{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:52:22Z","timestamp":1779918742875,"version":"3.53.1"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The main objective of this study was to identify the epidemiological characteristics of litigation following arthroscopic procedures, performed in private practice and public hospitals in France. The secondary objective was to establish a risk profile for medical malpractice lawsuits after arthroscopic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All court decisions related to arthroscopic surgery between 1994 and 2020 were collected and reviewed cases from the two main French legal databases (<jats:italic>Legifrance<\/jats:italic> and <jats:italic>Doctrine<\/jats:italic>). Data were retrospectively collected and included: gender, joint and defendant\u2019s specialty involved, reason behind the lawsuit, initial indication and the type of arthroscopic procedure performed. The final verdicts as well as the indemnity awarded to the plaintiff (if any) were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010hundred eighty cases met the inclusion criteria of the study and were analyzed: 58 cases were before administrative courts and 122 were before civil courts. An orthopaedic surgeon was involved alone or <jats:italic>in solidum<\/jats:italic> in 45.6% of cases (82\/180), followed by anesthesiologists in 5.6% (10\/180). The private surgery center or public hospital were implicated in 63.9% (115\/180) of cases. The 2\u00a0most common joints involved in litigation following arthroscopic surgery were the knee (82.2%, <jats:italic>n<\/jats:italic>\u2009=\u2009148) and the shoulder (11.1%, <jats:italic>n<\/jats:italic>\u2009=\u200920). The main reasons behind the lawsuit were related to postoperative infection in 78\/180 cases and to a musculoskeletal complication in 45\/180 cases (25%). A failure to inform was also reported in 34\/180 cases (18.9%). Of the 180 cases, 122 cases (67.8%) resulted in a verdict for the plaintiff. The average indemnity award for the plaintiff was 77.984 euros [2.282\u20131.117.667]. A verdict for the plaintiff was significantly associated with postoperative infection or a wrong\u2010side surgery, while technical error and musculoskeletal complications were more significantly likely to result in a verdict in favor of the defendant (<jats:italic>p<\/jats:italic>\u2009=\u20090.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study evaluated and mapped lawsuits following after arthroscopic surgery in France over a period of more than 20 years. The main joint involved in lawsuits was knee. The main causes of lawsuits following arthroscopic surgery were related to postoperative infection, musculoskeletal complications and failure to inform.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06182-3","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T02:03:44Z","timestamp":1595988224000},"page":"1651-1658","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Litigation in arthroscopic surgery: a 20\u2010year analysis of legal actions in France"],"prefix":"10.1002","volume":"29","author":[{"given":"Charles","family":"Pioger","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Versailles 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Jacquet","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Versailles 177, rue de Versailles 78157 Le Chesnay France"},{"name":"<!--<label>3<\/label>--> Department of Orthopedics and Traumatology, Institute of Movement and Locomotion St. Marguerite Hospital Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Abitan","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Versailles 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume\u2010Anthony","family":"Odri","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Lariboisiere Hospital University Paris 7 University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Ollivier","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopedics and Traumatology, Institute of Movement and Locomotion St. Marguerite Hospital Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Sonnery\u2010Cottet","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Centre Orthop\u00e9dique Santy, FIFA Medical Center of Excellence, Hopital Priv\u00e9 Jean\u2010Mermoz Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Boisrenoult","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Versailles 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2013-8926","authenticated-orcid":false,"given":"Nicolas","family":"Pujol","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Versailles 177, rue de Versailles 78157 Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,29]]},"reference":[{"key":"e_1_2_10_2_2","first-page":"356","article-title":"Physician communication skills and malpractice claims. 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May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"CP, CJ, AA, PB and GO have nothing to disclose. MO is educational consultant for Stryker and Newclip. BSC is educational consultant and receives royalties from Arthrex. NP is occasional educational consultant for Smith&Nephew, Lima, ZimmerBiomet, Stryker, outside the scope of this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No ethical approval was need for this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}