TY - JOUR
T1 - There is no such thing like a single ACL injury
T2 - Profiles of ACL-injured patients
AU - Seil, R.
AU - Mouton, C.
AU - Lion, A.
AU - Nührenbörger, C.
AU - Pape, D.
AU - Theisen, D.
N1 - Funding Information:
The authors thank the staff of the Sports Medicine Research Laboratory, M. Cyrille Hardy and Joseph Ramesh for their participation in the project, the “Oeuvre Nationale de Secours Grande-Duchesse Charlotte” for their financial support; and the staff of the orthopedic, trauma and sports medicine departments of the centre hospitalier Luxembourg for their cooperation in the “ACL Clinical Pathway”.
Publisher Copyright:
© 2015 Elsevier Masson SAS.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Background: Current ACL registries rarely include non-operatively treated patients thus delivering an incomplete picture of the ACL-injured population. The aim of this study was to get an image of the population and treatment decision of an intrahospital registry. Our hypotheses were that patient-specific subtypes can be identified and that the percentage of operated patients differs between them. Material and methods: Three hundred and forty-six operated and non-operated patients were included from March 2011 to December 2013. Standardized questionnaires allowed for data collection on gender, age, sports practice and previous ACL injuries. Chi-square tests allowed to compare these parameters between genders and age groups. A cluster analysis was computed to determine profiles of patients with similar characteristics. Results: Three age groups were considered (I: ≤ 20; II: 21-35; III: ≥ 36 years). For males, the highest frequency of injuries was noted in group II with a greater proportion of injuries compared to females. In group III, more females were injured than males. Before injury, 54% patients were involved in competitive sports. Males were more likely to be injured in pivoting/contact sports before 35 and females during recreational skiing after 35. Twenty-one percent of the patients had had a previous ACL injury. The percentage of surgical treatment was superior to 80% in patients under 35 years involved in competitive sports, of 60-80% for those not involved in competitive sports and inferior to 60% for patients above 35 years. Discussion: Systematic data collection allowed to identify specific subtypes of ACL-injured patient according to gender, age, previous ACL injury and preinjury level of practice. The decision-making process for or against ACL reconstructions at time of presentation depended on these characteristics. Consideration of these parameters will serve as a basis for an individualized treatment approach and a better understanding of patients at risk for ACL injuries. Level of evidence: III.
AB - Background: Current ACL registries rarely include non-operatively treated patients thus delivering an incomplete picture of the ACL-injured population. The aim of this study was to get an image of the population and treatment decision of an intrahospital registry. Our hypotheses were that patient-specific subtypes can be identified and that the percentage of operated patients differs between them. Material and methods: Three hundred and forty-six operated and non-operated patients were included from March 2011 to December 2013. Standardized questionnaires allowed for data collection on gender, age, sports practice and previous ACL injuries. Chi-square tests allowed to compare these parameters between genders and age groups. A cluster analysis was computed to determine profiles of patients with similar characteristics. Results: Three age groups were considered (I: ≤ 20; II: 21-35; III: ≥ 36 years). For males, the highest frequency of injuries was noted in group II with a greater proportion of injuries compared to females. In group III, more females were injured than males. Before injury, 54% patients were involved in competitive sports. Males were more likely to be injured in pivoting/contact sports before 35 and females during recreational skiing after 35. Twenty-one percent of the patients had had a previous ACL injury. The percentage of surgical treatment was superior to 80% in patients under 35 years involved in competitive sports, of 60-80% for those not involved in competitive sports and inferior to 60% for patients above 35 years. Discussion: Systematic data collection allowed to identify specific subtypes of ACL-injured patient according to gender, age, previous ACL injury and preinjury level of practice. The decision-making process for or against ACL reconstructions at time of presentation depended on these characteristics. Consideration of these parameters will serve as a basis for an individualized treatment approach and a better understanding of patients at risk for ACL injuries. Level of evidence: III.
KW - Anterior cruciate ligament
KW - Epidemiology
KW - Registry
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=84957847056&partnerID=8YFLogxK
U2 - 10.1016/j.otsr.2015.11.007
DO - 10.1016/j.otsr.2015.11.007
M3 - Article
C2 - 26776099
AN - SCOPUS:84957847056
SN - 1877-0568
VL - 102
SP - 105
EP - 110
JO - Orthopaedics and Traumatology: Surgery and Research
JF - Orthopaedics and Traumatology: Surgery and Research
IS - 1
ER -