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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits
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Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits

机译：与医生损失有关的因素，韧带重建疾病诉讼

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Background:Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction.Purpose:To characterize the causes of malpractice litigation after ACL reconstruction.Study Design:Cross-sectional study.Methods:A retrospective review of malpractice lawsuits after ACL reconstruction was performed using VerdictSearch, a large legal claims database encompassing nearly 180,000 legal cases, from February 1988 to May 2015. Settlement rates and physician loss rates were calculated along with 95% CIs for each complication type, and analysis of variance was used to compare all indemnity payments.Results:Of a total 30 lawsuits, 5 (16.7%) settled out of court. The 3 most common complications leading to litigation were prolonged pain (n = 5, 16.7%), infection (n = 5, 16.7%), and malpositioned graft (n = 5, 16.7%). Of the 25 cases that went to court, 8 (32.0%) ended in favor of the plaintiff (physician loss). Damage to a neurovascular structure resulted in the highest indemnity payment (mean, $2,012,926 ± $1,076,530; P = .021). Lawsuits for which pain or loss of range of motion was the only complication were significantly more likely to end in a physician victory (P = .04) and lower indemnity payments ($87,500 vs $678,715, respectively). Cases that involved a surgical technical error were more likely to result in a physician loss (P = .01), with malpositioned grafts having a significantly higher loss rate than average (75% vs 32%, respectively).Conclusion:After ACL reconstruction, physicians are more likely to win malpractice suits if pain or limited range of motion is the only complaint and less likely to win if a surgical error was alleged. These findings may help to set patient expectations and provide adequate guidance during the informed consent process.
机译：背景：前十字架韧带（ACL）重建是最常见的骨科程序之一，其发病率在过去十年中翻了一番。迄今为止，ACL重建后没有研究诉讼。对ACL重建后的弊端诉讼的表征.Sutudy设计：横截面研究。方法：使用verdictsearch进行ACL重建后对疾病诉讼的回顾性审查大型法律索赔数据库包括近180,000个法律案件，从1988年2月到2015年5月。结算率和医生损失率随着每种并发症类型的95％CIS计算，并且差异分析用于比较所有赔偿金。结果：结果共有30个诉讼，5（16.7％）退出法院。导致诉讼的3个最常见的并发症是延长的疼痛（n = 5,16.7％），感染（n = 5,16.7％）和呈现的移植物（n = 5,16.7％）。在法庭上的25起案件中，8（32.0％）结束了原告（医生损失）。对神经血管结构的损害导致了最高的赔偿金（平均值，2,012,926±$ 1,076,530; p = .021）。疼痛或运动范围损失的诉讼是唯一的并发症才会更容易在医生胜利中结束（P = .04）和较低的赔偿金（分别为87,500美元，678,715美元）。涉及外科技术误差的病例更有可能导致医生损失（p = .01），具有比平均水平高更高的损失率的留置移植物（分别为75％，分别为32％）。结论：ACL重建后，如果疼痛或有限的运动范围是唯一的投诉，医生更有可能赢得弊端，如果似乎是唯一的投诉，如果据称手术错误，则赢得不太可能赢得。这些调查结果可能有助于在知情同意过程中设定患者期望并提供足够的指导。

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