Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Association Between Early Sport Specialization and Injury and Career Outcomes Among National Football League Athletes.

European journal of sport science·2026
Same author

Ketorolac use following operative clavicle fracture fixation is not associated with increased nonunion or surgical complications: A propensity-matched analysis.

Injury·2025
Same author

Methylprednisolone after shoulder arthroplasty leads to decreased opioid prescriptions without an increased risk of infection: A matched cohort analysis.

Journal of orthopaedics·2025
Same author

An Analysis of Fencing Injuries in the United States: A 10-Year Database Review.

Orthopaedic journal of sports medicine·2025
Same author

Fixation of the Volar Ulnar Corner in Distal Radius Fractures: A Comparative Study.

Hand (New York, N.Y.)·2025
Same author

Interference Screw versus Cement Fixation in Anterior Cruciate Ligament Soft Tissue Grafts: A Biomechanical Study.

The journal of knee surgery·2023

Related Experiment Video

Updated: Sep 27, 2025

Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression
06:27

Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression

Published on: September 29, 2023

921

Is Insurance Status Associated With Likelihood of Operative ACL Injury Treatment Compared With Nonoperative

Katie Otero1, Dominick Congiusta1, Balazs Galdi1

  • 1Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Orthopaedic Journal of Sports Medicine
|April 7, 2022
PubMed
Summary

Insurance status and socioeconomic factors significantly impact anterior cruciate ligament (ACL) surgery decisions. Patients with non-private insurance or lower income were less likely to receive operative ACL repair.

Keywords:
ACL reconstructionanterior cruciate ligamenthealth care disparityprivate insurance

More Related Videos

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
05:07

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

2.1K
Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
06:28

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Published on: September 2, 2025

95

Related Experiment Videos

Last Updated: Sep 27, 2025

Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression
06:27

Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression

Published on: September 29, 2023

921
Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
05:07

Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction

Published on: March 1, 2024

2.1K
Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
06:28

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Published on: September 2, 2025

95

Area of Science:

  • Orthopedic Surgery
  • Health Services Research
  • Socioeconomic Determinants of Health

Background:

  • Socioeconomic status (SES) is a known factor influencing treatment choices for various medical procedures.
  • The decision for operative versus nonoperative management of anterior cruciate ligament (ACL) injuries can be influenced by multiple factors, including SES.

Purpose of the Study:

  • To investigate the association between insurance status and the likelihood of receiving operative treatment for ACL injuries.
  • To identify socioeconomic disparities in ACL injury management.

Main Methods:

  • A cross-sectional study utilizing the Nationwide Inpatient Sample database (2001-2013).
  • International Classification of Diseases, 9th Revision (ICD-9) codes were used to identify patients with ACL injuries and reconstructions.
  • Chi-square analysis and binary logistic regression were employed to determine predictors of surgical intervention, controlling for demographic and other significant variables.

Main Results:

  • Of 32,541 patients with ACL injuries, 85.4% underwent surgical reconstruction.
  • Non-private insurance (uninsured, Medicare, Medicaid) was associated with a significantly lower likelihood of operative ACL repair compared to private insurance.
  • Lower likelihood of surgery was observed in uninsured (OR, 0.31), Medicare (OR, 0.33), and Medicaid (OR, 0.51) patients.
  • Patients in higher income quartiles were more likely to undergo surgery (OR, 1.36 for highest vs. lowest quartile).
  • Decreased likelihood of surgery was also noted for elderly (age ≥75) and Black patients, while female patients had an increased likelihood.

Conclusions:

  • Patients with non-private insurance face a lower probability of undergoing surgical ACL reconstruction compared to those with private insurance.
  • Higher socioeconomic status, indicated by income quartiles, correlates with a greater likelihood of operative ACL treatment.
  • These findings highlight potential disparities in ACL injury care and suggest a need for further investigation into treatment guideline precision and the underlying causes of these differences.