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.
allograft
autograft
diabetes
revision ACL reconstruction
Journal
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
ISSN: 1554-527X
Titre abrégé: J Orthop Res
Pays: United States
ID NLM: 8404726
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
23
07
2020
revised:
08
09
2020
accepted:
14
09
2020
pubmed:
2
10
2020
medline:
1
5
2021
entrez:
1
10
2020
Statut:
ppublish
Résumé
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 postoperative infections. Allografts had a higher risk of infection than autografts (odds ratio, 6.8; 95% CI, 0.9-54.5; p = .045). Diabetes (odds ratio, 28.6; 95% CI, 5.5-149.9; p = .004) was a risk factor for infection. Patient age, sex, BMI, and smoking status were not associated with risk of infection after rACLR.
Identifiants
pubmed: 33002248
doi: 10.1002/jor.24871
pmc: PMC7854959
mid: NIHMS1636013
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
274-280Subventions
Organisme : NIAMS NIH HHS
ID : R01 AR053684
Pays : United States
Organisme : NIAMS NIH HHS
ID : R01 AR060846
Pays : United States
Organisme : NIAMS NIH HHS
ID : 5R01-AR060846
Pays : United States
Informations de copyright
© 2020 Orthopaedic Research Society. Published by Wiley Periodicals LLC.
Références
Clin Orthop Relat Res. 2015 Feb;473(2):453-9
pubmed: 25024028
Ann Surg. 2017 Feb;265(2):331-339
pubmed: 28059961
Am J Sports Med. 2013 Aug;41(8):1780-5
pubmed: 23749343
Clin Infect Dis. 2005 Jul 15;41(2):195-200
pubmed: 15983915
BMJ Open. 2013 Oct 03;3(10):e003857
pubmed: 24091424
Minerva Med. 2015 Aug;106(4 Suppl 3):1-7
pubmed: 27427119
Am J Infect Control. 2013 Dec;41(12):1268-71
pubmed: 23890741
Am J Sports Med. 2010 Feb;38(2):281-6
pubmed: 19915101
PLoS One. 2016 Mar 03;11(3):e0150866
pubmed: 26938768
J Bone Joint Surg Am. 2015 Mar 18;97(6):450-4
pubmed: 25788300
J Surg Orthop Adv. 2010 Fall;19(3):174-6
pubmed: 21086932
Am J Sports Med. 2011 Feb;39(2):348-59
pubmed: 21084660
J Am Acad Orthop Surg. 2012 Jun;20(6):359-63
pubmed: 22661565
J Orthop Res. 2013 Jan;31(1):2-9
pubmed: 22912340
Am J Sports Med. 2010 Oct;38(10):1979-86
pubmed: 20889962
Arthroscopy. 2006 Apr;22(4):375-84
pubmed: 16581449
J Knee Surg. 2005 Jan;18(1):69-72
pubmed: 15742600
Arthroscopy. 2008 Dec;24(12):1330-5
pubmed: 19038702
Am J Sports Med. 2012 Dec;40(12):2872-8
pubmed: 22972849
J Allergy Clin Immunol. 2014 Aug;134(2):247-57; quiz 258-9
pubmed: 25087224