The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies

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dc.contributor.advisorHeld, Michael
dc.contributor.authorVenter, Santa-Marie
dc.date.accessioned2022-07-04T18:37:12Z
dc.date.available2022-07-04T18:37:12Z
dc.date.issued2022
dc.date.updated2022-06-30T14:52:24Z
dc.description.abstractPurpose: 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.
dc.identifier.apacitationVenter, S. (2022). <i>The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies</i>. (). ,Faculty of Health Sciences ,Division of General Surgery. Retrieved from http://hdl.handle.net/11427/36611en_ZA
dc.identifier.chicagocitationVenter, Santa-Marie. <i>"The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies."</i> ., ,Faculty of Health Sciences ,Division of General Surgery, 2022. http://hdl.handle.net/11427/36611en_ZA
dc.identifier.citationVenter, S. 2022. The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies. . ,Faculty of Health Sciences ,Division of General Surgery. http://hdl.handle.net/11427/36611en_ZA
dc.identifier.ris TY - Master Thesis AU - Venter, Santa-Marie AB - Purpose: 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. DA - 2022 DB - OpenUCT DP - University of Cape Town KW - multiligament knee injuries KW - management knee dislocations LK - https://open.uct.ac.za PY - 2022 T1 - The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies TI - The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies UR - http://hdl.handle.net/11427/36611 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36611
dc.identifier.vancouvercitationVenter S. The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies. []. ,Faculty of Health Sciences ,Division of General Surgery, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36611en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of General Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.subjectmultiligament knee injuries
dc.subjectmanagement knee dislocations
dc.titleThe management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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