Graft Tunnel Mismatch Survey AOSSM

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How many ACL reconstructions do you estimate you perform in a year? *

<25

25-50

51-75

76-100

>100

Other:

In what percentage of your ACLs do you employ a single bundle BTB graft? *

<25%

25-50%

51-75%

>75%

What technique do you primarily utilize for femoral tunnel drilling? *

Trans-tibial

Standard medial portal

Accessory medial portal

Other:

What type of guide do you use for drilling the femoral tunnel? *

Standard trans-tibial guide through trans-tibial approach

Standard trans-tibial guide through medial portal

Trans-portal ACL guide through medial or accessory medial portal

Retrograde reamer or rear entry guide with outside in pin insertion

Other:

What is the closest estimate of knee flexion angle used while drilling the femoral tunnel. *

<90 degrees

90-94 degrees

95-100 degrees

101-105 degrees

106-110 degrees

111-115 degrees

116-120 degrees

>120 degrees

Other:

What is the closest estimate of the average angle set on your tibial guide? *

40 degrees

45 degrees

50 degrees

55 degrees

60 degrees

Other:

In what percentage of your cases do you estimate graft tunnel mismatch occurs? *

<1%

1-5%

5-10%

10-15%

15-20%

20-25%

>25%

Other:

On average when graft tunnel mismatch occurs, how severe is the length discrepancy? Please estimate referencing from the anterior (proximal most portion) of the tibial tunnel as shown below. *

<5 mm

5-10 mm

>10 mm

For <5 mm graft tunnel mismatch, what technique do you primarily employ? *

Adjusting angle of tibial tunnel

Recess femoral bone plug with INSIDE OUT bone plug fixation

Recess femoral bone plug with OUTSIDE IN bone plug fixation

Free bone block technique

Graft rotation (Twisting graft)

Tying sutures over tibial screw post

Other:

For 5-10 mm graft tunnel mismatch, what technique do you primarily employ? *

Adjusting angle of tibial tunnel

Recess femoral bone plug with INSIDE OUT bone plug fixation

Recess femoral bone plug with OUTSIDE IN bone plug fixation

Free bone block technique

Graft rotation (Twisting graft)

Tying sutures over tibial screw post

Other:

For >10 mm graft tunnel mismatch, what technique do you primarily employ? *

Adjusting angle of tibial tunnel

Recess femoral bone plug with INSIDE OUT bone plug fixation

Recess femoral bone plug with OUTSIDE IN bone plug fixation

Free bone block technique

Graft rotation (Twisting graft)

Tying sutures over tibial screw post

Other:

If rotation of the graft is employed in which direction is it rotated? *

Internal rotation

External rotation

Graft rotation not utilized

Other:

If rotation of the graft is employed how much is the graft rotated? *

90 degrees

180 degrees

270 degrees

360 degrees

Graft rotation not utilized

Other:

Years of practice after training *

<1 year

1-5 years

6-10 years

10-15 years

>15 years

Did you complete a sports medicine fellowship? *

Yes

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