Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015

Zbrojkiewicz, David; Vertullo, Christopher J.; Grayson, Jane

doi:10.5694/mja17.00974

Cited by 224 publications

(221 citation statements)

References 31 publications

Supporting

Mentioning

211

Contrasting

Unclassified

Order By: Relevance

“…Anterior cruciate ligament (ACL) rupture is a common and preventable injury . Risk factors include young age and participation in ‘high‐risk’ sports . High‐risk sports include those involving contact or excessive acceleration, deceleration and pivoting motions, such as football, basketball, skiing, netball, lacrosse and rugby .…”

Section: Introductionmentioning

confidence: 99%

Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New Zealand

Sutherland

Clatworthy

Fulcher³

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: Anterior cruciate ligament injuries cause significant morbidity, and may be increasing in incidence as participation in high-risk sports increases. The aim of this study is to investigate the incidence of anterior cruciate ligament reconstruction (ACLR) surgery in New Zealand, and to analyse changes over time in demographic subgroups. Method: Data were sourced from the Accident Compensation Corporation. Data relating to primary ACLRs performed from 2009 to 2016 were evaluated (n = 20 751). Baseline population estimates were obtained from national census data to calculate the incidence, and results were compared to previous data from 2000 to 2005 (n = 7375). Results: The annual incidence of ACLR for 2009-2016 was 58.2 per 100 000 person-years and was greater in males than in females (72.2 and 44.9, respectively). This represents a 58% increase when compared with the period 2000-2005 (36.9 per 100 000). The greatest increase was seen in females aged 15-19 years, with the incidence increasing by 120% in the last decade, compared with 53% in females aged 20-24 years. The percentage of injuries caused by sports changed from 65% over 2000-2005 to 76% over 2009-2016, with netball, rugby and football accounting for the highest number of injuries. Conclusion: The incidence of ACLR procedures has increased markedly in New Zealand, and this increase was most pronounced in females aged 15-19 years. A greater proportion of procedures are now due to sport-related injuries.

show abstract

Section: Introductionmentioning

confidence: 99%

Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New Zealand

Sutherland

Clatworthy

Fulcher³

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Anterior cruciate ligament (ACL) injuries and ACL reconstruction (ACLR) surgeries are occurring at increasing rates, especially among young people who engage in high‐level sporting activities . Young women continue to sustain ACL injuries at higher rates than young men when participating in the same sport .…”

mentioning

confidence: 99%

Gait Mechanics in Women of the ACL‐SPORTS Randomized Control Trial: Interlimb Symmetry Improves Over Time Regardless of Treatment Group

Capin

Zarzycki

Ito

et al. 2019

Journal Orthopaedic Research

View full text Add to dashboard Cite

Women after anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) are more likely than men to exhibit asymmetric movement patterns, which are associated with post-traumatic osteoarthritis. We developed the ACL specialized postoperative return-to-sports (ACL-SPORTS) randomized control trial to test the effect of strength, agility, plyometric, and secondary prevention (SAPP) training with and without perturbation training (SAPP + PERT) on gait mechanics in women after ACLR. We hypothesized that movement symmetry would improve over time across both groups but more so among the SAPP + PERT group. Thirtynine female athletes 3-9 months after primary ACLR were randomized to SAPP or SAPP + PERT training. Biomechanical testing during overground walking occurred before (Pre-training) and after (Post-training) training and one and 2 years post-operatively. Hip and knee kinematic and kinetic variables were compared using repeated measures analysis of variance with Bonferroni corrections for post hoc comparisons (α = 0.05). There was a time by limb interaction effect (p = 0.028) for peak knee flexion angle (PKFA), the primary outcome which powered the study, characterized by smaller PKFA in the involved compared to uninvolved limbs across treatment groups at Pretraining, Post-training, and 1 year, but not 2 years. Similar findings occurred across sagittal plane knee excursions and kinetics and hip extension excursion at midstance. There were no meaningful interactions involving group. Neither SAPP nor SAPP + PERT training improved walking mechanics, which persisted 1 but not 2 years after ACLR. Statement of clinical significance: Asymmetrical movement patterns persisted long after participants achieved symmetrical strength and functional performance, suggesting more time is needed to recover fully after ACLR.

show abstract

“…This issue of the MJA includes the results of an important study that again indicate the high rate of anterior cruciate ligament (ACL) reconstruction in Australia 1 . It was already known that Australia has relatively high rates of knee ACL injuries, surgical reconstruction, 2 , 3 and knee replacement (arthroplasty) 4 .…”

mentioning

confidence: 99%

“…It was already known that Australia has relatively high rates of knee ACL injuries, surgical reconstruction, 2 , 3 and knee replacement (arthroplasty) 4 . The new data highlight worrying increases in the rates of both primary and revision ACL reconstruction, particularly in adolescents 1 . Many factors could potentially explain an increase in the rate of ACL surgery, including more accurate diagnosis, greater access to surgery, and more people playing sport (factors that would be pleasing), but also an increase in the rate of ACL injuries per exposure (which would be disappointing).…”

mentioning

confidence: 99%

“…If Australia can join the list of countries with an ACL surgical registry, factors can be assessed that might explain the high re‐injury rate for young patients after ACL reconstruction and the rapidly increasing rate of revision ACL reconstruction 1 , 14 . These factors are also relevant to Australia's high rate of total knee replacement, as patients with a history of ACL injury have a sevenfold greater risk of total knee replacement 15 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

The rate of anterior cruciate ligament reconstruction in Australia is high: a national registry is needed

Orchard

Engebretsen

Feller

2018

Medical Journal of Australia

View full text Add to dashboard Cite

Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015

Cited by 224 publications

References 31 publications

Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New Zealand

Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New Zealand

Gait Mechanics in Women of the ACL‐SPORTS Randomized Control Trial: Interlimb Symmetry Improves Over Time Regardless of Treatment Group

The rate of anterior cruciate ligament reconstruction in Australia is high: a national registry is needed

Contact Info

Product

Resources

About