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The Scandinavian ACL registries 2004-2007: baseline epidemiology
Lars-Petter Granan1, Magnus Forssblad, Martin Lind
1Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Ullevål Stadion, Oslo, Norway. lars-petter.granan@nih.no
Acta Orthopaedica
|November 18, 2009
Summary
The Scandinavian national anterior cruciate ligament (ACL) registries provide crucial data on ACL reconstruction outcomes. These registries offer insights into epidemiology and surgical techniques, aiming to improve patient care across Scandinavia.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Epidemiology
Background:
- No prospective surveillance systems existed for monitoring cruciate ligament surgery outcomes in Scandinavia.
- The Scandinavian national anterior cruciate ligament (ACL) registries were established to address this gap.
Purpose of the Study:
- To describe the Scandinavian ACL registries, their functions, similarities, and preliminary baseline results.
- To establish a prospective surveillance system for ACL reconstruction outcomes in Denmark, Norway, and Sweden.
Main Methods:
- Registries established between 2004-2005, with Danish and Swedish registries based on the Norwegian model.
- Denmark mandates reporting to a national database; Norway and Sweden rely on voluntary surgeon reporting.
- Data collection focuses on surgical techniques, implants, patient management, and outcomes.
Main Results:
- Higher annual incidence of primary ACL reconstructions in Denmark compared to Norway, with exceptions in young females.
- Similar patient management approaches among Scandinavian surgeons, but variations in graft choice, implants, and meniscal/cartilage injury treatment.
- Preoperative Knee Osteoarthritis Outcome Score (KOOS) scores were similar, though Denmark reported more pre- and postoperative symptoms.
Conclusions:
- The Scandinavian ACL registries will generate novel data on ACL reconstructions and epidemiology.
- These registries are unique sources for evaluating diverse implants and surgical techniques.
- The data is expected to influence ACL reconstruction methods in Scandinavia and globally.
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