The aim of this study was to compare the management approach of acute knee
dislocations (AKDs) by orthopaedic surgeons from nations with different economic status.

Methods

A survey sent to members of the Societe Internationale de Chirurgie Orthopedique et de Traumatologie (SICOT) compared different management strategies for acute multiligament knee injuries (aMLKIs). These were compared after categorising surgeons into developed economic nations (DEN) and emerging markets and developing nations (EMDN) based on the gross domestic product (GDP) per capita.

Results

138 orthopaedic surgeons from 47 countries participated in this study. DEN surgeons had more years of experience and were older (p<0.05). Surgeons from EMDN preferred conservative management and delayed reconstruction with autograft (p<0.05) if surgery was necessary. Surgeons from DEN favoured early, single stage arthroscopic ligament reconstruction. Significantly more EMDN surgeons preferred clinical examination (p<0.05) and duplex doppler scanning (p<0.05) compared to DEN surgeons. More surgeons from EMDN did not have access to a physiotherapist for their patients.

Conclusions

Treatment of aMLKIs varied significantly based on the economic status of the country. In EMDN, aMLKIs are often treated conservatively, ligament surgery is often delayed and staged, alternative vascular assessment methods are more commonly used, and access to physiotherapy is challenging. This calls for adjusted guidelines when treating patients in areas of low resource setting.

Return To Competition Following Clavicle Fracture In Professional Road Cyclists ePoster Presentation Matthew Paul Walmsley, MBChB, MRCS, UNITED KINGDOM Alastair Konarski, MRCS, MBChB, BSc (Hons), UNITED KINGDOM Neil Jain, BM, MRCS(Ed), FRCS(Tr&Orth), UNITED KINGDOM
Sport Specialization Classification And Injury Risk In Female Athletes ePoster Presentation Ehiamen T Okoruwa, MD, MS, UNITED STATES Alexandra Abbott, MD, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Anteromedial Rotatory Knee Instability – Much More Than The Medial Collateral Ligament ePoster Presentation Elmar Herbst, MD, PhD, GERMANY Christian Peez, MD, GERMANY R M, Mr., GERMANY Jens Wermers, MD, GERMANY Johannes Glasbrenner, MD, GERMANY Thorben Briese, MD, GERMANY J. Christoph Katthagen, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY
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Lower Extremity Injury Surveillance of Collegiate Student-Athletes: Epidemiological Insights from the Pac-12 Health Analytics Program ePoster Presentation Lexie K. Ross, BA, UNITED STATES Mary Catherine-Yousif Hamati, MD, UNITED STATES Michael Tuffiash, MS, UNITED STATES Kevin Robell, ATC, UNITED STATES Kenneth J. Hunt, MD, UNITED STATES
Injury Prevention Programs For Throwing Injuries In Softball Players ePoster Presentation Jonathan Paul, BS, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Patella Dislocation Is Associated With Increased Tibial But Not Femoral Rotational Asymmetry ePoster Presentation Simon Talbot, MBChB, FRACS, AUSTRALIA Phoebe Walker, MBBS, AUSTRALIA Rachel Zordan, BSc, PhD, AUSTRALIA Tat Woon Chao, MBBS, AUSTRALIA Liam Gregory Geraghty, MBBS, AUSTRALIA
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Instability of the Posterior Horn of the Lateral Meniscus in ACL Injured Patients: A Comparison Between Two Arthroscopic Diagnostic Tests ePoster Presentation Christophe Jacquet , MD, LUXEMBOURG Caroline Mouton, PhD, LUXEMBOURG Matthieu Ollivier, Prof, MD, PhD , FRANCE Amanda Magosch, Cand. med., LUXEMBOURG Romain Seil, MD, Prof., LUXEMBOURG
Epsilon Aminocaproic Acid (EACA) and Tranexamic Acid (TXA) in Total Knee Arthroplasty (TKA) - A Prospective Randomized Trial ePoster Presentation João P.F. Guerreiro, MD, PhD, BRAZIL João P.F. Guerreiro, MD, PhD, BRAZIL Jose Rodolfo Martines Balbino, MD, BRAZIL Bruno Possani Rodrigues, MD, BRAZIL Marcus Vinicius Danieli, MD, PhD, BRAZIL Daniele Cristina Cataneo, MD, PhD, BRAZIL
The Sport-Specific Prevalence of Generalized Joint Hypermobility in Collegiate Athletes – A Cross-Sectional Study ePoster Presentation Richard W. Nicolay, MD, UNITED STATES Matthew J. Hartwell, MD, UNITED STATES Stephen Bigach, MD, UNITED STATES Claire Fernandez, BS, UNITED STATES Allison M Morgan, BA, UNITED STATES Charles Cogan, MD, UNITED STATES Michael Terry, MD, UNITED STATES Vehniah K. Tjong, MD, FRCSC, UNITED STATES
Prospective Study Comparing Leukocyte-Poor Platelet Rich Plasma Combined With Hyaluronic Acid And Autologous Microfragmented Adipose Tissue In Patients With Early Knee Osteoarthritis. Abstract Presentation 6 minutes Ignacio Dallo, MD, SPAIN Macarena Morales, MD, ITALY Alberto Gobbi, MD, FRACS, ITALY
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10 Years Of Clinical Results Using Hyaluronic Acid-Based Scaffold With Bone Marrow Aspirate Concentrate ePoster Presentation Alberto Gobbi, MD, FRACS, ITALY Macarena Morales, MD, ITALY Gabriel Azzini, MD, ITALY Ignacio Dallo, MD, SPAIN
Quadriceps Tendon and Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction Yield Equally High Rates of Graft Failure, Revision ACLR or Re-Operation at Two Years Follow Up. A Registry Study With Review of Medical Records of475 Patients Abstract Presentation 6 minutes Kristoffer W. Barfod, MD, PhD, Prof., DENMARK Malte Schmücker, Medical Student, DENMARK Jørgen Haraszuk, MD, DENMARK Per Hölmich, DMSc, Prof., DENMARK
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Evaluation Of Cartilage Repair After Open-Wedge High Tibial Osteotomy Using T2 Mapping Methods ePoster Presentation Ken Iida, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Yohei Nishida, MD, JAPAN Shinya Yamasaki, MD, PhD, JAPAN Hiroaki Nakamura, MD, PhD, JAPAN
Biomechanical Evaluation Of An Over-The-Top Femoral Fixation Technique For Anterior Cruciate Ligament Reconstruction ePoster Presentation Heath Patrick Gould, MD, UNITED STATES Timothy Neary, MD, UNITED STATES Richard Y. Hinton, MD, MPH, PT, UNITED STATES
Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Acute or Recurrent Patellar Instability: a Systematic Review and Meta-Analysis ePoster Presentation Maarten Mertens, MD, BELGIUM Peter Mertens, MD, BELGIUM K Buedts, BELGIUM Michael Maes, Md, BELGIUM
Dislocated Hinge Fractures Predispose for Malunion after Lateral Closing Wedge Distal Femoral Osteotomy Abstract Presentation 6 minutes Marco-Christopher Rupp, MD, GERMANY Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA Patricia Maria Lutz, MD, GERMANY Markus Irger, MD, GERMANY Philipp Forkel, MD, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Matthias Feucht, MD, GERMANY
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Robotic-arm assisted Lateral UKA : A Promising Early Follow-up ePoster Presentation Mohan Thadi, MS DNB FRCS MCh, INDIA Johncy Panicker, MBBS, MS, INDIA
Acute And Delayed Anterior Cruciate Ligament Repair Results In Similar Short To Mid-Term Outcomes ePoster Presentation Harmen D. Vermeijden, MD, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
Arthroscopic-Assisted Robotic Bi-Unicompartmental Knee Arthroplasty: A Pilot Cadaveric Study. ePoster Presentation Andrea Fernandez, MD, FRANCE Elliot Sappey-Marinier, MD, FRANCE Frédéric Lavoie, MD, MSc, FRCSC, CANADA Cécile Batailler, MD, PhD, FRANCE Elvire Servien, MD, PhD, Prof., FRANCE Sebastien Lustig, MD, PhD, FRANCE
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Increasing The Posterior Tibial Slope Lowers In-Situ Forces In The ACL Award Winner Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA Calvin K. Chan, MS, UNITED STATES Gian Andrea Lucidi, MD, ITALY Sene Polamalu, BS, UNITED STATES Nyaluma N. Wagala, MD, UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES Richard E Debski, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
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Typical Pain Patterns in Patients After Total Knee Arthroplasty Abstract Presentation 6 minutes Dominic Thierry Mathis, MD, SWITZERLAND Samuel Tschudi, Mr., SWITZERLAND Antonia Hauser, MD, SWITZERLAND Amsler Felix, Mr., SWITZERLAND Helmut Rasch, MD, SWITZERLAND Michael T. Hirschmann, MD, Prof., SWITZERLAND
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Analysis of bone union after biplanar medial closing wedge distal femoral osteotomy ePoster Presentation Takehiko Matsushita, MD, PhD, JAPAN Shinya Oka, MD, PhD, JAPAN Akiyoshi Mori, JAPAN Shu Watanabe, MD, JAPAN Kiminari Kataoka, MD, JAPAN Koji Nukuto, MD, PhD, UNITED STATES Daisuke Araki, MD, PhD, JAPAN Yuichiro Nishizawa, MD, PhD, JAPAN Kanto Nagai, MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
MRI Evaluation of the Peripheral Stabilizing Attachments of the Lateral Meniscal Body: The Menisco-Tibio-Popliteus-Fibular Complex. Assessment in Routine 1.5-T Scans. ePoster Presentation Rodolfo Morales-Avalos, MD, PhD., MEXICO Àngel Masferrer-Pino, MD PhD, SPAIN Simone Perelli, MD,PhD, SPAIN Eustorgio Ruiz-Chapa, MD, MEXICO Jose Ramon Padilla-Medina, MD, MSc., MEXICO Joan Carles Monllau, MD, PhD, Prof., SPAIN
Less tunnel enlargement in anatomical triple bundle anterior cruciate ligament reconstruction than in double bundle anterior cruciate ligament reconstruction in randomized clinical trial ePoster Presentation Kousuke Shiwaku, MD, JAPAN Tomoaki Kamiya, MD, JAPAN Tomoyuki Suzuki, MD, PhD, JAPAN Takashi Matsumura, MD, JAPAN Atsushi Teramoto, MD, PhD, JAPAN
The Role of Pre-Operative MRI in Surgical Decision Making for Total vs. Unicompartmental Knee Arthroplasty ePoster Presentation Christopher S. Lee, MD, MBA, UNITED STATES Maddison Anne Morgan, UNITED STATES Shane Michael Davis, MD, UNITED STATES
Using the TTTG Measurement to Determine Surgical Management of Patellofemoral Instability ePoster Presentation Megan Diack, MBCHB, MRCSI, MCh, IRELAND Orla Hennessy, MB BaO BCh, MCh, IRELAND Diane Bergin, Prof., IRELAND Fintan J. Shannon, FRCS (Tr/Orth), IRELAND
Midflexion Instability Following Total Knee Arthroplasty: A Systematic Review ePoster Presentation Eran Beit Ner, MD, ISRAEL Alexander Jakubiec, BSc, MSc, UNITED KINGDOM Gwenllian F. Tawy, PhD, MRes, BSc(Hons), UNITED KINGDOM Leela C. Biant, MS, MFSTEd, FRCSEd(Tr&Orth), UNITED KINGDOM
Clinical Outcomes And Return To Sports After Arthroscopic Saucerization And Preservation For Discoid Lateral Meniscus. ePoster Presentation Yutaro Ishida, MD, JAPAN Shinichiro Takada, MD, JAPAN Hajime Utsunomiya, MD, PhD, JAPAN Soshi Uchida, MD, PhD, JAPAN
The Development of the Quantitative Evaluation of Hinge Area and Length after Open Wedge High Tibial Osteotomy ePoster Presentation Kiminari Kataoka, MD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Kohei Kamada, MD, PhD, UNITED STATES Akiyoshi Mori, JAPAN Kanto Nagai, MD, PhD, JAPAN Daisuke Araki, MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
Evaluating the Correlation Between Several Patellar Measurements and Patient’s Height and Weight - Matched Case-Control Study. ePoster Presentation Ahmad Essa, MPH MD, ISRAEL Dror Lindner, MD, ISRAEL Salah Khatib, MD, ISRAEL Gabriel Agar, Prof, ISRAEL Yiftah Beer, MD, ISRAEL
Does a Supervised Patient Ambulation Program Reduce the Risk of Falls after Total Joint Arthroplasty? ePoster Presentation Steven Kenney, DO, UNITED STATES Steven N. Copp, MD Julie McCauley, MPHc, UNITED STATES William Bugbee, MD, UNITED STATES
More Than Five Degrees Of Knee Hyperextension Before Acl Reconstruction Is Associated With Increased Failure Rate When Single Bundle Reconstruction With Hamstrings Is Performed ePoster Presentation Camilo P. Helito, MD, PhD, Prof, BRAZIL Tales Mollica Guimarães, MD, BRAZIL Marcel F. Sobrado, MD, PHD, BRAZIL Pedro N. Giglio, MD, BRAZIL Marcelo B. Bonadio, MD, BRAZIL José R. Pécora, Prof., BRAZIL Riccardo Gomes Gobbi, MD, PhD, BRAZIL Gilberto L. Camanho, MD, BRAZIL
The Predictors of Hamstring Autograft Failure in Anterior Cruciate Ligament Reconstruction in an Asian Population: Does Size Still Matter? ePoster Presentation Janice H. E. Tan, MBBS, SINGAPORE Alex Q. A. Teo, MBBChir(Cantab), SINGAPORE Joel Z. J. Lee, MBBS, SINGAPORE Fucai Han, MBBS, MRCS, MMed, FRCSEd, SINGAPORE

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Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies

Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies

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Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies

Management Of Acute Knee Dislocations: A Global Survey Of Orthopaedic Surgeons’ Strategies

Purpose

Methods

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Conclusions