There is no general use of thromboprophylaxis and prolonged antibiotic prophylaxis in anterior cruciate ligament reconstruction: a nation-wide survey of ACL surgeons in Sweden
Purpose The use of prophylaxis for thromboembolism and infection in anterior cruciate ligament (ACL) reconstruction is not well documented and no general guidelines have been established. The aim of this study was to evaluate the ACL surgeons’ individual strategies of thromboprophylaxis, use of prol...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-08, Vol.28 (8), p.2535-2542 |
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| creator | Ekdahl, Victor Stålman, Anders Forssblad, Magnus Samuelsson, Kristian Edman, Gunnar Kraus Schmitz, Jesper |
| description | Purpose
The use of prophylaxis for thromboembolism and infection in anterior cruciate ligament (ACL) reconstruction is not well documented and no general guidelines have been established. The aim of this study was to evaluate the ACL surgeons’ individual strategies of thromboprophylaxis, use of prolonged antibiotic prophylaxis and vancomycin-soaked ACL grafts, and if its use is supported in the current literature. Additionally, the rationale for use of tourniquet was analysed.
Methods
Questionnaires were distributed to all Swedish ACL surgeons who are registered in the Swedish Knee Ligament Register (SKLR), asking about prescription of thromboprophylaxis, prolonged antibiotic prophylaxis, the use of vancomycin-soaked graft and the use of a tourniquet during surgery. The responses were assessed for agreement and the thromboprophylaxis data were analysed in relation to the 2016 SKLR data.
Results
115 (75%) ACL surgeons responded to the survey. 81.7% prescribed thromboprophylaxis only when risk factors, such as history of thrombosis and the use of oral contraceptives, were present. Female gender, older age and admitted patient were considered the risk factors with the lowest impact. The respondents were generally restrictive regarding the use of prolonged antibiotic prophylaxis. The use of vancomycin-soaked graft was used by only nine (8%) surgeons representing 406 (13%) of the surgeries.
Conclusion
Swedish ACL surgeons are generally restrictive using thromboprophylaxis and only when risk factors are present. However, there is a lack of consensus in how to weigh the different risk factors and it does not completely adhere to the existing literature
.
Prolonged antibiotic prophylaxis is rarely used and the use of vancomycin soaking of graft is very limited and applies only to a small number of surgeons. The use of tourniquet is common. There is a need for ACL-specific guidelines regarding the use of thromboprophylaxis.
Level of evidence
IV. |
| doi_str_mv | 10.1007/s00167-020-05851-7 |
| format | Article |
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The use of prophylaxis for thromboembolism and infection in anterior cruciate ligament (ACL) reconstruction is not well documented and no general guidelines have been established. The aim of this study was to evaluate the ACL surgeons’ individual strategies of thromboprophylaxis, use of prolonged antibiotic prophylaxis and vancomycin-soaked ACL grafts, and if its use is supported in the current literature. Additionally, the rationale for use of tourniquet was analysed.
Methods
Questionnaires were distributed to all Swedish ACL surgeons who are registered in the Swedish Knee Ligament Register (SKLR), asking about prescription of thromboprophylaxis, prolonged antibiotic prophylaxis, the use of vancomycin-soaked graft and the use of a tourniquet during surgery. The responses were assessed for agreement and the thromboprophylaxis data were analysed in relation to the 2016 SKLR data.
Results
115 (75%) ACL surgeons responded to the survey. 81.7% prescribed thromboprophylaxis only when risk factors, such as history of thrombosis and the use of oral contraceptives, were present. Female gender, older age and admitted patient were considered the risk factors with the lowest impact. The respondents were generally restrictive regarding the use of prolonged antibiotic prophylaxis. The use of vancomycin-soaked graft was used by only nine (8%) surgeons representing 406 (13%) of the surgeries.
Conclusion
Swedish ACL surgeons are generally restrictive using thromboprophylaxis and only when risk factors are present. However, there is a lack of consensus in how to weigh the different risk factors and it does not completely adhere to the existing literature
.
Prolonged antibiotic prophylaxis is rarely used and the use of vancomycin soaking of graft is very limited and applies only to a small number of surgeons. The use of tourniquet is common. There is a need for ACL-specific guidelines regarding the use of thromboprophylaxis.
Level of evidence
IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>ISSN: 1433-7347</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-05851-7</identifier><identifier>PMID: 32025765</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>ACL reconstruction ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction - adverse effects ; Antibiotic Prophylaxis ; Antibiotics ; Antithrombins - therapeutic use ; arthroscopic knee surgery ; Clinical Medicine ; complications ; Contraceptives ; Cross-Sectional Studies ; deep venous thrombosis ; Female ; Gender ; Grafting ; Guidelines ; Health Care Surveys ; Humans ; infections ; Klinisk medicin ; Knee ; Ligaments ; Male ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Oral contraceptives ; orthopedic-surgery ; Orthopedics ; Polls & surveys ; Practice Guidelines as Topic ; Practice Patterns, Physicians ; Prophylaxis ; pulmonary-embolism ; Retrospective Studies ; risk ; Risk analysis ; Risk Factors ; Sport Sciences ; Surgeons ; Surgery ; Surgical Wound Infection - prevention & control ; Sweden ; Thromboembolism ; Thromboembolism - prevention & control ; Thromboprophylaxis ; Thrombosis ; Tourniquets ; Transplants ; Vancomycin ; Vancomycin - therapeutic use</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-08, Vol.28 (8), p.2535-2542</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c600t-b6129cb7b4c0af91393d73c1138c7fcb34a2fe8a3d768c05bb2c4b4d4fbe42823</citedby><cites>FETCH-LOGICAL-c600t-b6129cb7b4c0af91393d73c1138c7fcb34a2fe8a3d768c05bb2c4b4d4fbe42823</cites><orcidid>0000-0002-6543-9714</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-020-05851-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-05851-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32025765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/291060$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:143069794$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekdahl, Victor</creatorcontrib><creatorcontrib>Stålman, Anders</creatorcontrib><creatorcontrib>Forssblad, Magnus</creatorcontrib><creatorcontrib>Samuelsson, Kristian</creatorcontrib><creatorcontrib>Edman, Gunnar</creatorcontrib><creatorcontrib>Kraus Schmitz, Jesper</creatorcontrib><title>There is no general use of thromboprophylaxis and prolonged antibiotic prophylaxis in anterior cruciate ligament reconstruction: a nation-wide survey of ACL surgeons in Sweden</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The use of prophylaxis for thromboembolism and infection in anterior cruciate ligament (ACL) reconstruction is not well documented and no general guidelines have been established. The aim of this study was to evaluate the ACL surgeons’ individual strategies of thromboprophylaxis, use of prolonged antibiotic prophylaxis and vancomycin-soaked ACL grafts, and if its use is supported in the current literature. Additionally, the rationale for use of tourniquet was analysed.
Methods
Questionnaires were distributed to all Swedish ACL surgeons who are registered in the Swedish Knee Ligament Register (SKLR), asking about prescription of thromboprophylaxis, prolonged antibiotic prophylaxis, the use of vancomycin-soaked graft and the use of a tourniquet during surgery. The responses were assessed for agreement and the thromboprophylaxis data were analysed in relation to the 2016 SKLR data.
Results
115 (75%) ACL surgeons responded to the survey. 81.7% prescribed thromboprophylaxis only when risk factors, such as history of thrombosis and the use of oral contraceptives, were present. Female gender, older age and admitted patient were considered the risk factors with the lowest impact. The respondents were generally restrictive regarding the use of prolonged antibiotic prophylaxis. The use of vancomycin-soaked graft was used by only nine (8%) surgeons representing 406 (13%) of the surgeries.
Conclusion
Swedish ACL surgeons are generally restrictive using thromboprophylaxis and only when risk factors are present. However, there is a lack of consensus in how to weigh the different risk factors and it does not completely adhere to the existing literature
.
Prolonged antibiotic prophylaxis is rarely used and the use of vancomycin soaking of graft is very limited and applies only to a small number of surgeons. The use of tourniquet is common. There is a need for ACL-specific guidelines regarding the use of thromboprophylaxis.
Level of evidence
IV.</description><subject>ACL reconstruction</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction - adverse effects</subject><subject>Antibiotic Prophylaxis</subject><subject>Antibiotics</subject><subject>Antithrombins - therapeutic use</subject><subject>arthroscopic knee surgery</subject><subject>Clinical Medicine</subject><subject>complications</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>deep venous thrombosis</subject><subject>Female</subject><subject>Gender</subject><subject>Grafting</subject><subject>Guidelines</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>infections</subject><subject>Klinisk medicin</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oral contraceptives</subject><subject>orthopedic-surgery</subject><subject>Orthopedics</subject><subject>Polls & surveys</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians</subject><subject>Prophylaxis</subject><subject>pulmonary-embolism</subject><subject>Retrospective Studies</subject><subject>risk</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sport Sciences</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Sweden</subject><subject>Thromboembolism</subject><subject>Thromboembolism - prevention & control</subject><subject>Thromboprophylaxis</subject><subject>Thrombosis</subject><subject>Tourniquets</subject><subject>Transplants</subject><subject>Vancomycin</subject><subject>Vancomycin - therapeutic use</subject><issn>0942-2056</issn><issn>1433-7347</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>D8T</sourceid><recordid>eNp9kkuP0zAQxyMEYpfCF-CALHHZS2D8SJxwQFpVvKRKHFjOluNMUi-pXexkSz8VXxGHdl9I7Mnz-M2MPf5n2UsKbyiAfBsBaClzYJBDURU0l4-yUyo4zyUX8nF2CrVgOYOiPMmexXgJkExRP81OOANWyLI4zX5frDEgsZE4T3p0GPRApojEd2RcB79p_Db47Xo_6F8J0q4lyR-867FN3mgb60dryF3IujmDwfpATJiM1SOSwfZ6g24kAY13cUzx0Xr3jmji9GzlO9siiVO4wv08_Xy5mr0eEz23_LbDFt3z7Emnh4gvjuci-_7xw8Xyc776-unL8nyVmxJgzJuSsto0shEGdFdTXvNWckMpr4zsTMOFZh1WOkXLykDRNMyIRrSia1CwivFFlh_6xh1up0Ztg93osFdeW3UM_UgWKiG5hJmv_8un3bS3RdeF6aOgrGUtHpzVT1uVQv00l7CaQgmJf3_gE7zB1qStpl-7P_Jextm16v2VkoLVBa1Sg7Njg-B_ThhHtbHR4DBoh36KivEiqYZD2tsie_0Peumn4NLqFRNcUCFBzq9nB8oEH2PA7uYyFNSsVXXQqkpaVX-1qmQqenX3GTcl1-JMAD_uJaWS4MLt7Afa_gG9Uvwu</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Ekdahl, Victor</creator><creator>Stålman, Anders</creator><creator>Forssblad, Magnus</creator><creator>Samuelsson, Kristian</creator><creator>Edman, Gunnar</creator><creator>Kraus Schmitz, Jesper</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-6543-9714</orcidid></search><sort><creationdate>20200801</creationdate><title>There is no general use of thromboprophylaxis and prolonged antibiotic prophylaxis in anterior cruciate ligament reconstruction: a nation-wide survey of ACL surgeons in Sweden</title><author>Ekdahl, Victor ; Stålman, Anders ; Forssblad, Magnus ; Samuelsson, Kristian ; Edman, Gunnar ; Kraus Schmitz, Jesper</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c600t-b6129cb7b4c0af91393d73c1138c7fcb34a2fe8a3d768c05bb2c4b4d4fbe42823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>ACL reconstruction</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction - adverse effects</topic><topic>Antibiotic Prophylaxis</topic><topic>Antibiotics</topic><topic>Antithrombins - therapeutic use</topic><topic>arthroscopic knee surgery</topic><topic>Clinical Medicine</topic><topic>complications</topic><topic>Contraceptives</topic><topic>Cross-Sectional Studies</topic><topic>deep venous thrombosis</topic><topic>Female</topic><topic>Gender</topic><topic>Grafting</topic><topic>Guidelines</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>infections</topic><topic>Klinisk medicin</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oral contraceptives</topic><topic>orthopedic-surgery</topic><topic>Orthopedics</topic><topic>Polls & surveys</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians</topic><topic>Prophylaxis</topic><topic>pulmonary-embolism</topic><topic>Retrospective Studies</topic><topic>risk</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Sport Sciences</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Sweden</topic><topic>Thromboembolism</topic><topic>Thromboembolism - prevention & control</topic><topic>Thromboprophylaxis</topic><topic>Thrombosis</topic><topic>Tourniquets</topic><topic>Transplants</topic><topic>Vancomycin</topic><topic>Vancomycin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekdahl, Victor</creatorcontrib><creatorcontrib>Stålman, Anders</creatorcontrib><creatorcontrib>Forssblad, Magnus</creatorcontrib><creatorcontrib>Samuelsson, Kristian</creatorcontrib><creatorcontrib>Edman, Gunnar</creatorcontrib><creatorcontrib>Kraus Schmitz, Jesper</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekdahl, Victor</au><au>Stålman, Anders</au><au>Forssblad, Magnus</au><au>Samuelsson, Kristian</au><au>Edman, Gunnar</au><au>Kraus Schmitz, Jesper</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>There is no general use of thromboprophylaxis and prolonged antibiotic prophylaxis in anterior cruciate ligament reconstruction: a nation-wide survey of ACL surgeons in Sweden</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>28</volume><issue>8</issue><spage>2535</spage><epage>2542</epage><pages>2535-2542</pages><issn>0942-2056</issn><issn>1433-7347</issn><eissn>1433-7347</eissn><abstract>Purpose
The use of prophylaxis for thromboembolism and infection in anterior cruciate ligament (ACL) reconstruction is not well documented and no general guidelines have been established. The aim of this study was to evaluate the ACL surgeons’ individual strategies of thromboprophylaxis, use of prolonged antibiotic prophylaxis and vancomycin-soaked ACL grafts, and if its use is supported in the current literature. Additionally, the rationale for use of tourniquet was analysed.
Methods
Questionnaires were distributed to all Swedish ACL surgeons who are registered in the Swedish Knee Ligament Register (SKLR), asking about prescription of thromboprophylaxis, prolonged antibiotic prophylaxis, the use of vancomycin-soaked graft and the use of a tourniquet during surgery. The responses were assessed for agreement and the thromboprophylaxis data were analysed in relation to the 2016 SKLR data.
Results
115 (75%) ACL surgeons responded to the survey. 81.7% prescribed thromboprophylaxis only when risk factors, such as history of thrombosis and the use of oral contraceptives, were present. Female gender, older age and admitted patient were considered the risk factors with the lowest impact. The respondents were generally restrictive regarding the use of prolonged antibiotic prophylaxis. The use of vancomycin-soaked graft was used by only nine (8%) surgeons representing 406 (13%) of the surgeries.
Conclusion
Swedish ACL surgeons are generally restrictive using thromboprophylaxis and only when risk factors are present. However, there is a lack of consensus in how to weigh the different risk factors and it does not completely adhere to the existing literature
.
Prolonged antibiotic prophylaxis is rarely used and the use of vancomycin soaking of graft is very limited and applies only to a small number of surgeons. The use of tourniquet is common. There is a need for ACL-specific guidelines regarding the use of thromboprophylaxis.
Level of evidence
IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32025765</pmid><doi>10.1007/s00167-020-05851-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6543-9714</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-08, Vol.28 (8), p.2535-2542 |
| issn | 0942-2056 1433-7347 1433-7347 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_473702 |
| source | MEDLINE; SpringerLink Journals; SWEPUB Freely available online; Access via Wiley Online Library |
| subjects | ACL reconstruction Anterior cruciate ligament Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction - adverse effects Antibiotic Prophylaxis Antibiotics Antithrombins - therapeutic use arthroscopic knee surgery Clinical Medicine complications Contraceptives Cross-Sectional Studies deep venous thrombosis Female Gender Grafting Guidelines Health Care Surveys Humans infections Klinisk medicin Knee Ligaments Male Medicin och hälsovetenskap Medicine Medicine & Public Health Oral contraceptives orthopedic-surgery Orthopedics Polls & surveys Practice Guidelines as Topic Practice Patterns, Physicians Prophylaxis pulmonary-embolism Retrospective Studies risk Risk analysis Risk Factors Sport Sciences Surgeons Surgery Surgical Wound Infection - prevention & control Sweden Thromboembolism Thromboembolism - prevention & control Thromboprophylaxis Thrombosis Tourniquets Transplants Vancomycin Vancomycin - therapeutic use |
| title | There is no general use of thromboprophylaxis and prolonged antibiotic prophylaxis in anterior cruciate ligament reconstruction: a nation-wide survey of ACL surgeons in Sweden |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T10%3A10%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=There%20is%20no%20general%20use%20of%20thromboprophylaxis%20and%20prolonged%20antibiotic%20prophylaxis%20in%20anterior%20cruciate%20ligament%20reconstruction:%20a%20nation-wide%20survey%20of%20ACL%20surgeons%20in%20Sweden&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=Ekdahl,%20Victor&rft.date=2020-08-01&rft.volume=28&rft.issue=8&rft.spage=2535&rft.epage=2542&rft.pages=2535-2542&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s00167-020-05851-7&rft_dat=%3Cproquest_swepu%3E2434147072%3C/proquest_swepu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2434147072&rft_id=info:pmid/32025765&rfr_iscdi=true |