Low annual hospital volume of anterior cruciate ligament reconstruction is not associated with higher revision rates

Autor: Gilbert Moatshe, Andreas Persson, Jon Olav Drogset, R. Kyle Martin, Lars Engebretsen, Håvard Visnes, Anne Marie Fenstad
Rok vydání: 2021
Předmět:
Zdroj: Knee Surgery, Sports Traumatology, Arthroscopy. 30:1575-1583
ISSN: 1433-7347
0942-2056
DOI: 10.1007/s00167-021-06655-z
Popis: Surgery performed in low-volume centres has been associated with longer operating time, longer hospital stays, lower functional outcomes, and higher rates of revision surgery, complications and mortality. This has been reported consistently in the arthroplasty literature, but there is a paucity of data regarding the relationship between surgical volume and outcome following anterior cruciate ligament (ACL) reconstruction. The purpose was to compare ACL reconstruction failure rates between hospitals performing different annual surgical volumes. All patients from the Norwegian Knee Ligament Register having primary autograft ACL reconstruction between 2004 and 2016 were included. Hospital volume was divided into quintiles based on the number of ACL reconstructions performed annually, defined arbitrarily as: 1–12 (V1), 13–24 (V2), 25–49 (V3), 50–99 (V4) and ≥ 100 (V5) annual procedures. Kaplan–Meier estimated survival curves and survival percentages were calculated with revision ACL reconstruction as the end point. Secondary outcome measures included (1) mean change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Quality of Life (QoL) and Sport subsections from pre-operative to 5-year follow-up and (2) subjective failure defined as KOOS QoL
Databáze: OpenAIRE
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