患者后交叉韧带损伤索赔：芬兰全国登记研究。
Patient injury claims for posterior cruciate ligament injury: a nationwide registry study in Finland.
机构信息
Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki.
Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki; Department of Surgery, Faculty of Medicine, University of Helsinki, Helsinki.
出版信息
Acta Orthop. 2023 Aug 16;94:426-431. doi: 10.2340/17453674.2023.18265.
BACKGROUND AND PURPOSE
Posterior cruciate ligament (PCL) injuries usually occur in combination with other ligamentous knee injuries. The outcome varies and may be poor due to suboptimal treatment. We investigated claims following PCL injury treatment on a nationwide scale.
PATIENTS AND METHODS
All patient PCL injury claims filed in Finland from 1997 to 2015 were collected from the Patient Insurance Centre (PIC) register. We reviewed and analyzed all records to determine the causes of claims. General background data were obtained from the National Care Register for Social Welfare and Health Care (HILMO).
RESULTS
We found out from HILMO background data that, during the 19-year study period, 1,891 PCL and 1,380 multiligament reconstructions were performed in 99 different hospitals. The number of PCL injuries treated conservatively is unknown. During this same period, 49 claims arrived at the PIC, and 39/49 of these patients were operated on. 12/49 claims were compensated. Of these 12 claims, 6 were compensated for technical errors and 4 were compensated for diagnostic delays.
CONCLUSION
The number of patient injury claims was few, and compensated claims were even fewer. Technical errors and diagnostic delays were the most common reasons for reimbursement.
背景与目的
后交叉韧带（PCL）损伤通常与其他膝关节韧带损伤同时发生。由于治疗效果不理想，其结果可能各不相同，且较差。我们在全国范围内调查了 PCL 损伤治疗后的理赔情况。
患者与方法
从 1997 年至 2015 年，我们从患者保险中心（PIC）登记处收集了所有在芬兰提出的 PCL 损伤理赔申请。我们对所有记录进行了审查和分析，以确定理赔的原因。一般背景数据来自全国社会福利和医疗保健护理登记处（HILMO）。
结果
根据 HILMO 的背景数据，在 19 年的研究期间，99 家不同医院共进行了 1891 例 PCL 和 1380 例多韧带重建手术。保守治疗的 PCL 损伤数量未知。同期，PIC 收到了 49 份理赔申请，其中 39/49 名患者接受了手术。49 份理赔申请中有 12 份获得了赔偿。在这 12 份理赔申请中，有 6 份是由于技术错误而获得赔偿，4 份是由于诊断延误而获得赔偿。
结论
患者伤害理赔的数量较少，获得赔偿的理赔申请则更少。技术错误和诊断延误是报销的最常见原因。
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