Results From the Swedish National Anterior Cruciate Ligament Register
Purpose The purpose of the study was to analyze the baseline variables and clinical outcomes for almost 24,000 patients entered into the Swedish National ACL Register between January 2005 and December 2012. Methods The register consists of 2 parts: 1 section in which surgeons report baseline and sur...
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| Veröffentlicht in: | Arthroscopy 2014-07, Vol.30 (7), p.803-810 |
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| creator | Kvist, Joanna, P.T., Ph.D Kartus, Jüri, M.D., Ph.D Karlsson, Jon, M.D., Ph.D Forssblad, Magnus, M.D., Ph.D |
| description | Purpose The purpose of the study was to analyze the baseline variables and clinical outcomes for almost 24,000 patients entered into the Swedish National ACL Register between January 2005 and December 2012. Methods The register consists of 2 parts: 1 section in which surgeons report baseline and surgical data and 1 section in which patients report the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EQ-5D score before and 1, 2, and 5 years after surgery. Results By December 2012, 23,744 patients had been entered into the surgeons’ part of the register. The female-male ratio in the register is 42:58. The mean age at primary anterior cruciate ligament (ACL) reconstruction was 26 years (SD, 11 years) and 28 years (SD, 9 years) for the female and male patients, respectively. The ACL injury occurred during soccer in 36% of the female patients and 49% of the male patients. In 2012, 95% of the primary ACL reconstructions were performed using hamstring tendon autografts. For patients who had a minimum of 5 years’ follow-up, the revision rate was 3.3% and the contralateral reconstruction rate was 3.8%. On all follow-up occasions up to 5 years, patients who had undergone revision had a significantly ( P |
| doi_str_mv | 10.1016/j.arthro.2014.02.036 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_522135</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0749806314001972</els_id><sourcerecordid>1539466788</sourcerecordid><originalsourceid>FETCH-LOGICAL-c713t-b2888e4f6c183bbabcd0174755b4ba330557f71a510263ad975d3a16aba9a35e3</originalsourceid><addsrcrecordid>eNqFkktv1DAUhS0EokPhHyCUJZukfuaxQRpNW0AagdQCW8tx7mQ8TeLBD6r-exxl2gWLsrJ1_Z17dX0OQu8JLggm5cWhUC7snS0oJrzAtMCsfIFWRNAyZ5SRl2iFK97kNS7ZGXrj_QFjzFjNXqMzyitecsxX6OoGfByCz66dHbOwh-z2Hjrj99k3FYyd1JCtpwDOWJdtXNRGBci2plcjTCG7gd749PoWvdqpwcO703mOfl5f_dh8ybffP3_drLe5rggLeUvruga-KzWpWduqVneYVLwSouWtYgwLUe0qogTBtGSqayrRMUVK1apGMQHsHOVLX38Px9jKozOjcg_SKiNPpbt0AykoJUw8y_fxKFOpjzNPmpoI_Cx_aX6tpXW9HEyUBDeU88R_XPijs78j-CBH4zUMg5rARi-JYA0vy6quE8oXVDvrvYPdU3OC5WyoPMjFUDkbKjGVydAk-3CaENsRuifRo4MJ-LQAkP79jwEnvTYw6WSiAx1kZ83_JvzbQA9mMloNd_AA_mCjSylIu0ifBPJ2DtWcKcIxJk1F2V8rEMjR</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1539466788</pqid></control><display><type>article</type><title>Results From the Swedish National Anterior Cruciate Ligament Register</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>SWEPUB Freely available online</source><creator>Kvist, Joanna, P.T., Ph.D ; Kartus, Jüri, M.D., Ph.D ; Karlsson, Jon, M.D., Ph.D ; Forssblad, Magnus, M.D., Ph.D</creator><creatorcontrib>Kvist, Joanna, P.T., Ph.D ; Kartus, Jüri, M.D., Ph.D ; Karlsson, Jon, M.D., Ph.D ; Forssblad, Magnus, M.D., Ph.D</creatorcontrib><description>Purpose The purpose of the study was to analyze the baseline variables and clinical outcomes for almost 24,000 patients entered into the Swedish National ACL Register between January 2005 and December 2012. Methods The register consists of 2 parts: 1 section in which surgeons report baseline and surgical data and 1 section in which patients report the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EQ-5D score before and 1, 2, and 5 years after surgery. Results By December 2012, 23,744 patients had been entered into the surgeons’ part of the register. The female-male ratio in the register is 42:58. The mean age at primary anterior cruciate ligament (ACL) reconstruction was 26 years (SD, 11 years) and 28 years (SD, 9 years) for the female and male patients, respectively. The ACL injury occurred during soccer in 36% of the female patients and 49% of the male patients. In 2012, 95% of the primary ACL reconstructions were performed using hamstring tendon autografts. For patients who had a minimum of 5 years’ follow-up, the revision rate was 3.3% and the contralateral reconstruction rate was 3.8%. On all follow-up occasions up to 5 years, patients who had undergone revision had a significantly ( P < .001) poorer outcome than those who had undergone primary unilateral ACL reconstructions in all KOOS and EQ-5D dimensions. On all follow-up occasions, smokers obtained significantly poorer scores than nonsmokers in terms of both the KOOS ( P < .008) and the EQ-5D ( P < .024). Conclusions Soccer is the most common cause of injury in both female and male patients, and patients undergoing revisions fare less well than those undergoing primary unilateral ACL reconstructions, as well as bilateral reconstructions. Furthermore, smokers fare less well than nonsmokers. The cumulative risk of an ACL revision or contralateral ACL reconstruction during a 5-year period is approximately 7%. For patients aged younger than 19 years, the cumulative risk is significantly higher. Level of Evidence Level II, retrospective prognostic study.</description><identifier>ISSN: 0749-8063</identifier><identifier>ISSN: 1526-3231</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2014.02.036</identifier><identifier>PMID: 24746404</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Anterior Cruciate Ligament Reconstruction - methods ; Anterior Cruciate Ligament Reconstruction - utilization ; Female ; Humans ; Male ; Middle Aged ; Orthopaedics ; Orthopedics ; Ortopedi ; Registries - statistics & numerical data ; Reoperation - utilization ; Retrospective Studies ; Sex Distribution ; Sex Factors ; Soccer - injuries ; Soccer - statistics & numerical data ; Sweden ; Tendons - transplantation ; Treatment Outcome</subject><ispartof>Arthroscopy, 2014-07, Vol.30 (7), p.803-810</ispartof><rights>Arthroscopy Association of North America</rights><rights>2014 Arthroscopy Association of North America</rights><rights>Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c713t-b2888e4f6c183bbabcd0174755b4ba330557f71a510263ad975d3a16aba9a35e3</citedby><cites>FETCH-LOGICAL-c713t-b2888e4f6c183bbabcd0174755b4ba330557f71a510263ad975d3a16aba9a35e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749806314001972$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,550,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24746404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-109244$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/198150$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:129302053$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Kvist, Joanna, P.T., Ph.D</creatorcontrib><creatorcontrib>Kartus, Jüri, M.D., Ph.D</creatorcontrib><creatorcontrib>Karlsson, Jon, M.D., Ph.D</creatorcontrib><creatorcontrib>Forssblad, Magnus, M.D., Ph.D</creatorcontrib><title>Results From the Swedish National Anterior Cruciate Ligament Register</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>Purpose The purpose of the study was to analyze the baseline variables and clinical outcomes for almost 24,000 patients entered into the Swedish National ACL Register between January 2005 and December 2012. Methods The register consists of 2 parts: 1 section in which surgeons report baseline and surgical data and 1 section in which patients report the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EQ-5D score before and 1, 2, and 5 years after surgery. Results By December 2012, 23,744 patients had been entered into the surgeons’ part of the register. The female-male ratio in the register is 42:58. The mean age at primary anterior cruciate ligament (ACL) reconstruction was 26 years (SD, 11 years) and 28 years (SD, 9 years) for the female and male patients, respectively. The ACL injury occurred during soccer in 36% of the female patients and 49% of the male patients. In 2012, 95% of the primary ACL reconstructions were performed using hamstring tendon autografts. For patients who had a minimum of 5 years’ follow-up, the revision rate was 3.3% and the contralateral reconstruction rate was 3.8%. On all follow-up occasions up to 5 years, patients who had undergone revision had a significantly ( P < .001) poorer outcome than those who had undergone primary unilateral ACL reconstructions in all KOOS and EQ-5D dimensions. On all follow-up occasions, smokers obtained significantly poorer scores than nonsmokers in terms of both the KOOS ( P < .008) and the EQ-5D ( P < .024). Conclusions Soccer is the most common cause of injury in both female and male patients, and patients undergoing revisions fare less well than those undergoing primary unilateral ACL reconstructions, as well as bilateral reconstructions. Furthermore, smokers fare less well than nonsmokers. The cumulative risk of an ACL revision or contralateral ACL reconstruction during a 5-year period is approximately 7%. For patients aged younger than 19 years, the cumulative risk is significantly higher. Level of Evidence Level II, retrospective prognostic study.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Anterior Cruciate Ligament Reconstruction - utilization</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopaedics</subject><subject>Orthopedics</subject><subject>Ortopedi</subject><subject>Registries - statistics & numerical data</subject><subject>Reoperation - utilization</subject><subject>Retrospective Studies</subject><subject>Sex Distribution</subject><subject>Sex Factors</subject><subject>Soccer - injuries</subject><subject>Soccer - statistics & numerical data</subject><subject>Sweden</subject><subject>Tendons - transplantation</subject><subject>Treatment Outcome</subject><issn>0749-8063</issn><issn>1526-3231</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqFkktv1DAUhS0EokPhHyCUJZukfuaxQRpNW0AagdQCW8tx7mQ8TeLBD6r-exxl2gWLsrJ1_Z17dX0OQu8JLggm5cWhUC7snS0oJrzAtMCsfIFWRNAyZ5SRl2iFK97kNS7ZGXrj_QFjzFjNXqMzyitecsxX6OoGfByCz66dHbOwh-z2Hjrj99k3FYyd1JCtpwDOWJdtXNRGBci2plcjTCG7gd749PoWvdqpwcO703mOfl5f_dh8ybffP3_drLe5rggLeUvruga-KzWpWduqVneYVLwSouWtYgwLUe0qogTBtGSqayrRMUVK1apGMQHsHOVLX38Px9jKozOjcg_SKiNPpbt0AykoJUw8y_fxKFOpjzNPmpoI_Cx_aX6tpXW9HEyUBDeU88R_XPijs78j-CBH4zUMg5rARi-JYA0vy6quE8oXVDvrvYPdU3OC5WyoPMjFUDkbKjGVydAk-3CaENsRuifRo4MJ-LQAkP79jwEnvTYw6WSiAx1kZ83_JvzbQA9mMloNd_AA_mCjSylIu0ifBPJ2DtWcKcIxJk1F2V8rEMjR</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Kvist, Joanna, P.T., Ph.D</creator><creator>Kartus, Jüri, M.D., Ph.D</creator><creator>Karlsson, Jon, M.D., Ph.D</creator><creator>Forssblad, Magnus, M.D., Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ABXSW</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>DG8</scope><scope>ZZAVC</scope><scope>F1U</scope></search><sort><creationdate>20140701</creationdate><title>Results From the Swedish National Anterior Cruciate Ligament Register</title><author>Kvist, Joanna, P.T., Ph.D ; Kartus, Jüri, M.D., Ph.D ; Karlsson, Jon, M.D., Ph.D ; Forssblad, Magnus, M.D., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c713t-b2888e4f6c183bbabcd0174755b4ba330557f71a510263ad975d3a16aba9a35e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Anterior Cruciate Ligament Reconstruction - utilization</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopaedics</topic><topic>Orthopedics</topic><topic>Ortopedi</topic><topic>Registries - statistics & numerical data</topic><topic>Reoperation - utilization</topic><topic>Retrospective Studies</topic><topic>Sex Distribution</topic><topic>Sex Factors</topic><topic>Soccer - injuries</topic><topic>Soccer - statistics & numerical data</topic><topic>Sweden</topic><topic>Tendons - transplantation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kvist, Joanna, P.T., Ph.D</creatorcontrib><creatorcontrib>Kartus, Jüri, M.D., Ph.D</creatorcontrib><creatorcontrib>Karlsson, Jon, M.D., Ph.D</creatorcontrib><creatorcontrib>Forssblad, Magnus, M.D., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SWEPUB Linköpings universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Linköpings universitet</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Göteborgs universitet</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kvist, Joanna, P.T., Ph.D</au><au>Kartus, Jüri, M.D., Ph.D</au><au>Karlsson, Jon, M.D., Ph.D</au><au>Forssblad, Magnus, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results From the Swedish National Anterior Cruciate Ligament Register</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>30</volume><issue>7</issue><spage>803</spage><epage>810</epage><pages>803-810</pages><issn>0749-8063</issn><issn>1526-3231</issn><eissn>1526-3231</eissn><abstract>Purpose The purpose of the study was to analyze the baseline variables and clinical outcomes for almost 24,000 patients entered into the Swedish National ACL Register between January 2005 and December 2012. Methods The register consists of 2 parts: 1 section in which surgeons report baseline and surgical data and 1 section in which patients report the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EQ-5D score before and 1, 2, and 5 years after surgery. Results By December 2012, 23,744 patients had been entered into the surgeons’ part of the register. The female-male ratio in the register is 42:58. The mean age at primary anterior cruciate ligament (ACL) reconstruction was 26 years (SD, 11 years) and 28 years (SD, 9 years) for the female and male patients, respectively. The ACL injury occurred during soccer in 36% of the female patients and 49% of the male patients. In 2012, 95% of the primary ACL reconstructions were performed using hamstring tendon autografts. For patients who had a minimum of 5 years’ follow-up, the revision rate was 3.3% and the contralateral reconstruction rate was 3.8%. On all follow-up occasions up to 5 years, patients who had undergone revision had a significantly ( P < .001) poorer outcome than those who had undergone primary unilateral ACL reconstructions in all KOOS and EQ-5D dimensions. On all follow-up occasions, smokers obtained significantly poorer scores than nonsmokers in terms of both the KOOS ( P < .008) and the EQ-5D ( P < .024). Conclusions Soccer is the most common cause of injury in both female and male patients, and patients undergoing revisions fare less well than those undergoing primary unilateral ACL reconstructions, as well as bilateral reconstructions. Furthermore, smokers fare less well than nonsmokers. The cumulative risk of an ACL revision or contralateral ACL reconstruction during a 5-year period is approximately 7%. For patients aged younger than 19 years, the cumulative risk is significantly higher. Level of Evidence Level II, retrospective prognostic study.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24746404</pmid><doi>10.1016/j.arthro.2014.02.036</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - methods Anterior Cruciate Ligament Reconstruction - utilization Female Humans Male Middle Aged Orthopaedics Orthopedics Ortopedi Registries - statistics & numerical data Reoperation - utilization Retrospective Studies Sex Distribution Sex Factors Soccer - injuries Soccer - statistics & numerical data Sweden Tendons - transplantation Treatment Outcome |
| title | Results From the Swedish National Anterior Cruciate Ligament Register |
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