Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku.
Heart Center, Turku University Hospital and University of Turku, Turku; Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku; Center for Population Health Research, Turku University Hospital and University of Turku, Turku; Clinical Research Center, Turku University Hospital, Turku.
Acta Orthop. 2023 Feb 2;94:45-50. doi: 10.2340/17453674.2023.8481.
We aimed to assess the incidence of anterior cruciate ligament reconstruction (ACLR) and concomitant procedures in Finland.
We identified all the patients who underwent ACLR between 2004 and 2018 in Finland using national registry data. Patients with an ICD-10 diagnosis code S83.5 and the NOMESCO operation codes NGE30 or NGE35 were included. We recorded the patient's age, sex, Charlson comorbidity index, and concomitant procedures. NGE30 or NGE35 was defined as the main procedure and all other procedures attached to this procedure were included as concomitant procedures.
Our study included 37,224 ACLRs. The overall incidence of ACLR was 46 (95%CI 34-62) per 105 person-years. This increased from 38 per 105 person-years in 2004 to its peak of 53 in 2014 before decreasing to 47 by 2018. Male patients had a higher overall incidence of ACLR than female patients (61 [CI 47-78] vs. 32 [CI 22-45] per 105 person-years, respectively). However, this difference changed over time: for the males, a decrease in ACLR incidence was observed after 2014, whereas for the females, the trend increased throughout the study period. For both sexes, the highest incidence of ACLRs was in the age group 16-29 years (159 and 71 per 105 person-years, respectively). Concomitant procedures were performed at the time of ACLR in 32% of cases.
While the total incidence of ACLR decreased slightly from 2014 to 2018, it increased among women over the full study period, which might be due to increased female participation in contact sports. Special attention should be given to girls' and women's ACL rupture prevention and treatment.
我们旨在评估芬兰前交叉韧带重建（ACLR）和伴随手术的发生率。
我们使用国家登记数据，确定了 2004 年至 2018 年间在芬兰接受 ACLR 的所有患者。纳入患者的 ICD-10 诊断代码为 S83.5，NOMESCO 手术代码为 NGE30 或 NGE35。我们记录了患者的年龄、性别、Charlson 合并症指数和伴随手术。NGE30 或 NGE35 被定义为主要手术，所有附加到该手术的其他手术均被视为伴随手术。
我们的研究纳入了 37224 例 ACLR。ACLR 的总体发生率为 46（95%CI 34-62）/105 人年。这一数字从 2004 年的 38 人年增加到 2014 年的峰值 53 人年，然后在 2018 年降至 47 人年。男性患者的 ACLR 总体发生率高于女性患者（61 [CI 47-78] vs. 32 [CI 22-45]/105 人年，分别）。然而，这种差异随着时间的推移而变化：对于男性，在 2014 年后 ACLR 的发生率下降，而对于女性，这一趋势在整个研究期间呈上升趋势。对于两性，ACLR 发生率最高的年龄段为 16-29 岁（分别为 159 和 71/105 人年）。在 32%的病例中，同时进行了伴随手术。
尽管 2014 年至 2018 年 ACLR 的总发生率略有下降，但在整个研究期间，女性的 ACLR 发生率增加，这可能是由于女性更多地参与接触性运动。应特别关注女孩和女性 ACL 断裂的预防和治疗。
