Complications and Adverse Events of a Randomized Clinical Trial Comparing 3 Graft Types for ACL Reconstruction
Mohtadi N, Barber R, Chan D, and Paolucci EO. Clin J Sports Med. 2015. [Epub Ahead of Print].
Take Home Message: Of 330 patients who underwent an anterior cruciate ligament (ACL) reconstruction surgery, 27% reported an adverse event due to surgery within 2 years but only 2 adverse events (0.6%) were considered major complications and 24 (7%) required a repeat surgery. This suggests that overall, ACL reconstruction surgery is generally safe and the adverse events which do occur can be treated relatively successfully.
We often focus on the short-term benefits of an anterior cruciate ligament (ACL) reconstruction or the long-term outcomes of ACL reconstruction but we know very little about the adverse events (complications) within the first 2 years after surgery. By better understanding this, clinicians will be better equipped to counsel patients and explore strategies to prevent these adverse events. Therefore, Mohtadi and colleagues completed a prospective, double-blind randomized clinical trial and identified and reported all adverse events following ACL reconstruction using 3 different grafts.