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In a population-based epidemiological study published in the July 6, 2016 Journal of Bone & Joint Surgery, Tibor et al. found that from 2007 to 2014:

    • Many ACL-reconstruction surgeons changed from a transtibial approach to either an anteromedial portal or lateral approach for femoral-tunnel drilling.
    • Most did not substantially change the types of grafts they used.
    • Many eschewed first-generation bioabsorbable implants in favor of biocomposite fixation devices.

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The authors found no change in cumulative revision rates during the study period.

Tibor et al. analyzed information from 21,686 primary ACL reconstructions housed in a Kaiser Permanente registry that collected data from surgeries performed in 33 hospitals by 246 surgeons in urban, rural, and suburban settings in three Western US states.

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