{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:10:41Z","timestamp":1792613441153,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To survey members of The ACL study group to determine the current practice patterns surrounding the technique of pre\u2010soaking ACL grafts in vancomycin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A web\u2010based questionnaire was distributed to members of the ACL Study Group. Questions included the use of vancomycin solution for graft soaking during ACL reconstruction, their protocol for soaking the graft, vancomycin concentration utilized, graft choices, and concerns with the technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010six (57%) ACL surgeons completed the survey. Approximately one\u2010third (37.9%) of respondents currently pre\u2010soak their ACL grafts in vancomycin prior to implantation, with 60% of these surgeons being from Europe. Seventy\u2010six percent have adopted this practice within the past 5 years. The majority of surgeons wrap the graft in a vancomycin\u2010soaked gauze prior to implantation (56%), soak for a variable amount of time before implantation (56%), use a concentration of 5\u00a0mg\/mL (68%), and soak hamstring grafts (92%). Concerns included the mechanical properties of the graft (35%), cost of vancomycin (23%), availability (12%), and antibiotic resistance (9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This survey demonstrates that 37.9% of ACL study group members currently utilize vancomycin to pre\u2010soak ACL tendon grafts as a means to decrease post\u2010operative infection risk, with the majority of surgeons having implemented this practice within the past 5 years. The biggest concern towards using vancomycin was the mechanical properties of the graft after soaking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06265-1","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T07:42:31Z","timestamp":1599723751000},"page":"1920-1926","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Surgeon practice patterns for pre\u2010soaking ACL tendon grafts in vancomycin: a survey of the ACL study group"],"prefix":"10.1002","volume":"29","author":[{"given":"Michelle","family":"Xiao","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Stanford University School of Medicine 341 Galvez St, Mail Code 6175 94305 Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth L.","family":"Sherman","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Stanford University School of Medicine 341 Galvez St, Mail Code 6175 94305 Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc R.","family":"Safran","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Stanford University School of Medicine 341 Galvez St, Mail Code 6175 94305 Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey D.","family":"Abrams","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Stanford University School of Medicine 341 Galvez St, Mail Code 6175 94305 Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20108063(92)90039\u2010E"},{"key":"e_1_2_10_3_2","unstructured":"BaniosK KomnosGA RaoulisV BarekaM ChalatsisG HantesMESoaking of autografts with vancomycin is highly effective on preventing postoperative septic arthritis in patients undergoing ACL reconstruction with hamstrings autografts.Knee Surg Sports Traumatol Arthrosc(2020)10.1007\/s00167\u2010020\u201006040\u2010232363476"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517714450"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509346414"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00270"},{"key":"e_1_2_10_7_2","unstructured":"BohuY KloucheS SezerHB HermanS GrimaudO GeromettaAet al. 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Seth L. Sherman has the following disclosures: ACL Study Group: Board or committee member; American Journal of Orthopedics: Editorial or governing board; American Orthopaedic Society for Sports Medicine: Board or committee member; Arthrex, Inc: Paid consultant; Research support; Arthroscopy: Editorial or governing board; Arthroscopy Association of North America: Board or committee member; Ceterix Orthopaedics: Paid consultant; CONMED Linvatec: Paid consultant; Flexion Therapeutics: Paid consultant; GLG Consulting: Paid consultant; International Cartilage Regeneration & Joint Preservation Society: Board or committee member; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member; JRF Ortho: Paid consultant; Moximed: Paid consultant; Olympus: Paid consultant; Vericel: Paid consultant. Marc R Safran has the following disclosures: American Journal of Sports Medicine: Editorial or governing board; Biomimedica: Stock or stock Options; Unpaid consultant; DJ Orthopaedics: IP royalties; International Society for Hip Arthroscopy: Board or committee member; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member; JISAKOS: Editorial or governing board; Journal of Hip Preservation Surgery: Editorial or governing board; Medacta: Paid consultant; Paid presenter or speaker; Saunders\/Mosby-Elsevier: Publishing royalties, financial or material support; Smith & Nephew: IP royalties; Paid presenter or speaker; Research support; Stryker: IP royalties; Wolters Kluwer Health\u2014Lippincott Williams & Wilkins: Publishing royalties, financial or material support. Geoffrey D Abrams has the following disclosures: AAOS: Board or committee member; American Orthopaedic Society for Sports Medicine: Board or committee member; Arthrex, Inc: Other financial or material support; Cytonics Inc.: Paid consultant; Stock or stock Options; Fidia Pharma: Paid consultant; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member; RubiconMD: Paid consultant; Sideline Sports Doc: Paid consultant; Stryker: Other financial or material support; TeachAIDS: Unpaid consultant.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"N\/A.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"N\/A.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}