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- Talk
- Canada
Quadriceps Tendon Ruptures: Current Landscape of Treatment - A Survey Comparison Study of Canadian and American Surgeons
Description
The presentation, led by Norah-Faye Matthies, discusses quadriceps tendon ruptures, emphasizing their rarity and severe impact on surgical and rehabilitation processes. These injuries primarily occur in individuals around 50 years old, typically due to eccentric contraction during an accident, such as slipping. The treatment of choice is surgical repair, yet the best repair method remains debated. The speaker highlights the lack of high-quality literature detailing treatment protocols and describes a study aimed at assessing treatment trends among Canadian and American surgeons regarding diagnostics, surgery, and rehabilitation timings.
The methodology included obtaining ethics approval, conducting a literature review, and using a survey distributed to surgeons across North America, resulting in 136 Canadian and 128 American responses. Key findings showed significant differences in imaging practices; Canadians utilized ultrasound preoperatively more than Americans, who preferred MRI. Surgical techniques also varied, with America favoring suture anchors over the transosseous drill tunnel method commonly used in Canada. Post-operative practices revealed a general consensus of 6-8 weeks immobilization, but Americans demonstrated a tendency to allow for earlier range of motion exercises.
The conclusion stresses the absence of a standardized consensus for managing quadriceps tendon ruptures and encourages a review of geographic treatment approaches for improved decision-making among surgeons. Future research is urged to fill the gaps in the current literature.