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Teenagers and ACL: Tears common and additional surgery likely
Date:10/2/2009

tate of New York. In addition to age, other factors contributed to an increased likelihood for subsequent surgery, for instance:

  • Female patients are about 18 percent more likely than men to need subsequent knee surgery on one of their knees after ACL surgery; and
  • Patients treated by 'lower-volume' surgeons and at 'lower-volume' hospitals also are at a higher risk for having subsequent knee surgery.

"This trend has also been demonstrated in other surgical disciplines including cardiac and cancer surgery," explains Robert Marx, MD, MSc, a co-author of the study and Professor of Orthopedic Surgery at the Hospital for Special Surgery. "ACL reconstruction is not an easy operation for someone who does not do it on a regular basis. Patients may wish to consider this information if they elect to undergo ACL reconstruction."

Hospitals and surgeons reviewed as part of this study were considered to be 'low-volume' when:

  • Hospitals handled fewer than 24 ACL cases per year; or
  • Surgeons performed fewer than 6 ACL operations a year.

Understanding the risk factors is important because re-injury, requiring subsequent surgery, can be associated with the development of arthritis explains Dr. Lyman. "Just like any medical procedure, there are potential complications with ACL reconstruction and this study gives patients an idea of how frequent those complications can be."

"We hope the new information we found will help inform patients about potential risk factors and help them make the best decisions possible in terms of their care," said Dr. Marx.


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Contact: Kristina K. Findlay
findlay@aaos.org
847-384-4034
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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