■选择合适的移植物进行前交叉韧带(ACL)重建需要考虑患者的偏好,目标,年龄,和身体需求以及每种移植选择的风险和收益。
■确定患者中最受欢迎的ACL重建移植物以及影响其决定的最重要因素。
■横断面研究;证据水平,3.
在2022年10月至2023年4月期间接受ACL重建的患者在与外科医生交谈之前(非咨询组)或之后(咨询组)完成了一项调查,谁提供了同种异体移植物和以下自体移植物的利弊的循证描述:骨-髌腱-骨(BPTB),腿筋肌腱(HT),和股四头肌腱(QT)。患者特征,移植选择,影响他们移植选择的信息,收集并比较两组之间的外科医生推荐。
■在纳入的100名患者中,59.0%为男性,平均年龄28.3±10.4岁。最受欢迎的移植物是BPTB(56.0%),其次是QT(29.0%),HT(8.0%),和同种异体移植(7.0%)。咨询组之间的移植物选择没有显着差异(n=60;BPTB,46.7%;QT,38.3%;HT,8.3%;同种异体移植,6.7%)和非咨询组(n=40;BPTB,70.0%;QT,15.0%;HT,7.5%;同种异体移植,7.5%)(P=.0757)。在咨询小组中,81.7%的患者选择了外科医生推荐给他们的移植物。选择移植物的前2个原因是专业运动员的使用率和失败率,而前2名ACL手术的关注点是恢复到他们所需的运动水平和移植物失败的风险。在访问前研究ACL移植选项的93名患者中,最受欢迎的信息来源是某种形式的媒体(72.0%[67/93])。
■研究结果强调了患者选择移植物时患者偏好和外科医生推荐的重要性,并强调在研究移植物选择时需要了解患者可用的信息源。
UNASSIGNED: Selecting an appropriate
graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient\'s preferences, goals, age, and physical demands alongside the risks and benefits of each
graft choice.
UNASSIGNED: To determine the most popular ACL reconstruction grafts among patients and the most important factors influencing their decisions.
UNASSIGNED: Cross-sectional study; Level of evidence, 3.
UNASSIGNED: Patients undergoing ACL reconstruction between October 2022 and April 2023 completed a survey either before (nonconsult group) or after (consult group) speaking with their surgeon, who provided an evidence-based description of the pros and cons of an allograft and the following autografts: bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT). Patient characteristics,
graft choice, information influencing their
graft choice, and surgeon recommendation were collected and compared between the groups.
UNASSIGNED: Among the 100 included patients, 59.0% were male, and the mean age was 28.3 ± 10.4 years. The most popular grafts were the BPTB (56.0%), followed by the QT (29.0%), HT (8.0%), and allograft (7.0%). No significant difference was observed in the graft selection between the consult group (n = 60; BPTB, 46.7%; QT, 38.3%; HT, 8.3%; allograft, 6.7%) and nonconsult group (n = 40; BPTB, 70.0%; QT, 15.0%; HT, 7.5%; allograft, 7.5%) (P = .0757). In the consult group, 81.7% of patients selected the
graft recommended to them by their surgeon. The top 2 graft selection reasons were usage in professional athletes and failure rates, while the top 2 ACL surgery concerns were returning to their desired level of athletics and
graft failure risk. Among the 93 patients who researched their ACL graft options before their visit, the most popular information source was some form of media (72.0% [67/93]).
UNASSIGNED: The study findings underscore the importance of patient preference and surgeon recommendation in a patient\'s graft selection and highlight the need to be cognizant of the information sources available to patients when researching their graft options.