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Arthroscopy in India Through the Medicolegal Lens: A Comprehensive Review

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Abstract

Introduction

With the increasing number of Arthroscopic surgeries, comes with it, the undesirable problem of litigation associated with it. Arthroscopy does possess certain unique aspects which need to be understood from the legal point of view as well.

Materials and Methods

We obtained information on specific medico-legal cases involving arthroscopy from books and websites containing collections of medico-legal judgments in Indian legal courts, consumer dispute redressal forums at the state and national levels, and state medical councils..

Results

We assimilated and analysed all this information, combined it with our experience in the field of medical law, and have provided practical, enforceable ways to decrease the medicolegal risk for arthroscopy surgeons.

Conclusion

This review provides a comprehensive overview of pressing issues in relation to the medicolegal aspects of arthroscopic surgery.

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References

  1. Rajan, D. V. (2021). Editorial - Practice of Arthroscopy, is it any different in India? Indian Journal of Orthopaedics, 55(2), 235–236. https://doi.org/10.1007/s43465-021-00377-7

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sundararajan, S. R., Ramakanth, R., & Rajasekaran, S. (2022). The evolving trends in arthroscopy and sports medicine. Journal of Clinical Orthopaedics and Trauma, 31, 101915. https://doi.org/10.1016/j.jcot.2022.101915

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Kumar, P., Palanisamy, Y., Verma, A., Maini, L., Dhillon, M. S., & Shetty, V. (2021). Status of Hip Arthroscopy in India: A Short Questionnaire Based Survey and Review of Literature. Indian Journal of Orthopaedics, 55(2), 325–332. https://doi.org/10.1007/s43465-020-00346-6

    Article  PubMed  PubMed Central  Google Scholar 

  4. Rougereau, G., Kavakelis, T., Sailhan, F., Chanzy, N., Zadegan, F., Langlais, T., et al. (2021). Postoperative pain and infection are the most frequent reasons for legal action after knee arthroscopy: A 5-year review based on two private insurance French companies after arthroscopy. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 29(11), 3551–3559. https://doi.org/10.1007/s00167-021-06586-9

    Article  PubMed  Google Scholar 

  5. Pioger, C., Jacquet, C., Abitan, A., Odri, G.-A., Ollivier, M., Sonnery-Cottet, B., et al. (2021). Litigation in arthroscopic surgery: A 20-year analysis of legal actions in France. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 29(5), 1651–1658. https://doi.org/10.1007/s00167-020-06182-3

    Article  PubMed  Google Scholar 

  6. Lubowitz J. H., Brand J. C., & Rossi M. J. (2018). Malpractice Litigation After Arthroscopy. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 34(7), 2009. https://doi.org/10.1016/j.arthro.2018.05.023

  7. Shah K. N., Eltorai A. E. M., Perera S., Durand W. M., Shantharam G., Owens B. D., et al. (2018). Medical Malpractice Litigation Following Arthroscopic Surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 34(7), 2236–2244. https://doi.org/10.1016/j.arthro.2018.02.035

  8. Tan, J., Ross, J. M., Wright, D., Pimentel, M. P. T., & Urman, R. D. (2023). A Contemporary Analysis of Closed Claims Related to Wrong-Site Surgery. Joint Commission Journal on Quality and Patient Safety, 49(5), 265–273. https://doi.org/10.1016/j.jcjq.2023.02.002

    Article  PubMed  Google Scholar 

  9. Miller M. D. (2018). Editorial Commentary: Outside the Scope of Practice-Wrong-Site Surgery Should NEVER Happen. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 34(7), 2245–2246. https://doi.org/10.1016/j.arthro.2018.03.043

  10. Tool and Resources. https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources. Accessed 21.5.2023. https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources. Accessed May 21, 2023

  11. Panesar, S. S., Noble, D. J., Mirza, S. B., Patel, B., Mann, B., Emerton, M., et al. (2011). Can the surgical checklist reduce the risk of wrong site surgery in orthopaedics? - can the checklist help? Supporting evidence from analysis of a national patient incident reporting system. Journal of Orthopaedic Surgery and Research, 6, 18. https://doi.org/10.1186/1749-799X-6-18

    Article  PubMed  PubMed Central  Google Scholar 

  12. Maletis G. B., Inacio M. C. S., Reynolds S., & Funahashi T. T. (2012). Incidence of symptomatic venous thromboembolism after elective knee arthroscopy. The Journal of Bone and Joint Surgery. American Volume, 94(8), 714–720. https://doi.org/10.2106/JBJS.J.01759

  13. Sun Y., Chen D., Xu Z., Shi D., Dai J., Qin J., et al. (2014). Incidence of symptomatic and asymptomatic venous thromboembolism after elective knee arthroscopic surgery: a retrospective study with routinely applied venography. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 30(7), 818–822. https://doi.org/10.1016/j.arthro.2014.02.043

  14. Fish D. N. (2012). Is thromboprophylaxis after knee arthroscopy warranted? Commentary on an article by Gregory B. Maletis, MD, et al.: “Incidence of symptomatic venous thromboembolism after elective knee arthroscopy.” The Journal of Bone and Joint Surgery. American Volume, 94(8), e54. https://doi.org/10.2106/JBJS.L.00017

  15. Lameire, D. L., Khalik, H. A., Phillips, M., MacDonald, A. E., Banfield, L., de Sa, D., et al. (2022). Thromboprophylaxis after knee arthroscopy does not decrease the risk of deep vein thrombosis: A network meta-analysis. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 30(7), 2364–2376. https://doi.org/10.1007/s00167-021-06857-5

    Article  PubMed  Google Scholar 

  16. Martinazzi, B. J., Kirchner, G. J., Lorenz, F. J., Bonaddio, V., Hines, S., Kim, R. Y., et al. (2022). Venous Thromboembolism Chemoprophylaxis in Knee Arthroscopy: A Break-Even Analysis of Cost. The American Journal of Sports Medicine, 50(14), 3832–3837. https://doi.org/10.1177/03635465221130990

    Article  PubMed  PubMed Central  Google Scholar 

  17. Zheng, G., Tang, Q., Shang, P., Pan, X.-Y., & Liu, H.-X. (2018). No effectiveness of anticoagulants for thromboprophylaxis after non-major knee arthroscopy: A systemic review and meta-analysis of randomized controlled trials. Journal of Thrombosis and Thrombolysis, 45(4), 562–570. https://doi.org/10.1007/s11239-018-1638-x

    Article  CAS  PubMed  Google Scholar 

  18. Zhu, J., Jiang, H., Marshall, B., Li, J., & Tang, X. (2019). Low-Molecular-Weight Heparin for the Prevention of Venous Thromboembolism in Patients Undergoing Knee Arthroscopic Surgery and Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials. The American Journal of Sports Medicine, 47(8), 1994–2002. https://doi.org/10.1177/0363546518782705

    Article  PubMed  Google Scholar 

  19. Kaye I. D., Patel D. N., Strauss E. J., Alaia M. J., Garofolo G., Martinez A., et al. (2015). Prevention of Venous Thromboembolism after Arthroscopic Knee Surgery in a Low-Risk Population with the Use of Aspirin. A Randomized Trial. Bulletin of the Hospital for Joint Disease (2013), 73(4), 243–248.

  20. Mauck, K. F., Froehling, D. A., Daniels, P. R., Dahm, D. L., Ashrani, A. A., Crusan, D. J., et al. (2013). Incidence of venous thromboembolism after elective knee arthroscopic surgery: A historical cohort study. Journal of thrombosis and haemostasis: JTH, 11(7), 1279–1286. https://doi.org/10.1111/jth.12283

    Article  CAS  PubMed  Google Scholar 

  21. Ramos J., Perrotta C., Badariotti G., & Berenstein G. (2008). Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. The Cochrane Database of Systematic Reviews, (4), CD005259. https://doi.org/10.1002/14651858.CD005259.pub3

  22. Graham W. C., & Flanigan D. C. (2014). Venous thromboembolism following arthroscopic knee surgery: a current concepts review of incidence, prophylaxis, and preoperative risk assessment. Sports Medicine (Auckland, N.Z.), 44(3), 331–343. https://doi.org/10.1007/s40279-013-0121-2

  23. Easwaran, R., Khan, M., Sancheti, P., Shyam, A., Bhandari, M., Ranawat, A. S., et al. (2022). Prophylaxis for preventing venous thromboembolism in knee arthroscopy and soft tissue reconstruction: Consensus statements from an international panel of experts. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 30(11), 3634–3643. https://doi.org/10.1007/s00167-022-06973-w

    Article  PubMed  Google Scholar 

  24. Bert, J. M., & Bert, T. M. (2013). Management of infections after arthroscopy. Sports Medicine and Arthroscopy Review, 21(2), 75–79. https://doi.org/10.1097/JSA.0b013e318290cb5b

    Article  PubMed  Google Scholar 

  25. Pai, S. (2021). Medico-Legal Issues Related to Hip and Knee Arthroplasty: A Literature Review Including the Indian Scenario. Indian Journal of Orthopaedics, 55(5), 1286–1294. https://doi.org/10.1007/s43465-021-00398-2

    Article  PubMed  PubMed Central  Google Scholar 

  26. Marmor, S., Farman, T., & Lortat-Jacob, A. (2009). Joint infection after knee arthroscopy: Medicolegal aspects. Orthopaedics & traumatology, surgery & research: OTSR, 95(4), 278–283. https://doi.org/10.1016/j.otsr.2009.04.009

    Article  CAS  Google Scholar 

  27. Bartek, B., Winkler, T., Garbe, A., Schelberger, T., Perka, C., & Jung, T. (2022). Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery : Low infection rate despite increasing contamination over surgery time. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 30(1), 246–252. https://doi.org/10.1007/s00167-021-06481-3

    Article  PubMed  Google Scholar 

  28. Erice, A., Neira, M. I., Vargas-Prada, S., Chiaraviglio, A., Gutiérrez-Guisado, J., & Rodríguez de Oya, R. (2018). Septic arthritis following arthroscopic reconstruction of cruciate ligaments of the knee: Retrospective case review. Enfermedades Infecciosas Y Microbiologia Clinica (English Ed.), 36(6), 336–341. https://doi.org/10.1016/j.eimc.2017.05.002

    Article  PubMed  Google Scholar 

  29. Balato, G., Di Donato, S. L., Ascione, T., D’Addona, A., Smeraglia, F., Di Vico, G., et al. (2017). Knee Septic Arthritis after Arthroscopy: Incidence, Risk Factors, Functional Outcome, and Infection Eradication Rate. Joints, 5(2), 107–113. https://doi.org/10.1055/s-0037-1603901

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Kurzweil P. R. (2017). Editorial Commentary: Should I Order Prophylactic Antibiotics for My Next Knee Scope? Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 33(1), 163–164. https://doi.org/10.1016/j.arthro.2016.10.012

  31. Kurzweil P. R. (2006). Antibiotic prophylaxis for arthroscopic surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 22(4), 452–454. https://doi.org/10.1016/j.arthro.2006.02.004

  32. Carney, J., Heckmann, N., Mayer, E. N., Alluri, R. K., Vangsness, C. T., Hatch, I. G., F., et al. (2018). Should antibiotics be administered before arthroscopic knee surgery? A systematic review of the literature. World Journal of Orthopedics, 9(11), 262–270. https://doi.org/10.5312/wjo.v9.i11.262

    Article  PubMed  PubMed Central  Google Scholar 

  33. Wyatt R. W. B., Maletis G. B., Lyon L. L., Schwalbe J., & Avins A. L. (2017). Efficacy of Prophylactic Antibiotics in Simple Knee Arthroscopy. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 33(1), 157–162. https://doi.org/10.1016/j.arthro.2016.05.020

  34. Wachtel, N., Meyer, E., Volkmer, E., Knie, N., Lukas, B., Giunta, R., et al. (2023). Efficacy of perioperative antibiotic prophylaxis in elective soft-tissue-only wrist arthroscopy. Bone & Joint Open, 4(4), 219–225. https://doi.org/10.1302/2633-1462.44.BJO-2023-0019

    Article  Google Scholar 

  35. Qi, Y., Yang, X., Pan, Z., Wang, H., & Chen, L. (2018). Value of antibiotic prophylaxis in routine knee arthroscopy : A retrospective study. Der Orthopade, 47(3), 246–253. https://doi.org/10.1007/s00132-017-3486-3

    Article  PubMed  Google Scholar 

  36. Amadei F., Basile G., & Leigheb M. (2021). Nerve lesions during arthroscopic procedure: a literature overview. Orthopedic Reviews, 13(2), 24441. https://doi.org/10.52965/001c.24441

  37. Kim, T. K., Savino, R. M., McFarland, E. G., & Cosgarea, A. J. (2002). Neurovascular complications of knee arthroscopy. The American Journal of Sports Medicine, 30(4), 619–629. https://doi.org/10.1177/03635465020300042501

    Article  PubMed  Google Scholar 

  38. Higgins, L. D. (2005). Medicolegal aspects of the orthopaedic care for shoulder injuries. Clinical Orthopaedics and Related Research, 433, 58–64. https://doi.org/10.1097/01.blo.0000159894.86946.23

    Article  Google Scholar 

  39. Pai, S. N., Patro, B. P., Jeyaraman, N., Nallakumarasamy, A., & Jeyaraman, M. (2023). Legally Sound, Evidence-Based Informed Consent Form for Total Hip Arthroplasty. Indian Journal of Orthopaedics, 57(3), 421–428. https://doi.org/10.1007/s43465-023-00824-7

    Article  PubMed  Google Scholar 

  40. Younis, M. U. (2021). Importance Of Efficient Operation Note Writing: Review Of Guidance. Journal of Ayub Medical College, Abbottabad: JAMC, 33(1), 145–149.

    PubMed  Google Scholar 

  41. Eriksson, E. (1979). Problems in recording arthroscopy. The Orthopedic Clinics of North America, 10(3), 735–744.

    Article  CAS  PubMed  Google Scholar 

  42. Kambhampati, S. B. S., Vaish, A., Vaishya, R., & Patralekh, M. K. (2021). Trends of arthroscopy publications in PubMed and Scopus. Knee Surgery & Related Research, 33(1), 14. https://doi.org/10.1186/s43019-021-00096-1

    Article  Google Scholar 

  43. Omar, O., Rizvanovic, D., Waldén, M., Eriksson, K., Barenius, B., & Stålman, A. (2022). Compensation claims following anterior cruciate ligament injuries reported to the patient insurance company in Sweden in 2005–2014. Acta Orthopaedica, 93, 97–102. https://doi.org/10.1080/17453674.2021.1996102

    Article  PubMed  PubMed Central  Google Scholar 

  44. Bokshan, S. L., Ruttiman, R., Eltorai, A. E. M., DePasse, J. M., Daniels, A. H., & Owens, B. D. (2017). Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits. Orthopaedic Journal of Sports Medicine, 5(11), 2325967117738957. https://doi.org/10.1177/2325967117738957

    Article  PubMed  PubMed Central  Google Scholar 

  45. Regauer, M., & Neu, J. (2012). Infection after anterior cruciate ligament reconstruction: Grave error in treatment? Der Unfallchirurg, 115(9), 844–846. https://doi.org/10.1007/s00113-012-2172-5

    Article  CAS  PubMed  Google Scholar 

  46. Randsborg, P.-H., Bukholm, I. R. K., & Jakobsen, R. B. (2018). Compensation after treatment for anterior cruciate ligament injuries: A review of compensation claims in Norway from 2005 to 2015. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 26(2), 628–633. https://doi.org/10.1007/s00167-017-4809-y

    Article  PubMed  Google Scholar 

  47. Weekes, D., Campbell, R. E., Shi, W. J., Ciccotti, M., Salvo, J., Cohen, S., et al. (2020). Are Patient and Surgeon Expectations after ACL Reconstruction Realistic? Clinical Orthopaedics and Related Research, 478(3), 619–628. https://doi.org/10.1097/CORR.0000000000001082

    Article  PubMed  PubMed Central  Google Scholar 

  48. Cailliez, J., Reina, N., Molinier, F., Chaminade, B., Chiron, P., & Laffosse, J.-M. (2012). Patient information ahead of anterior cruciate ligament reconstruction: Experience in a university hospital center. Orthopaedics & traumatology, surgery & research: OTSR, 98(5), 491–498. https://doi.org/10.1016/j.otsr.2012.03.007

    Article  CAS  Google Scholar 

  49. Cole B. J., Cotter E. J., Wang K. C., & Davey A. (2017). Patient Understanding, Expectations, Outcomes, and Satisfaction Regarding Anterior Cruciate Ligament Injuries and Surgical Management. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 33(5), 1092–1096. https://doi.org/10.1016/j.arthro.2017.01.049

  50. Deckey, D. G., Eltorai, A. E. M., Gil, J. A., & Daniels, A. H. (2018). Assessment of malpractice claims associated with rotator cuff surgery. Orthopedic Reviews, 10(3), 7703. https://doi.org/10.4081/or.2018.7703

    Article  PubMed  PubMed Central  Google Scholar 

  51. Lynch, J. C., Radack, T. M., Stenson, J. F., Riebesell, S. A., & Austin, L. S. (2022). Malpractice against shoulder surgeons: What the data say. Journal of Shoulder and Elbow Surgery, 31(10), 2196–2202. https://doi.org/10.1016/j.jse.2022.05.021

    Article  PubMed  Google Scholar 

  52. Sharma, A., Whitlock, K. G., Gage, M. J., Lassiter, T. E., Anakwenze, O. A., & Klifto, C. S. (2021). Malpractice trends in shoulder and elbow surgery. Journal of Shoulder and Elbow Surgery, 30(9), 2007–2013. https://doi.org/10.1016/j.jse.2020.12.018

    Article  PubMed  Google Scholar 

  53. Fortis Hospital & Anr. vs Karthik Goel & Ors. on 22 December, 2015. https://indiankanoon.org/doc/170669227/. Accessed 7.6.2023. https://indiankanoon.org/doc/170669227/. Accessed June 7, 2023

  54. HARPREET SINGH Vs. HARKANWAR SINGH. https://www.the-laws.com/encyclopedia/browse/case?caseId=992202953000&title=harpreet-singh-vs-harkanwar-singh. Accessed 9.6.2023. https://www.the-laws.com/encyclopedia/browse/case?caseId=992202953000&title=harpreet-singh-vs-harkanwar-singh. Accessed June 9, 2023

  55. Indulia B. (2020). NCDRC | On suffering a bad outcome from medical treatment, will a person have an automatic right to sue for compensation? Read on. https://www.scconline.com/blog/post/2020/10/15/ncdrc-on-suffering-a-bad-outcome-from-medical-treatment-will-a-person-have-an-automatic-right-to-sue-for-compensation-read-on/. Accessed 9.6.2023. https://www.scconline.com/blog/post/2020/10/15/ncdrc-on-suffering-a-bad-outcome-from-medical-treatment-will-a-person-have-an-automatic-right-to-sue-for-compensation-read-on/. Accessed June 9, 2023

  56. Deepak Rajaramji Mourya Petitioner(S) v. Dr. Sanjeev Devidas Choudhari (S)., National Consumer Disputes Redressal Commission, Judgment, Law, casemine.com. https://www.casemine.com/judgement/in/5ad056e7add7b012c378137a. Accessed 9.6.2023. https://www.casemine.com/judgement/in/5ad056e7add7b012c378137a. Accessed June 9, 2023

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  1. Department of Orthopaedic Surgery, Aster RV Hospital, J P Nagar, Bangalore, India

    Satvik N. Pai

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Pai, S.N. Arthroscopy in India Through the Medicolegal Lens: A Comprehensive Review. JOIO 57, 1984–1992 (2023). https://doi.org/10.1007/s43465-023-01011-4

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