ACL tears are painful and can lead to permanent disability if left untreated. Most surgeons agree that tear surgery should be performed if necessary, within a month or two of the accident, which is usually the case for young athletes. Prolonged delay can lead to additional and permanent knee injury.
Sports medicine specialist Neeraj M. Patel and his colleagues in Chicago, N. and Robert H. Examined 543 young patients who had ACL surgery at Lurie Children’s Hospital. The mean age of the patient was 16. The number of boys and girls was even.
Parents whose parents spoke a language other than English were twice as likely to have surgery more than 90 days after the accident. This disparity persisted regardless of where the researchers considered the state of insurance.
Tips to orthopedic surgery departments on counseling of parents
Orthopedic surgery departments must provide equal care to children and adolescents whose parents speak a language other than English. Some of the tips they recommend are:
1. Greater need for bilingual health workers
2. To arrange for the availability of a better interpreter,
3. By making health information readily available in spoken dialects by the neighborhood,
4. Collaborate with medical practices, community groups, and educational institutions to promote awareness of ACL injuries, accelerate diagnosis and treatment, and
5. Teach medical staff to ensure that families are aware of treatment options for ACL injuries and actively participate in treatment options.
“Institutions should promote a culture of care that is sensitive and tailored to the needs of those whose preferred language is not English,” conclude the authors. “This should include investigation and interaction with such families to better determine their specific barriers to care, the biases they face, and their health needs.”
“Patel and his colleagues have done a great job identifying the role of community participation and patient education in the discussion of the findings. Where we need to improve is to identify specific barriers to care that may be a shared lived experience. affect individuals from specific communities,” he said. Kwadwo Adu Owusu-Akyaw, MD, a sports medicine specialist at OrthoVirginia in Richmond, VA.