There is no such thing like a single ACL injury: Profiles of ACL-injured patients

R. Seil*, C. Mouton, A. Lion, C. Nührenbörger, D. Pape, D. Theisen

*Corresponding author for this work

    Research output: Contribution to journalArticleResearchpeer-review

    21 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)105-110
    Number of pages6
    JournalOrthopaedics and Traumatology: Surgery and Research
    Volume102
    Issue number1
    DOIs
    Publication statusPublished - 1 Feb 2016

    Keywords

    • Anterior cruciate ligament
    • Epidemiology
    • Registry
    • Surgery

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