazil.
authors.forename: Marcos Vinicius Malheiros
authors.initials: MV
authors.lastname: Luzo
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001938:Brazil; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D066231:Surgeons / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D019737:Transplants
keywords: Anterior cruciate ligament; Orthopedic surgeons; Surgeons; Surgical approach