Analysis of 16,192 Anterior Cruciate Ligament Reconstructions From a Community-Based Registry

Abstract

Large, community-based ACLRRs are useful in informing participating surgeons of current treatment practices, prevalence of concurrent injuries, and outcomes associated with the procedures. Information from the ACLRR can be used to develop interactive patient and surgeon tools that can be used to optimize patient care.

Results From the Swedish National Anterior Cruciate Ligament Register

“…13 Other databases report higher female percentages for primary reconstructions 11 and lower percentages of females with regard to primary and revision reconstructions. 6,12 Younger patients had a higher rate of revisions and bilateral reconstructions, thereby confirming previous studies. 2,6,7,13 Previous reports from the Swedish ACL Register have reported a higher rate of re-reconstruction for the specific group of females who sustained their injury playing soccer.…”

“…6,12 Younger patients had a higher rate of revisions and bilateral reconstructions, thereby confirming previous studies. 2,6,7,13 Previous reports from the Swedish ACL Register have reported a higher rate of re-reconstruction for the specific group of females who sustained their injury playing soccer. 2 Walden et al showed that ACL injuries can be prevented in adolescent female soccer players after introducing an injury prevention program.…”

“…1,2 Similar registers exist in other countries, such as the Danish 3 and Norwegian registers, 4 as well as the Multicenter Orthopedic Outcomes Network study (MOON study). 5 In addition, databases like the Kaiser Permanente Anterior Cruciate Ligament Reconstruction Registry (KPACLRR) 6 and the New York database 7 exist but without patient-reported outcomes.…”

Greater fear of re-injury and increased tibial translation in patients who later sustain an ACL graft rupture or a contralateral ACL rupture: a pilot study

“…During the same period, approximately 5-6% will sustain a contralateral ACL rupture (Ahlden et al, 2012;Crawford, Waterman, & Lubowitz, 2013;Hettrich, Dunn, Reinke, Group, & Spindler, 2013;Lind, Menhert, & Pedersen, 2012;Salmon, Russell, Musgrove, Pinczewski, & Refshauge, 2005;Shelbourne, Gray, & Haro, 2009;Spindler et al, 2013). Young age (Ahlden et al, 2012;Faltstrom, Hagglund, Magnusson, Forssblad, & Kvist, 2014;Hettrich et al, 2013;Kvist, Kartus, Karlsson, & Forssblad, 2014;Lind et al, 2012;Magnussen et al, 2012;Maletis, Inacio, & Funahashi, 2013;Shelbourne et al, 2009;Wasserstein et al, 2013;Webster, Feller, Leigh, & Richmond, 2014) and returning to high activity level after an ACL injury (Borchers, Pedroza, & Kaeding, 2009;Faltstrom, Hagglund, & Kvist, 2013;Salmon et al, 2005;Shelbourne et al, 2009;Sward et al, 2010) have been highlighted as the most important risk factors for sustaining a contralateral ACL injury or an ACL graft rupture. Age may be a proxy for neuromuscular maturation, and altered neuromuscular control of the knee and hip and impaired postural stability has been reported to predict a second ACL injury (Paterno et al, 2010).…”

Can Additional Information Be Obtained from Claims Data to Support Surgical Site Infection Diagnosis Codes?

“…7,29 Only 2 studies that reported low SSI rates were from multiple institutions. Maletis et al 21 reported an overall SSI rate of 0.46% (0.3% deep SSI, 0.1% superficial SSI), using a Kaiser Permanente registry, with all outcomes verified by chart review. Jameson et al 20 utilized data from the English National Health Service and reported a rate of 0.25% for deep infection within 30 days and 0.75% for wound complication (infection and hematoma), but identification of complications relied solely on hospital readmissions.…”