caa a22 4500 605457662 CHVBK 20210128100224.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00167-014-3292-y doi (NATIONALLICENCE)springer-10.1007/s00167-014-3292-y Knee arthroplasty and lawsuits: the experience in France [Elektronische Daten] [Emmanuel Gibon, Thierry Farman, Simon Marmor] Purpose: Data regarding knee arthroplasty and lawsuit are scarce. With the expected increase in knee arthroplasty over the next 25years, the number of claims might follow the same trend. Therefore, the most frequent causes of litigation after knee arthroplasty in France, and what is considered as malpractice by the expert, were determined. Methods: Over 8-year period, data gathered from a French private insurance company specializing in malpractice for private practitioners were analyzed. Demographics, type of knee arthroplasty, reason for claim, details of the legal procedure and the expert's decision were reviewed. Results: One hundred and five claims were processed by four jurisdictions. Most of the cases concerned primary total knee arthroplasty. Surgeons and anesthesiologists were charged in 84 and 16% of claims, respectively. The most frequent causes of litigation were infection, neurological deficit and unsatisfactory result, whereas the most common reasons for the surgeon's liability, as stated by the expert, were delay in diagnosis or treatment of a complication, infection and technical error. Conclusion: Our findings show that frequent complications are not those which raise most of the claims. Patients sue the surgeon when the outcome of the surgery is different from what they were expecting. An unsatisfactory result, according to the patient's point of view, is the second most frequent cause of claim. Level of evidence: IV, Economic and Decision Analysis. See the Guidelines for Authors for a complete description of levels of evidence. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Knee arthroplasty nationallicence Complication nationallicence Lawsuit nationallicence Litigation nationallicence Gibon Emmanuel Department of Orthopaedic Surgery, Diaconesses Croix-Saint-Simon Teaching Hospital, 125 rue d'Avron, 75020, Paris, France aut Farman Thierry Mutuelle d'assurance du corps de santé français (MACSF), 10 cours du Triangle-de-l'Arche, TSA 40100, 92919, La Défense Cedex, Paris, France aut Marmor Simon Department of Orthopaedic Surgery, Diaconesses Croix-Saint-Simon Teaching Hospital, 125 rue d'Avron, 75020, Paris, France aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3723-3728 0942-2056 23:12<3723 2015 23 167 https://doi.org/10.1007/s00167-014-3292-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3292-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gibon Emmanuel Department of Orthopaedic Surgery, Diaconesses Croix-Saint-Simon Teaching Hospital, 125 rue d'Avron, 75020, Paris, France aut NATIONALLICENCE 700 1- Farman Thierry Mutuelle d'assurance du corps de santé français (MACSF), 10 cours du Triangle-de-l'Arche, TSA 40100, 92919, La Défense Cedex, Paris, France aut NATIONALLICENCE 700 1- Marmor Simon Department of Orthopaedic Surgery, Diaconesses Croix-Saint-Simon Teaching Hospital, 125 rue d'Avron, 75020, Paris, France aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/12(2015-12-01), 3723-3728 0942-2056 23:12<3723 2015 23 167