Department of Orthopedic Surgery, Kristiansund Hospital, 6518, Kristiansund, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
BMC Musculoskelet Disord. 2020 May 8;21(1):287. doi: 10.1186/s12891-020-03311-4.
Focal cartilage defects (FCDs) in the knee joint has a high prevalence. A broad range of treatment options exists for symptomatic patients. Knowledge of patient compensation claims following surgical treatment of FCDs is missing. The purpose of this study is to evaluate compensation claims filed to the Scandinavian registries for patient compensation following treatment of FCDs in the knee joint from 2010 to 2015 and identify possible areas of improvement.
A cross-sectional study design was used to obtain all complaints following surgical treatment of FCDs from the Scandinavian registries from 2010 to 2015. Data such as age, gender, type of treatment, type of complaint, reason of verdict and amount of compensation were collected and systematically analyzed.
103 patients filed a compensation claim. 43 had received debridement (41.7%), 54 microfracture (MF) (52.4%), 3 mosaicplasty (2.9%) and 3 autologous chondrocyte implantation (ACI) (2.9%). Of the 103 claims, 36 were granted (35%). 21 following debridement (58.3%), 13 after MF (36.1%), 1 following mosaicplasty (2.8%) and 1 after ACI (2.8%). The most common reason for complaint was infection (22.1%), of which 89% were granted. The average compensation was €24.457 (range €209 - €458.943).
Compensation claims following surgical treatment of knee cartilage injuries in Scandinavia are rare. Establishing nationwide cartilage registries can add further knowledge on this troublesome disease.
膝关节局灶性软骨缺损(FCD)的发病率较高。对于有症状的患者,存在广泛的治疗选择。对于 FCD 手术后患者的赔偿要求,目前还缺乏相关知识。本研究的目的是评估 2010 年至 2015 年期间,斯堪的纳维亚登记处收到的膝关节 FCD 手术后患者赔偿要求,并确定可能需要改进的领域。
采用横断面研究设计,从 2010 年至 2015 年期间,从斯堪的纳维亚登记处获得所有 FCD 手术后的投诉。收集并系统分析了年龄、性别、治疗类型、投诉类型、判决理由和赔偿金额等数据。
共有 103 名患者提出了赔偿要求。其中 43 人接受了清创术(41.7%),54 人接受了微骨折术(MF)(52.4%),3 人接受了马赛克plasty 术(2.9%),3 人接受了自体软骨细胞移植术(ACI)(2.9%)。在 103 份索赔中,有 36 份得到了批准(35%)。清创术后有 21 份(58.3%),MF 后有 13 份(36.1%),马赛克plasty 后有 1 份(2.8%),ACI 后有 1 份(2.8%)。投诉的最常见原因是感染(22.1%),其中 89%的投诉得到了批准。平均赔偿金额为 24457 欧元(范围为 209 欧元至 458943 欧元)。
斯堪的纳维亚半岛膝关节软骨损伤手术后的赔偿要求很少。建立全国性的软骨登记处可以进一步了解这种棘手的疾病。