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...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-02-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/3/499 |
| _version_ | 1797417330388500480 |
|---|---|
| author | Umile Giuseppe Longo Marco Viganò Vincenzo Candela Laura de Girolamo Eleonora Cella Gabriele Thiebat Giuseppe Salvatore Massimo Ciccozzi Vincenzo Denaro |
| author_facet | Umile Giuseppe Longo Marco Viganò Vincenzo Candela Laura de Girolamo Eleonora Cella Gabriele Thiebat Giuseppe Salvatore Massimo Ciccozzi Vincenzo Denaro |
| author_sort | Umile Giuseppe Longo |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T06:17:12Z |
| format | Article |
| id | doaj.art-e640218153614edb9a11ae8782043637 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T06:17:12Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-e640218153614edb9a11ae87820436372023-12-03T11:52:41ZengMDPI AGJournal of Clinical Medicine2077-03832021-02-0110349910.3390/jcm10030499Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year StudyUmile Giuseppe Longo0Marco Viganò1Vincenzo Candela2Laura de Girolamo3Eleonora Cella4Gabriele Thiebat5Giuseppe Salvatore6Massimo Ciccozzi7Vincenzo Denaro8Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyIRCCS Istituto Ortopedico Galeazzi, via Riccardo Galeazzi 4, 20161 Milano, ItalyMedical Statistics and Molecular Epidemiology, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyIRCCS Istituto Ortopedico Galeazzi, via Riccardo Galeazzi 4, 20161 Milano, ItalyMedical Statistics and Molecular Epidemiology, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyIRCCS Istituto Ortopedico Galeazzi, via Riccardo Galeazzi 4, 20161 Milano, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyMedical Statistics and Molecular Epidemiology, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, ItalyBackground: 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.https://www.mdpi.com/2077-0383/10/3/499PCLepidemiologysports traumaligament reconstructionincidence |
| spellingShingle | Umile Giuseppe Longo Marco Viganò Vincenzo Candela Laura de Girolamo Eleonora Cella Gabriele Thiebat Giuseppe Salvatore Massimo Ciccozzi Vincenzo Denaro Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study Journal of Clinical Medicine PCL epidemiology sports trauma ligament reconstruction incidence |
| 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 | PCL epidemiology sports trauma ligament reconstruction incidence |
| url | https://www.mdpi.com/2077-0383/10/3/499 |
| work_keys_str_mv | AT umilegiuseppelongo epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT marcovigano epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT vincenzocandela epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT lauradegirolamo epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT eleonoracella epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT gabrielethiebat epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT giuseppesalvatore epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT massimociccozzi epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy AT vincenzodenaro epidemiologyofposteriorcruciateligamentreconstructionsinitalya15yearstudy |