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Complications following anterior cruciate ligament reconstruction in the English NHS

Lookup NU author(s): Dr Simon Jameson, Phillip James, Dr Ignacio Serrano-Pedraza, Michael Reed, Professor David Deehan

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Abstract

Unlike the English National Joint Registry (NJR) for arthroplasty, no surgeon driven national database currently exists for ligament surgery in England. Therefore information on outcome and adverse events following anterior cruciate ligament (ACL) surgery is limited to case series. This restricts the ability to make formal recommendations upon surgical care. Prospectively collected data, which is routinely collected on every NHS patient admitted to hospital in England, was analysed to determine national rates of 90-day symptomatic deep venous thrombosis (DVT), pulmonary thromboembolism (PTE) rate, 30-day wound infection and readmission rates following primary ACL reconstruction between March 2008 and February 2010 (13,941 operations, annual incidence 13.5 per 100,000 English population). 90-day DVT and PTE rates were 0.30% (42) and 0.18% (25) respectively. There were no in-hospital deaths. 0.75% (104) of the consecutive patient cohort had a wound complication recorded. 0.25% (35) underwent a further procedure to wash out the infected knee joint and 1.36% (190) were readmitted to an orthopaedic ward within 30 days. This is the first national comprehensive study of the incidence of significant complications following ACL surgery in England. This should allow meaningful interpretation of future baseline data supporting the development of a national ligament registry. (C) 2010 Elsevier B.V. All rights reserved.


Publication metadata

Author(s): James P; Jameson SS; Serrano-Pedraza I; Deehan D; Reed MR; Dowen D

Publication type: Article

Publication status: Published

Journal: Knee

Year: 2012

Volume: 19

Issue: 1

Pages: 14-19

Print publication date: 08/01/2011

ISSN (print): 0968-0160

ISSN (electronic): 1873-5800

Publisher: Elsevier BV

URL: http://dx.doi.org/10.1016/j.knee.2010.11.011

DOI: 10.1016/j.knee.2010.11.011


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