Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies
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...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Division of General Surgery
2022
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613337601179648 |
|---|---|
| access_status_str | Open Access |
| author | Venter, Santa-Marie |
| author2 | Held, Michael |
| author_browse | Held, Michael Venter, Santa-Marie |
| author_facet | Held, Michael Venter, Santa-Marie |
| author_sort | Venter, Santa-Marie |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/36611 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:32.198Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/36611 The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies Venter, Santa-Marie Held, Michael multiligament knee injuries management knee dislocations 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. 2022-07-04T18:37:12Z 2022-07-04T18:37:12Z 2022 2022-06-30T14:52:24Z Master Thesis Masters MMed http://hdl.handle.net/11427/36611 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | multiligament knee injuries management knee dislocations Venter, Santa-Marie The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| thesis_degree_str | Master's |
| title | The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| title_full | The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| title_fullStr | The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| title_full_unstemmed | The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| title_short | The management of acute knee dislocations: a global survey of orthopaedic surgeons' strategies |
| title_sort | management of acute knee dislocations a global survey of orthopaedic surgeons strategies |
| topic | multiligament knee injuries management knee dislocations |
| url | http://hdl.handle.net/11427/36611 |
| work_keys_str_mv | AT ventersantamarie themanagementofacutekneedislocationsaglobalsurveyoforthopaedicsurgeonsstrategies AT ventersantamarie managementofacutekneedislocationsaglobalsurveyoforthopaedicsurgeonsstrategies |