Published online Oct 18, 2013. doi: 10.5312/wjo.v4.i4.309
Revised: May 18, 2013
Accepted: June 18, 2013
Published online: October 18, 2013
AIM: To investigate current preferences and opinions on the diagnosis, treatment and rehabilitation of patients with anterior cruciate ligament (ACL) injury in Croatia.
METHODS: The survey was conducted using a questionnaire which was sent by e-mail to all 189 members of the Croatian Orthopaedic and Traumatology Association. Only respondents who had performed at least one ACL reconstruction during 2011 were asked to fill out the questionnaire.
RESULTS: Thirty nine surgeons responded to the survey. Nearly all participants (95%) used semitendinosus/gracilis tendon autograft for reconstruction and only 5% used bone-patellar tendon-bone autograft. No other graft type had been used. The accessory anteromedial portal was preferred over the transtibial approach (67% vs 33%). Suspensory fixation was the most common graft fixation method (62%) for the femoral side, followed by the cross-pin (33%) and bioabsorbable interference screw (5%). Almost all respondents (97%) used a bioabsorbable interference screw for tibial side graft fixation.
CONCLUSION: The results show that ACL reconstruction surgery in Croatia is in step with the recommendations from latest world literature.
Core tip: The anterior cruciate ligament (ACL) is the prime static stabilizer against anterior translation of the tibia on the femur. We conducted a survey of members of the Croatian Orthopaedics and Traumatology Association to gain an understanding of preferences and opinions regarding the treatment of ACL injuries. Our findings are compared with those of previous surveys found in the literature to highlight temporal shifts and geographic differences in opinion.