R Seil1, C Mouton2, A Lion2, C Nührenbörger3, D Pape4, D Theisen2. 1. Sports Clinic, clinique d'Eich, Academic Teaching Hospital of the Saarland University Medical Centre, centre hospitalier de Luxembourg, 76, rue d'Eich, 1460 Luxembourg, Luxembourg; Sports Medicine Research Laboratory, Luxembourg Institute of Health, 76, rue d'Eich, 1460 Luxembourg, Luxembourg; Cartilage Net of the Greater Region Saar-Lor-Lux, Luxembourg, Luxembourg. Electronic address: rseil@yahoo.com. 2. Sports Medicine Research Laboratory, Luxembourg Institute of Health, 76, rue d'Eich, 1460 Luxembourg, Luxembourg; Cartilage Net of the Greater Region Saar-Lor-Lux, Luxembourg, Luxembourg. 3. Sports Clinic, clinique d'Eich, Academic Teaching Hospital of the Saarland University Medical Centre, centre hospitalier de Luxembourg, 76, rue d'Eich, 1460 Luxembourg, Luxembourg. 4. Sports Clinic, clinique d'Eich, Academic Teaching Hospital of the Saarland University Medical Centre, centre hospitalier de Luxembourg, 76, rue d'Eich, 1460 Luxembourg, Luxembourg; Sports Medicine Research Laboratory, Luxembourg Institute of Health, 76, rue d'Eich, 1460 Luxembourg, Luxembourg; Cartilage Net of the Greater Region Saar-Lor-Lux, Luxembourg, Luxembourg.
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.
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.
Authors: Janina Kaarre; Bálint Zsidai; Eric Narup; Alexandra Horvath; Eleonor Svantesson; Eric Hamrin Senorski; Alberto Grassi; Volker Musahl; Kristian Samuelsson Journal: Curr Rev Musculoskelet Med Date: 2022-07-13
Authors: Mikołaj Wypych; Robert Lundqvist; Dariusz Witoński; Rafał Kęska; Anna Szmigielska; Przemysław T Paradowski Journal: Open Med (Wars) Date: 2021-05-29