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Complications after arthroscopic knee surgery.

Matthew J Salzler1, Albert Lin, Chealon D Miller

  • 1Christopher D. Harner, Center for Sports Medicine, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA 15203. harnercd@upmc.edu.

The American Journal of Sports Medicine
|November 29, 2013
PubMed
Summary
This summary is machine-generated.

Knee arthroscopy complications occurred at a 4.7% rate, with higher risks for posterior cruciate ligament reconstruction and younger patients. Awareness of these risks is crucial for informed patient decisions regarding knee arthroscopy procedures.

Keywords:
arthroscopiccomplicationsfellowshipinfectionkneepulmonary embolussurgery

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Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine
  • Patient Safety

Background:

  • Knee arthroscopies are frequent orthopaedic procedures.
  • Complications and their rates are not well-documented.

Purpose of the Study:

  • To analyze the frequency and types of complications from common knee arthroscopic surgeries.
  • To investigate the influence of surgeon fellowship training, practice location, patient age, and sex on complication rates.

Main Methods:

  • A cross-sectional study utilizing data from the American Board of Orthopaedic Surgery database (2003-2009).
  • Analysis of complications for various knee arthroscopic procedures including meniscectomy, meniscal repair, chondroplasty, and ligament reconstructions.
  • Investigation of factors such as procedure type, surgeon training, patient demographics, and practice location.

Main Results:

  • An overall complication rate of 4.7% (4305 complications in 92,565 procedures) was reported.
  • Posterior cruciate ligament reconstruction (20.1%) and anterior cruciate ligament reconstruction (9.0%) had the highest complication rates.
  • Higher complication rates were observed in sports fellowship-trained surgeons (5.1%), male patients (4.9%), and younger patients under 40 (6.2%).

Conclusions:

  • The self-reported complication rate for knee arthroscopy is 4.7%.
  • Knee arthroscopy carries inherent risks, necessitating patient awareness.
  • Procedure complexity may influence complication rates in specific patient and surgeon groups.