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Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study

Background: The posterior cruciate ligament (PCL) is an essential element in knee stability. PCL reconstructions represent an under-investigated topic in the literature due to the rarity of this type of knee injury. This study aims to investigate the incidence of PCL reconstructive surgeries in Ital...

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Autores principales: Longo, Umile Giuseppe, Viganò, Marco, Candela, Vincenzo, de Girolamo, Laura, Cella, Eleonora, Thiebat, Gabriele, Salvatore, Giuseppe, Ciccozzi, Massimo, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7867089/
https://www.ncbi.nlm.nih.gov/pubmed/33535403
http://dx.doi.org/10.3390/jcm10030499
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author Longo, Umile Giuseppe
Viganò, Marco
Candela, Vincenzo
de Girolamo, Laura
Cella, Eleonora
Thiebat, Gabriele
Salvatore, Giuseppe
Ciccozzi, Massimo
Denaro, Vincenzo
author_facet Longo, Umile Giuseppe
Viganò, Marco
Candela, Vincenzo
de Girolamo, Laura
Cella, Eleonora
Thiebat, Gabriele
Salvatore, Giuseppe
Ciccozzi, Massimo
Denaro, Vincenzo
author_sort Longo, Umile Giuseppe
collection PubMed
description Background: The posterior cruciate ligament (PCL) is an essential element in knee stability. PCL reconstructions represent an under-investigated topic in the literature due to the rarity of this type of knee injury. This study aims to investigate the incidence of PCL reconstructive surgeries in Italy, following their trend during a 15-year period. Methods: The National Hospital Discharge records (SDO) collected by the Italian Ministry of Health between January 2001 and October 2015 were analyzed. The database reports anonymous data comprising patients’ ages, genders, International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for diagnosis and intervention, census regions, regions of hospitalization, lengths of hospitalization and types of reimbursement. Results: The overall incidence of PCL reconstructions in the Italian population during the study period was 0.46 surgeries per 100,000 inhabitants/year, ranging from 0.32 to 0.54. The median patient’s age was 30 years old, and the male:female ratio was 5.3. PCL lesions were isolated in 39.7% of patients, while anterior cruciate ligament injuries were the most frequently associated lesions (31.1%). Conclusions: The incidence of PCL reconstruction in Italy was low and stable during the study period. Young men are the category at the highest risk for these procedures. Given the paucity of epidemiological data on PCL reconstructions, this data may represent a reference for the current and foreseeable needs in PCL surgeries for countries sharing similar cultural context.
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spelling pubmed-78670892021-02-07 Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study Longo, Umile Giuseppe Viganò, Marco Candela, Vincenzo de Girolamo, Laura Cella, Eleonora Thiebat, Gabriele Salvatore, Giuseppe Ciccozzi, Massimo Denaro, Vincenzo J Clin Med Article Background: The posterior cruciate ligament (PCL) is an essential element in knee stability. PCL reconstructions represent an under-investigated topic in the literature due to the rarity of this type of knee injury. This study aims to investigate the incidence of PCL reconstructive surgeries in Italy, following their trend during a 15-year period. Methods: The National Hospital Discharge records (SDO) collected by the Italian Ministry of Health between January 2001 and October 2015 were analyzed. The database reports anonymous data comprising patients’ ages, genders, International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for diagnosis and intervention, census regions, regions of hospitalization, lengths of hospitalization and types of reimbursement. Results: The overall incidence of PCL reconstructions in the Italian population during the study period was 0.46 surgeries per 100,000 inhabitants/year, ranging from 0.32 to 0.54. The median patient’s age was 30 years old, and the male:female ratio was 5.3. PCL lesions were isolated in 39.7% of patients, while anterior cruciate ligament injuries were the most frequently associated lesions (31.1%). Conclusions: The incidence of PCL reconstruction in Italy was low and stable during the study period. Young men are the category at the highest risk for these procedures. Given the paucity of epidemiological data on PCL reconstructions, this data may represent a reference for the current and foreseeable needs in PCL surgeries for countries sharing similar cultural context. MDPI 2021-02-01 /pmc/articles/PMC7867089/ /pubmed/33535403 http://dx.doi.org/10.3390/jcm10030499 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Longo, Umile Giuseppe
Viganò, Marco
Candela, Vincenzo
de Girolamo, Laura
Cella, Eleonora
Thiebat, Gabriele
Salvatore, Giuseppe
Ciccozzi, Massimo
Denaro, Vincenzo
Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title_full Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title_fullStr Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title_full_unstemmed Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title_short Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study
title_sort epidemiology of posterior cruciate ligament reconstructions in italy: a 15-year study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7867089/
https://www.ncbi.nlm.nih.gov/pubmed/33535403
http://dx.doi.org/10.3390/jcm10030499
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