TY - JOUR
T1 - Trends of anterior cruciate ligament reconstruction in children and young adolescents in Italy show a constant increase in the last 15 years
AU - Longo, Umile Giuseppe
AU - Salvatore, Giuseppe
AU - Ruzzini, Laura
AU - Risi Ambrogioni, Laura
AU - de Girolamo, Laura
AU - Viganò, Marco
AU - Facchini, Francesca
AU - Cella, Eleonora
AU - Candela, Vincenzo
AU - Ciccozzi, Massimo
AU - Denaro, Vincenzo
N1 - Publisher Copyright:
© 2020, European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - Purpose: The aim of this 15-year nationwide study was to investigate the trend in ACL reconstructive surgeries in patients younger than 15 years old in Italy, as well as their social and economic impact. Materials and methods: The National Hospital Discharge records (SDO) collected by the Italian Ministry of Health in the 15-year period between 2001 and 2015 were analyzed. This contains anonymous data including patients’ age, gender, ICD-9-CM codes for diagnosis and intervention, census region, region of hospitalization, length of the hospitalization, and public or private reimbursement. Results: 1,350 ACL reconstructions were performed in Italy in the population younger than 15 years old, with an incidence rate ranging from 0.16 to 2.04 procedures per 100,000 age-matched individuals. Similarly, the percentage of surgeries in 0–14 year old patients increased with respect to the total number of ACL reconstruction from 0.13% in 2001 to 0.95% in 2015. The age range 10–14 years is the most involved, accounting for 97.3% of surgeries recorded in the study period. The male:female ratio was 1.05 and most of these procedures were performed in the North of Italy (78.3%). Conclusion: ACL reconstructions in patients aged 10–14 years are increasing constantly since 2001, and thus, specific actions aimed to define the best management strategy as well as national educational programs to prepare the future surgeons to this new reality are mandatory in the interest of the public health. Level of evidence: Level III.
AB - Purpose: The aim of this 15-year nationwide study was to investigate the trend in ACL reconstructive surgeries in patients younger than 15 years old in Italy, as well as their social and economic impact. Materials and methods: The National Hospital Discharge records (SDO) collected by the Italian Ministry of Health in the 15-year period between 2001 and 2015 were analyzed. This contains anonymous data including patients’ age, gender, ICD-9-CM codes for diagnosis and intervention, census region, region of hospitalization, length of the hospitalization, and public or private reimbursement. Results: 1,350 ACL reconstructions were performed in Italy in the population younger than 15 years old, with an incidence rate ranging from 0.16 to 2.04 procedures per 100,000 age-matched individuals. Similarly, the percentage of surgeries in 0–14 year old patients increased with respect to the total number of ACL reconstruction from 0.13% in 2001 to 0.95% in 2015. The age range 10–14 years is the most involved, accounting for 97.3% of surgeries recorded in the study period. The male:female ratio was 1.05 and most of these procedures were performed in the North of Italy (78.3%). Conclusion: ACL reconstructions in patients aged 10–14 years are increasing constantly since 2001, and thus, specific actions aimed to define the best management strategy as well as national educational programs to prepare the future surgeons to this new reality are mandatory in the interest of the public health. Level of evidence: Level III.
KW - Anterior cruciate ligament
KW - Pediatrics
KW - Prevalence
KW - Reconstruction
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=85089253642&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089253642&partnerID=8YFLogxK
U2 - 10.1007/s00167-020-06203-1
DO - 10.1007/s00167-020-06203-1
M3 - Article
AN - SCOPUS:85089253642
VL - 29
SP - 1728
EP - 1733
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 6
ER -