AN Analysis of Hospitalizations Related to the Anterior Cruciate Ligament from 2013-2022.

Abstract

Introduction: Anterior cruciate ligament (ACL) reconstruction is a surgical procedure accounting for 80% of knee ligament surgeries. ACL reconstruction surgery involves replacing the damaged ligament with a graft. The most commonly used test to evaluate the ACL is the Lachman test. Injuries are classified into three different grades according to the American Medical Association, with grade III indicating a complete ACL rupture. Methodology: A study was conducted using data from the SUS Hospital Information System to analyze the number of procedures involving ACL reconstruction. Microsoft Excel software was used for data analysis. Results: A total of 70,026 Hospitalization Authorizations (AIH) were approved. The majority of procedures occurred in the Southeast region (48%), while the North region had the lowest number of cases (3%). It was observed that reconstruction involving the ACL represents 0.9% of the musculoskeletal system surgical procedures. During the analyzed period, R$8,340,838,943.49 were authorized for transfer related to musculoskeletal system surgeries. For intra-articular knee ligament reconstruction (anterior cruciate), R$187,143,183.42 were authorized, representing 2.1% of the total amount. Conclusion: The Southeast region is where the most AIHs are approved. The number of approved AIHs and expenses follow a consistent proportion across the regions of the country. Finally, it is concluded that ACL reconstruction encompasses 0.9% of the musculoskeletal system surgical procedures approved by SUS and 2.1% of the funds authorized for transfer involved in these procedures.