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dc.contributor.authorTveiten, Caroline Emilie Van Woensel Kooy
dc.contributor.authorJakobsen, Rune Bruhn
dc.contributor.authorFenstad, Anne Marie
dc.contributor.authorPersson, Andreas
dc.contributor.authorVisnes, Håvard
dc.contributor.authorEngebretsen, Lars
dc.contributor.authorEkås, Guri Ranum
dc.date.accessioned2023-10-23T12:23:12Z
dc.date.available2023-10-23T12:23:12Z
dc.date.created2023-08-01T15:36:47Z
dc.date.issued2023
dc.identifier.citationThe American Journal of Sports Medicine. 2023, 51(11), Side 2891-2899.en_US
dc.identifier.issn0363-5465
dc.identifier.urihttps://hdl.handle.net/11250/3098104
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).en_US
dc.description.abstractBackground: The incidence of pediatric and adolescent anterior cruciate ligament reconstruction (ACLR) is increasing in several countries. It is uncertain whether this trend applies to countries that traditionally prefer an initial nonoperative treatment approach whenever possible, like Norway. Nationwide, long-term patient-reported outcomes and revision rates after ACLR in the pediatric population are also lacking. Purpose: To determine the incidence of pediatric ACLR in Norway since 2005, as well as to detect trends in surgical details and describe patient-reported outcomes up to 10 years after ACLR. Study Design: Descriptive cohort study. Methods: This study is based on prospectively collected data on girls ≤14 years and boys ≤16 years, registered in the Norwegian Knee Ligament Register at the time of their primary ACLR, between 2005 and 2021. The main outcome was the incidence of ACLR, adjusted to the corresponding population numbers for each year. The time trend was analyzed by comparing the mean of the first and last 3-year period (2005-2007 and 2019-2021). Patient-reported outcomes were assessed using the Knee injury and Osteoarthritis Outcome Score preoperatively and at 2, 5, and 10 years postoperatively. Results: A total of 1476 patients (1484 cases) were included, with a mean follow-up of 8.1 years (range, 1-17). The incidence of pediatric ACLRs per 100,000 population increased from 18 to 26, which corresponds to an increase of 40% for boys and 55% for girls. Concurrent meniscal procedures increased significantly from 45% to 62%, and the proportion of meniscal repairs increased from 19% to 43% when comparing the first and last time period. The mean Knee injury and Osteoarthritis Outcome Score values for the Sport and Recreation and Quality of Life subscales were between 72 and 75 at the 2-, 5- and 10-year follow-up. The 5-year revision rate was 9.9%. Conclusion: There was a major increase in incidence of pediatric ACLR in Norway during the study period. There was a shift in the approach to concomitant meniscal procedures from resection to repair, with more than a doubling of the proportion of meniscal repairs. Patient-reported outcomes revealed long-lasting reduced knee function.en_US
dc.language.isoengen_US
dc.subjectACL injuryen_US
dc.subjectACL reconstructionen_US
dc.subjectincidenceen_US
dc.subjectpediatricen_US
dc.subjectregisteren_US
dc.titleMajor increase in incidence of pediatric ACL reconstructions from 2005 to 2021: A study from the Norwegian Knee Ligament Registeren_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2023 The Author(s)en_US
dc.source.pagenumber2891-2899en_US
dc.source.volume51en_US
dc.source.journalThe American Journal of Sports Medicineen_US
dc.source.issue11en_US
dc.identifier.doi10.1177/03635465231185742
dc.identifier.cristin2164331
dc.description.localcodeInstitutt for idrettsmedisinske fag / Department of Sports Medicineen_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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