{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T02:27:24Z","timestamp":1770517644573,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T00:00:00Z","timestamp":1619308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T00:00:00Z","timestamp":1619308800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T00:00:00Z","timestamp":1619308800000},"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":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The objective of this study was to determine the reasons for complaints and describe the judicial means upstream of France's courts following arthroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective observational study including all compensation records related to arthroscopic surgery, collected from the two leading French insurance organizations: MACSF and Branchet companies, from 2014 to 2018. Three medical experts performed the protocol and analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Finally, 247 procedures were included. The most common motives were: the appearance or persistence of pain (43.7%), postoperative infection (29.1%), technical errors (10.5%), nerve damage (5.7%), arterial lesions (2.8%), side errors (2.4%). Knee arthroscopies were more at risk of legal action for infection (<jats:italic>p<\/jats:italic>\u2009=\u20090.0006), and for disappointing results or persistent pain (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). The first recourse was the conciliation and compensation commission (CCI) in 136 cases (55.1%), the civil court (TGI) in 88 cases (35.6%) and amicable settlement in 23 cases (9.3%). The mean time between surgery and the complaint was 32.8\u2009\u00b1\u200925.7\u00a0months, and was shorter in the case of an amicable procedure (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The lawsuit's mean duration was 15.6\u2009\u00b1\u200911.2\u00a0months, but longer in case of civil proceedings (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The experts found no negligence in 81.8% of cases (<jats:italic>n<\/jats:italic>\u2009=\u2009202). Infections were the leading cause of recourse to the conciliation and compensation commission (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), while technical errors were the main reason for complaints settled in an amicable procedure (<jats:italic>p<\/jats:italic>\u2009=\u20090.035). It was found more proven negligence in case of amicable procedures (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The mean amount of compensation was 60,968.45\u20ac. No significant difference could be found regarding the median values of compensation between the reason of complaint. The amount of compensation was higher in civil court proceedings than in any others (<jats:italic>p<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The main reasons for arthroscopy litigation in France are reported in this study, specifying how they are managed upstream of possible legal proceedings. The knee is the main joint involved. Patient information, close follow\u2010up associated with early and appropriate management of complications are the main ways to reduce complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06586-9","type":"journal-article","created":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T06:29:28Z","timestamp":1619332168000},"page":"3551-3559","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative pain and infection are the most frequent reasons for legal action after knee arthroscopy: a 5\u2010year review based on two private insurance French companies after arthroscopy"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1343-0881","authenticated-orcid":false,"given":"Gr\u00e9goire","family":"Rougereau","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Institut Mutualiste Montsouris 42 Boulevard Jourdan 75014 Paris France"},{"name":"<!--<label>2<\/label>--> Department of Orthopedics and Traumatology Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital, AP\u2010HP, Sorbonne University 47\u201083 Boulevard de l\u2019H\u00f4pital 75013 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Th\u00e9o","family":"Kavakelis","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Institut Mutualiste Montsouris 42 Boulevard Jourdan 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Sailhan","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopedics and Traumatology Cochin Hospital, AP\u2010HP, Descartes University 27 rue du Faubourg Saint\u2010Jacques 75014 Paris France"},{"name":"<!--<label>4<\/label>--> Department of Orthopedic Surgery Clinique Arago 187 Rue Raymond Losserand 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Chanzy","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> M.A.C.S.F Mutuelle d\u2019Assurances du Corps de Sant\u00e9 Fran\u00e7ais, CR Triangle de l\u2019arche 10 Rue de Valmy 92800 Puteaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Zadegan","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Institut Mutualiste Montsouris 42 Boulevard Jourdan 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tristan","family":"Langlais","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Department of Orthopedics Pediatrics Children Hospital Purpan, Toulouse University Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didier","family":"Ollat","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Institut Mutualiste Montsouris 42 Boulevard Jourdan 75014 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,25]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000159765.42036.56"},{"key":"e_1_2_10_3_2","first-page":"356","article-title":"Physician communication skills and malpractice claims. A complex relationship","volume":"150","author":"Adamson TE","year":"1989","journal-title":"West J Med"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.11.007"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.96B8.34206"},{"key":"e_1_2_10_6_2","first-page":"771","article-title":"Beyond informed consent","volume":"82","author":"Bhutta ZA","year":"2004","journal-title":"Bull World Health Organ"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117738957"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.07.001"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749212"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.102767"},{"key":"e_1_2_10_11_2","unstructured":"European Socio economic Groups\u2014Nomenclature socio\u2010\u00e9conomique europ\u00e9enne\u2014F2016\/04\u2010Inseehttp:\/\/www.insee.fr\/fr\/statistiques\/2022135. 19 Feb 2016"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.02.018"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00414\u2010013\u20100836\u20105"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20103292\u2010y"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.01.018"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200302000\u201000011"},{"key":"e_1_2_10_17_2","unstructured":"HAS (Haute Autorit\u00e9 de Sant\u00e9) Rapport sur la pertinence de l\u2019arthroscopie dans les autres localisationswww.has\u2010sante.fr. 04 Jun 2014"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1012370"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001320050582"},{"key":"e_1_2_10_20_2","unstructured":"Loi no.2002\u2010303 du 4 mars 2002 relative aux droits des malades et \u00e0 la qualit\u00e9 du syst\u00e8me de sant\u00e9\u2014L\u00e9gifrance (legifrance.gouv.fr)"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.05.023"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.04.009"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.95B1.30908"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.11.002"},{"key":"e_1_2_10_25_2","unstructured":"No authors listed.Loi no.2002\u2010303 du 4 mars 2002 relative aux droits des malades et \u00e0 la qualit\u00e9 du syst\u00e8me de sant\u00e9.http:\/\/www.legifrance.gouv.fr. 01 Jul 2016"},{"key":"e_1_2_10_26_2","doi-asserted-by":"crossref","unstructured":"PiogerC JacquetC AbitanA OdriGA OllivierM Sonnery\u2010CottetB BoisrenoultP PujolNLitigation in arthroscopic surgery: a 20\u2010year analysis of legal actions in France.Knee Surg Sports Traumatol Arthrosc(2020)10.1007\/s00167\u2010020\u201006182\u2010332728788","DOI":"10.1007\/s00167-020-06182-3"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510677"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00101"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.02.035"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010013\u20103165\u20106"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1110848"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.07.018"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06586-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-021-06586-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06586-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-021-06586-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:32:55Z","timestamp":1760877175000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-021-06586-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,25]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1007\/s00167-021-06586-9"],"URL":"https:\/\/doi.org\/10.1007\/s00167-021-06586-9","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,25]]},"assertion":[{"value":"24 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"GR, TK, FZ, NC, FS, TL and DO have nothing to disclose.","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"}}]}}