Document Type : RESEARCH PAPER
Authors
1
Department of Orthopedic and Trauma Surgery, Tehran University of Medical Sciences, Tehran, Iran
2
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran- Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
4
Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5
6 Milad Hospital, Tehran, Iran
6
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran- Bone and Joint Research laboratory, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran - Department of Regenerative Medicine and Cell Therapy, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
7
Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
8
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran - Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
10.22038/abjs.2025.85348.3889
Abstract
Objectives: The survey conducted at the 2024 biennial meeting of the Iranian Society of Knee Surgery,
Arthroscopy, and Sports Traumatology (ISKAST) aimed to assess practice trends among ISKAST
members in primary total knee arthroplasty (TKA), thereby providing a benchmark for future studies.
Methods: The session moderator presented multiple-choice questions via an audience response system to 94
registered ISKAST members. Responses were collected centrally and subsequently displayed to the audience after
a brief interval.
Results: The survey revealed that most ISKAST surgeons, reflecting their high level of expertise, work in diverse
settings, with more than half performing over 100 TKAs annually. Regarding perioperative management, the majority
of respondents utilize spinal anesthesia and tranexamic acid, with a significant number applying tourniquets during
surgery. The median parapatellar approach and posterior cruciate-substituting designs are commonly preferred for
routine TKA procedures. Additionally, pain management is primarily achieved through patient-controlled analgesia,
while low-molecular-weight heparin, combined with mechanical measures, is the most common method for venous
thromboembolism prophylaxis. Although follow-up practices vary, the majority of surgeons schedule annual
postoperative visits.
Conclusion: The survey results provide valuable insights into the approaches of knee surgeons in Iran toward TKA,
highlighting both common practices and variations in treatment methods. While these findings reflect current
practices, they may not represent the most optimal techniques. This underscores the need for further research to
validate these results and explore their applicability to a broader patient population.
Level of evidence: V
Keywords
Main Subjects
)