Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm.
Department of Orthopaedics, Växjö Central Hospital, Region Kronoberg, and Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm.
Acta Orthop. 2022 Jan 3;93:97-102. doi: 10.1080/17453674.2021.1996102.
Background and purpose - Patients in the Swedish healthcare system are insured against avoidable adverse events via Landstingens Ömsesidiga Försäkringsbolag (LÖF). We assessed the reasons for compensation claims reported to LÖF following an ACL injury. Patients and methods - We searched the LÖF database for compensation claims related to ACL injuries reported in 2005-2014, and cross-matched claims with the Swedish National Knee Ligament Register. We then performed a review of the medical records. Results - We identified 530 eligible claims in 2005-2014. 352 (66%) claims were accepted by LÖF and 178 claims were rejected. Accepted claims corresponded to fewer than 1% of ACL surgeries performed in the same period. The most common reasons for an accepted claim were postoperative septic arthritis followed by suboptimal surgery and delay in diagnosis and treatment. Interpretation - There are different reasons for accepting a compensation claim following an ACL injury, which represents different treatment errors that can be avoided.
背景与目的-瑞典医疗体系的患者通过地区相互保险公司（LÖF）对可避免的不良事件进行投保。我们评估了 LÖF 收到的与 ACL 损伤相关的赔偿要求的原因。
患者和方法-我们在 LÖF 数据库中搜索了 2005-2014 年报告的与 ACL 损伤相关的赔偿要求，并将要求与瑞典国家膝关节韧带登记处进行交叉匹配。然后，我们对医疗记录进行了审查。
结果-我们确定了 2005-2014 年期间有 530 份符合条件的赔偿要求。LÖF 接受了 352 份（66%）赔偿要求，拒绝了 178 份。接受的赔偿要求不到同期 ACL 手术的 1%。接受赔偿要求的最常见原因是术后化脓性关节炎，其次是手术效果不佳以及诊断和治疗延误。
结论-ACL 损伤后接受赔偿要求的原因不同，代表着不同的可避免的治疗错误。
