Public Perception Regarding Anterior Cruciate Ligament Reconstruction

Matava, Matthew J.; Howard, Daniel R.; Polakof, Landon S.; Brophy, Robert H.

doi:10.2106/jbjs.m.00705

Cited by 19 publications

(12 citation statements)

References 18 publications

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“…This result suggests that their knowledge may also have been obtained from sources other than the study information. Furthermore, Matava et al (11) queried 210 respondents and confirmed that the risk of future OA following ACL reconstruction was the second most important concern for the lay public. Our findings concur that most of the respondents acknowledge that having OA would be a major health concern to them.…”

Section: Discussionmentioning

confidence: 99%

Patient Knowledge and Beliefs About Knee Osteoarthritis After Anterior Cruciate Ligament Injury and Reconstruction

Bennell

Ginckel

Kean

et al. 2016

Arthritis Care & Research

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Objective. To explore patients' knowledge and beliefs about osteoarthritis (OA) and OA risk following anterior cruciate ligament (ACL) injury, to explore the extent to which information about these risks is provided by health professionals, and to examine associations among participant characteristics, knowledge, and risk beliefs and health professional advice. Methods. A custom-designed survey was conducted in Australian and American adults who sustained an ACL injury, with or without reconstruction, 1-5 years prior. The survey comprised 3 sections: participant characteristics, knowledge about OA and OA risk, and health professional advice. Results. Complete data sets from 233 eligible respondents were analyzed. Most (70%, n 5 164) rated themselves as being at greater risk of OA than their healthy peers, although only 56% (n 5 130) were able to identify the correct OA definition. While most agreed that ACL (73%, n 5 168) and/or meniscal injuries (n 5 181, 78%) increase the risk of OA, 65% (n 5 152) believed that ACL reconstruction reduced the risk of OA, or they did not know. A total of 27% (n 5 62) recalled discussing their OA risk with a health professional. Participants who were female, younger, or had a lower body mass index or higher physical activity level were more likely to recognize meniscal tears and meniscectomy as risk factors of OA. A history of professional advice was associated with beliefs about increased OA risks. Conclusion. Patients sustaining an ACL injury require better education from health professionals about OA as a disease entity and their elevated risk of OA, irrespective of whether or not they undergo surgical reconstruction.

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Section: Discussionmentioning

confidence: 99%

Patient Knowledge and Beliefs About Knee Osteoarthritis After Anterior Cruciate Ligament Injury and Reconstruction

Bennell

Ginckel

Kean

et al. 2016

Arthritis Care & Research

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“… 1 , 2 , 3 , 4 , 5 , 6 This trend has recently reversed, as seen in the more recent ACL surveys by Magnussen et al 6 and Middleton et al. 10 This is perhaps influenced by public perception, as reflected in a recent study by Matava et al, 12 who surveyed 210 individuals in North America regarding their perception of ACL reconstruction; more than half (56%) preferred autograft ACL reconstruction. Allograft tissue is also not readily available in many Asian and European countries and is only permitted for use when all other autograft sources had been exhausted.…”

Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction: A 2015 global perspective of the Magellan Society

Lee

Kuroda

Chan

2015

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Background/objectiveThe Magellan Society is composed of > 150 high-volume fellowship-trained sports surgeons from four continents. These surgeons represent their regional sports organisations in travelling fellowships and are considered to be opinion leaders in their respective organisations. Prior to the 2014 Magellan Meeting in Arima, Japan, a survey was conducted to understand how Magellan members perform anterior cruciate ligament (ACL) reconstruction. This study aims to better understand how ACL reconstruction is performed by sports surgeons worldwide and to determine differences in surgical practice.MethodsA survey was conducted prior to the Magellan Meeting in Arima, Japan. Information on ACL graft of choice for primary surgery and revision surgery, preferred surgical techniques, and femoral and tibial graft fixation methods was collected. The incidence of meniscal tears and the management of injuries in ACL surgery were also studied. The results of the survey are discussed in this article.ResultsA response rate of 51% (72 member respondents) was achieved for this survey. Hamstring autograft (58%) was the graft of choice for primary ACL reconstruction. The next most common autograft used was bone patella tendon bone autograft (28%). Allograft was the graft of choice in only 4% of respondents. The region of origin of surgeons and the age of surgeons were factors in the ACL graft of choice. Seventy-five percent of surgeons practised single-bundle ACL reconstructions only, 22% performed both single-bundle and double-bundle ACL reconstructions, and 3% performed double-bundle ACL reconstructions exclusively. Sixty-two percent of the respondents drilled femoral tunnels using the anteromedial portal technique. Meniscus repairs were performed in 25% of ACL reconstructions, on average.ConclusionBased on the survey, hamstring transportal anatomic single-bundle ACL reconstruction with meniscus preservation is the preferred ACL reconstruction technique of high-volume fellowship-trained sports surgeons.

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“…31 Another study regarding public perception of anterior cruciate ligament surgery found that participants, who likely had high levels of physical function, were highly concerned about returning to activity. 32 Additionally, studies in patients undergoing total knee arthroplasty have shown that the majority of patients expected improvement in daily activities and participation in sports; however, these studies did not consider preoperative knee and physical function. 33,34 There are several studies identifying different characteristics associated with preoperative expectations in other orthopaedic populations.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Expectations of Patients Undergoing Knee Surgery

et al. 2019

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There is limited validated data regarding the relationship between preoperative expectations and patient-reported outcomes (PROs) in patients undergoing knee surgery. The purpose of this study was to (1) assess the preoperative expectations of patients undergoing knee surgery and (2) determine the relationship between preoperative patient demographics, PROs, and preoperative patient expectations. We hypothesized that younger patients with worse function and worse general health status would have greater expectations of knee surgery. We analyzed data from 399 patients undergoing knee surgery at an urban academic medical center. We utilized the Musculoskeletal Outcomes Data Evaluation and Management System to measure preoperative expectations. Multiple legacy PRO measures were recorded, as well as the new Patient-Reported Outcomes Measurement Information Systems (PROMIS) Computer Adaptive Testing. Nonparametric statistical analyses were performed to determine significance. Overall, patients undergoing knee surgery had high expectations, with a mean of 88.0 (95% confidence interval [CI], 86.7–89.3) and median of 91.7 (95% CI, 89.2–94.3). Greater preoperative expectations of knee surgery were associated with higher income, surgically naïve knee, lower Charlson Comorbidity Index, better PROMIS Depression and Anxiety scores, greater Marx knee activity scores, and lower total body pain (p < 0.05). Preoperative expectations of patients undergoing knee surgery are associated with a history of prior knee surgery, income, general and mental health, activity, and pain. Expectations were also found to be associated with PRO measures of function and psychological well-being. These findings may have implications for patient education and shared decision-making preoperatively. The Level of Evidence for the study is IV.

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Public Perception Regarding Anterior Cruciate Ligament Reconstruction

Cited by 19 publications

References 18 publications

Patient Knowledge and Beliefs About Knee Osteoarthritis After Anterior Cruciate Ligament Injury and Reconstruction

Patient Knowledge and Beliefs About Knee Osteoarthritis After Anterior Cruciate Ligament Injury and Reconstruction

Anterior Cruciate Ligament Reconstruction: A 2015 global perspective of the Magellan Society

Preoperative Expectations of Patients Undergoing Knee Surgery

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