HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) All Versions of this Article: 36/2/308    most recent 0363546507308939v1 Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Reprints and Permissions Request Reprints Citing Articles Citing Articles via HighWire Google Scholar Articles by Granan, L.-P. Articles by Engebretsen, L. PubMed PubMed Citation Articles by Granan, L.-P. Articles by Engebretsen, L. Related Collections Injury Reconstruction Epidemiology Knee

Development of a National Cruciate Ligament Surgery Registry

The Norwegian National Knee Ligament Registry

Lars-Petter Granan^,,*, Roald Bahr, MD, PhD^,, Kjersti Steindal^,, Ove Furnes, MD, PhD^,,||,¶ and Lars Engebretsen, MD, PhD^,,#

From the Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway, the National Knee Ligament Registry, Bergen, Norway, the Norwegian Arthroplasty Register, Bergen, Norway, the ^|| Department of Orthopaedics, Haukeland University Hospital, Bergen, Norway, the ^¶ Department of Surgical Sciences, University of Bergen, Norway, and the ^# Orthopaedic Center, Division of Neuroscience and Musculoskeletal Medicine and Faculty of Medicine, Ullevaal University Hospital, Oslo, Norway

^* Address correspondence to Lars-Petter Granan, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, PB 4014 Ullevål Stadion, 0806 Oslo, Norway (e-mail: lars-petter.granan{at}nih.no)

Background: No prospective surveillance system exists for monitoring the outcome of cruciate ligament surgery.

Purpose: This article is intended to describe the development and procedures of the Norwegian National Knee Ligament Registry (NKLR), including baseline results from the first 2 years of operation.

Study Design: Cohort study (prevalence); Level of evidence, 1.

Methods: The NKLR was established on June 7, 2004 to collect information prospectively on all cases of cruciate ligament reconstruction surgery in Norway. Information on the details of surgery is gathered through a registration form completed by the surgeon postoperatively, and a validated knee outcome score form is completed by the patients preoperatively and at follow-ups on all patients at 2, 5, and 10 years postoperatively. Hospital compliance was examined in 2005 and 2006.

Results: A total of 2793 primary cruciate ligament reconstruction surgeries were registered by 57 hospitals. This corresponds to an annual population incidence of primary anterior cruciate ligament reconstruction surgeries of 34 per 100 000 citizens (85 per 100 000 citizens in the main at-risk age group of 16–39 years). After 21 months of operation, the NKLR had an overall compliance of 97% when compared with the hospital records.

Conclusions: A national population-based cruciate ligament registry has been developed, implemented, and maintained in Norway. The registry will each year enroll approximately 1500 primary cruciate ligament reconstruction cases. It is expected that inadequate procedures and devices can be identified, as well as prognostic factors associated with good and poor outcomes, at least for the most frequent categories.

Key Words: orthopaedics • anterior cruciate ligament • registry • epidemiology • incidence • outcome

This article has been cited by other articles:

				P Renstrom, A Ljungqvist, E Arendt, B Beynnon, T Fukubayashi, W Garrett, T Georgoulis, T E Hewett, R Johnson, T Krosshaug, et al. Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement Br. J. Sports Med., June 1, 2008; 42(6): 394 - 412. [Abstract] [Full Text] [PDF]

				J. W Orchard Preventing sports injuries at the national level: time for other nations to follow New Zealand's remarkable success Br. J. Sports Med., June 1, 2008; 42(6): 392 - 393. [Full Text] [PDF]