- 作者：Brandon J. Erickson ; M.D. ; berickso.24@gmail.com" class="auth_mail ; Joshua D. Harris ; M.D. ; Yale A. Fillingham ; M.D. ; Rachel M. Frank ; M.D. ; Charles A. Bush-Joseph ; M.D. ; Bernard R. Bach Jr ; M.D. ; Brian J. Cole ; M.D. ; M.B.A. ; Nikhil N. Verma ; M.D.
- 刊名：Arthroscopy: The Journal of Arthroscopic & Related Surgery
- 出版年：June 2014
- 年：2014
- 卷：30
- 期：6
- 页码：731-738
- 全文大小：461 K
Methods
Two hundred sixty-seven NFL and NCAA Division I team orthopaedic surgeons were surveyed through an online survey. A 9-question survey assessed surgeon experience, graft choice, femoral tunnel drilling access, number of graft bundles, and rehabilitation after ACL reconstruction.
Results
One hundred thirty-seven team orthopaedic surgeons (51%) responded (mean experience 16.75 ± 8.7 years). Surgeons performed 82 ± 50 ACL reconstructions in 2012. One hundred eighteen surgeons (86%) would use bone–patellar tendon–bone (BPTB) autografts to treat their starting running backs. Ninety (67%) surgeons drill the femoral tunnel through an accessory anteromedial portal (26% through a transtibial portal). Only 1 surgeon prefers a double-bundle to a single-bundle reconstruction. Seventy-seven (55.8%) surgeons recommend waiting at least 6 months before return to sport, whereas 17 (12.3%) wait at least 9 months. No surgeon recommends waiting 12 months or more before return to sport. Eighty-eight (64%) surgeons do not recommend a brace for their starting running backs during sport once they return to play.
Conclusions
BPTB is the most frequently used graft for ACL reconstruction by NFL and NCAA Division I team physicians in their elite-level running backs. Nearly all surgeons always use a single-bundle technique, and most do not recommend a brace on return to sport in running backs. Return to sport most commonly occurs at least 6 months postoperatively, with some surgeons requiring a normal examination and normal return-to-sport testing (single leg hop).