Page 39 - ISAKOS 2021 Newsletter Volume 1

CURRENT CONCEPTS
Table I. Survey Findings*
Asian ISAKOS Consensus
Survey 2020 2016
Argentina Registry
North
America:
ACL Study
Group Sweden New Zealand Survey Registry UK Registry Registry
Surgical volume
Dedicated >50% 66% NA NA NA NA NA NA of practice to knee
surgery
Performed >25 81% ACLRs / yr
100% NA NA
38.8% Only 1 20.80% surgeon
performed >60 ACLRs/ year
Preferred graft for isolated primary ACL
Hamstrings 64% 90% 77.40% 25% 84.9% 90% 73.50%
BTB 21% 0 19.20% 59.40% 7.5% 9% 21.40%
Quadriceps 6% 10% 1.60% 15.60% 6.0% 36 cases 2%
Preferred technique for femoral tunnel drilling
Anteromedial portal 78% 50% 71.60% 53.10% 89.8% 75% 72.30%
Transtibial 11% 30% 27.90% 25% 6% 5% 10.30%
Retro-drilling 11% 20% 0.50% 12.50% 1.8% 20% 1.10%
Graft fixation system
Femoral fixation of 82% cortical 90% cortical 70.4% cortical NA 93.5% cortical NA 95% cortical hamstrings grafts button button button button button
Femoral fixation of 45% metallic NA BTB grafts screw, 38%
bioabsorbable screw
95% screw NA
74.8% NA 73% metallic metallic screw, screw 24.5% cortical
button
Tibial fixation of 62% hamstrings grafts bioabsorbable
screw
90% aperture fixation
87.6% screw NA
32.2% cortical NA button, 22.8% post fixation, 18.6% bioabsorbable screw, 13.9% metallic screw
54% cortical button
Tibial fixation of 47% metallic BTB grafts screw, 48%
bioabsorbable screw
NA
96% screw
NA
81.6% NA metallic
screw, 8.7% bioabsorbable screw
85% metallic screw
Used graft 64% NA NA NA NA NA pretensioning
techniques
Presoaked graft in 55% NA NA NA 23% NA 8.50% antibiotic solution
Position of knee for graft fixation
10°-30° knee 57% NA NA 55% NA NA NA flexion and neutral
rotation
Full extension and 23% NA NA 25% NA NA NA neutral rotation
ISAKOS NEWSLETTER 2021: VOLUME I 37