The Scandinavian ACL registries 2004–2007: baseline epidemiology

Abstract

Background and purpose No prospective surveillance systems have been available for monitoring the outcome of cruciate ligament surgery in Scandinavia (Denmark, Norway, and Sweden). In the present paper we describe the Scandinavian ACL registries including their main function, similarities, and preliminary baseline results.Methods The Scandinavian registries were established in 2004 (Norway) and 2005 (Denmark and Sweden). The Danish and Swedish registries were originally based on the Norwegian registry, and there is no overriding difference between the three. In Denmark, all hospitals and clinics are legally bound to report to an approved national database. In Norway and Sweden, the registries are based on voluntarily reporting by surgeons.Results The annual incidence of primary ACL reconstructions is higher in Denmark than in Norway, except in females younger than 20 years. Among Scandinavian surgeons, there is a similar approach to the patients. Differences do, however, exist regarding choice of grafts, choice of implants, and choice of treatment of simultaneous meniscal and cartilage injuries; the proportion of ACL reconstructions performed as outpatient surgery; and the use of prophylactic anticoagulation. Clinically, the preoperative KOOS scores are not significantly different between the Scandinavian registries, except that Denmark reports more symptoms both pre- and postoperatively.Interpretation The Scandinavian national ACL registries will generate new data about ACL reconstructions. They will contribute important knowledge regarding ACL epidemiology. They will be the only source of data on the performance of a wide range of different implants and techniques. In addition, they will hopefully have an impact on the selection of methods for ACL reconstructions in Scandinavia and elsewhere.

Complications following anterior cruciate ligament reconstruction in the English NHS

“…Of these, 77% received prophylactic anticoagulation and 5% encountered perioperative complications, 'most often due to graft failure' [29]. Interestingly the use of thromboprophylaxis ranged from 17% in Denmark to 78% in Norway but no information on type, duration, or dosage was available [30]. Results from the first two years from the Danish registry looked at 4972 primary ACL reconstructions and quoted a perioperative complication rate of 4.3% [31].…”

Verletzungen bei Sportlern

“…B. die Reduktion von Herz-Kreislauf-Erkrankungen belegt [5]. Darüber hinaus kann Sport im Sinne der Sekundärprävention eine medikamentöse Therapie bei Volkskrankheiten wie der koronaren Herzkrankheit, dem Schlaganfall, der Herzinsuffizienz, dem Diabetes mellitus und der Arthrose zumindest teilweise ergänzen oder gar ersetzen [6] [1,3].…”

Results From the Swedish National Anterior Cruciate Ligament Register

“…Some results based on data from the register have previously been published. 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.…”