1. Rate of infection following revision anterior cruciate ligament reconstruction and associated patient‐ and surgeon‐dependent risk factors: Retrospective results from MOON and MARS data collected from 2002 to 2011
- Author
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Kurt P. Spindler, G. Peter Maiers, Sharon L. Hame, Arthur R. Bartolozzi, Steven R. Gecha, Elizabeth A. Garofoli, Brett A. Lantz, Annunziato Amendola, Brett D. Owens, Xulei Li, Daniel E. Cooper, Mark L. Purnell, Stephen F. Brockmeier, Robert G. McCormack, Robert A. Creighton, John P. Albright, Charles A. Bush-Joseph, Rick W. Wright, Geoffrey A. Bernas, Carl W. Nissen, Jeffrey T. Spang, David R. McAllister, James S. Williams, Timothy M. Hosea, Brian R. Wolf, Edwin M. Tingstad, John D. Campbell, Bruce S. Miller, David C. Flanigan, Daniel F. O’Neill, Robert W. Frederick, David W. Johnson, Armando F. Vidal, Jack T. Andrish, Ganesh V. Kamath, Theodore J. Ganley, Ltc Steven J Svoboda, Jeffrey H. Berg, Laura J. Huston, Rudolf G. Hoellrich, Christopher C. Annunziata, Charles L. Cox, Michael A. Rauh, James E. Carpenter, Bruce A. Levy, Richard A. White, Charles J. Gatt, Christopher C. Kaeding, Jo A. Hannafin, James L. Carey, Gregory M. Mathien, Timothy S. Johnson, Bernard R. Bach, Elliott B. Hershman, Warren R. Dunn, Diane L. Dahm, Tal S. David, Morgan H. Jones, Robert H. Brophy, Darius Viskontas, Keith M. Baumgarten, Christopher D. Harner, Michelle L. Wolcott, Michael J. Stuart, Allen F. Anderson, Barton J. Mann, Jay Brad V Butler, James R. Slauterbeck, Thomas M. DeBerardino, James J. York, Matthew J. Matava, Champ L. Baker, Richard D. Parker, Norman Lindsay Harris, Thomas E. Klootwyk, Orrin H. Sherman, C.B. Ma, Robert A. Arciero, James Robert Giffin, Jonathan M. Cooper, Kevin G. Shea, Matthew V. Smith, Christina R. Allen, Brian J. Cole, Robert G. Marx, Eric C. McCarty, Jeffery R. Bechler, Arun J. Ramappa, Joachim J. Tenuta, Arthur C. Rettig, Timothy N. Taft, Amanda K. Haas, Keith S. Hechtman, and Jon K. Sekiya
- Subjects
Adult ,Male ,Reoperation ,medicine.medical_specialty ,Adolescent ,Anterior cruciate ligament reconstruction ,medicine.medical_treatment ,0206 medical engineering ,02 engineering and technology ,Infections ,Article ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,medicine ,Humans ,Orthopedics and Sports Medicine ,Risk factor ,Retrospective Studies ,030203 arthritis & rheumatology ,Anterior Cruciate Ligament Reconstruction ,business.industry ,Risk of infection ,Odds ratio ,medicine.disease ,020601 biomedical engineering ,United States ,Cohort ,Female ,Smoking status ,business ,Body mass index - Abstract
Infection is a rare occurrence after revision anterior cruciate ligament reconstruction (rACLR). Because of the low rates of infection, it has been difficult to identify risk factors for infection in this patient population. The purpose of this study was to report the rate of infection following rACLR and assess whether infection is associated with patient- and surgeon- dependent risk factors. We reviewed two large prospective cohorts to identify patients with postoperative infections following rACLR. Age, sex, body mass index (BMI), smoking status, history of diabetes, and graft choice were recorded for each patient. The association of these factors with postoperative infection following rACLR was assessed. There were 1423 rACLR cases in the combined cohort, with 9 (0.6%) reporting post-operative infections. Allografts had a higher risk of infection than autografts (odds ratio=6.8; 95% CI: 0.9-54.5; p=0.045). Diabetes (odds ratio=28.6; 95% CI: 5.5-149.9; p=0.004) was a risk factor for infection. Patient age, sex, BMI and smoking status were not associated with risk of infection after rACLR. STATEMENT OF CLINICAL SIGNIFICANCE: While there is a low rate of infection following rACLR, use of allograft and comorbidity with diabetes are associated with a higher risk of infection following this surgery.
- Published
- 2020
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