{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:17:09Z","timestamp":1777879029579,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T00:00:00Z","timestamp":1509494400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2017,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To characterize the causes of malpractice litigation after ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of malpractice lawsuits after ACL reconstruction was performed using VerdictSearch, a large legal claims database encompassing nearly 180,000 legal cases, from February 1988 to May 2015. Settlement rates and physician loss rates were calculated along with 95% CIs for each complication type, and analysis of variance was used to compare all indemnity payments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of a total 30 lawsuits, 5 (16.7%) settled out of court. The 3 most common complications leading to litigation were prolonged pain (n = 5, 16.7%), infection (n = 5, 16.7%), and malpositioned graft (n = 5, 16.7%). Of the 25 cases that went to court, 8 (32.0%) ended in favor of the plaintiff (physician loss). Damage to a neurovascular structure resulted in the highest indemnity payment (mean, $2,012,926 \u00b1 $1,076,530; P = .021). Lawsuits for which pain or loss of range of motion was the only complication were significantly more likely to end in a physician victory ( P = .04) and lower indemnity payments ($87,500 vs $678,715, respectively). Cases that involved a surgical technical error were more likely to result in a physician loss ( P = .01), with malpositioned grafts having a significantly higher loss rate than average (75% vs 32%, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>After ACL reconstruction, physicians are more likely to win malpractice suits if pain or limited range of motion is the only complaint and less likely to win if a surgical error was alleged. These findings may help to set patient expectations and provide adequate guidance during the informed consent process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967117738957","type":"journal-article","created":{"date-parts":[[2017,11,17]],"date-time":"2017-11-17T18:17:20Z","timestamp":1510942640000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits"],"prefix":"10.1177","volume":"5","author":[{"given":"Steven L.","family":"Bokshan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Ruttiman","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam E.M.","family":"Eltorai","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Mason","family":"DePasse","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Division of Spine Surgery, Department of Orthopaedics, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett D.","family":"Owens","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedics, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,17]]},"reference":[{"key":"bibr1-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2782-9"},{"key":"bibr2-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.03.007"},{"key":"bibr3-2325967117738957","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01713"},{"key":"bibr4-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90166-8"},{"key":"bibr5-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515622414"},{"key":"bibr6-2325967117738957","doi-asserted-by":"publisher","DOI":"10.3171\/2016.12.SPINE16814"},{"key":"bibr7-2325967117738957","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00460"},{"key":"bibr8-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200211150-00002"},{"key":"bibr9-2325967117738957","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.62261"},{"key":"bibr10-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115576927"},{"key":"bibr11-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2012.11.006"},{"key":"bibr12-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000152"},{"key":"bibr13-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506298581"},{"key":"bibr14-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1012370"},{"key":"bibr15-2325967117738957","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140626-06"},{"key":"bibr16-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-015-0684-6"},{"key":"bibr17-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514542796"},{"key":"bibr18-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.10.017"},{"key":"bibr19-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.06.018"},{"key":"bibr20-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B1.30908"},{"key":"bibr21-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.003"},{"key":"bibr22-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000878"},{"key":"bibr23-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B11.33963"},{"key":"bibr24-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629944"},{"key":"bibr25-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0492"},{"key":"bibr26-2325967117738957","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcfm.2006.07.008"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967117738957","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2325967117738957","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967117738957","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:33:26Z","timestamp":1777592006000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2325967117738957"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,1]]},"references-count":26,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11,1]]}},"alternative-id":["10.1177\/2325967117738957"],"URL":"https:\/\/doi.org\/10.1177\/2325967117738957","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,1]]},"article-number":"2325967117738957"}}