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Factors associated with infection following anterior cruciate ligament reconstruction.

Publication ,  Journal Article
Brophy, RH; Wright, RW; Huston, LJ; Nwosu, SK; MOON Knee Group, ; Spindler, KP
Published in: J Bone Joint Surg Am
March 18, 2015

BACKGROUND: Although rare, infection can be devastating after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to test the association between infection after ACL reconstruction and potential risk factors such as age, body mass index (BMI), smoking, diabetes, and graft choice. METHODS: We reviewed the Multicenter Orthopaedic Outcomes Network (MOON) cohort from 2002 to 2005 to identify patients with a postoperative infection. The age, BMI, smoking status, history of diabetes, and graft choice were recorded for each patient. A multivariable regression analysis was constructed to examine which baseline risk factors were independently associated with postoperative infection after ACL reconstruction requiring surgical intervention. RESULTS: There were 2198 eligible patients in the cohort, with seventeen (0.8%) reporting a postoperative infection. Diabetes was found to be a significant risk factor for infection (odds ratio [OR] = 18.8; 95% confidence interval [CI] = 3.8 to 94.0; p < 0.001). Compared with bone-tendon-bone autograft, both hamstring autograft and other grafts (e.g., the majority of allografts, with some that were both autograft and allograft) also increased the risk of infection (OR = 4.6 [95% CI = 1.2 to 17.9; p = 0.026] for hamstrings and 4.3 [95% CI = 1.0 to 18.1; p = 0.047] for other grafts). Although the OR for infection in smokers was 2.5, this finding did not reach significance. CONCLUSIONS: Patients with diabetes undergoing ACL reconstruction have a significantly elevated risk of postoperative infection (18.8-times higher odds) compared with that for patients without diabetes. Use of bone-tendon-bone autograft is associated with a lower risk of infection after ACL reconstruction.

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Published In

J Bone Joint Surg Am

DOI

EISSN

1535-1386

Publication Date

March 18, 2015

Volume

97

Issue

6

Start / End Page

450 / 454

Location

United States

Related Subject Headings

  • Young Adult
  • Transplantation, Autologous
  • Tendons
  • Surgical Wound Infection
  • Smoking
  • Risk Factors
  • Orthopedics
  • Knee Injuries
  • Humans
  • Diabetes Complications
 

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Brophy, R. H., Wright, R. W., Huston, L. J., Nwosu, S. K., MOON Knee Group, ., & Spindler, K. P. (2015). Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am, 97(6), 450–454. https://doi.org/10.2106/JBJS.N.00694
Brophy, Robert H., Rick W. Wright, Laura J. Huston, Samuel K. Nwosu, Samuel K. MOON Knee Group, and Kurt P. Spindler. “Factors associated with infection following anterior cruciate ligament reconstruction.J Bone Joint Surg Am 97, no. 6 (March 18, 2015): 450–54. https://doi.org/10.2106/JBJS.N.00694.
Brophy RH, Wright RW, Huston LJ, Nwosu SK, MOON Knee Group, Spindler KP. Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2015 Mar 18;97(6):450–4.
Brophy, Robert H., et al. “Factors associated with infection following anterior cruciate ligament reconstruction.J Bone Joint Surg Am, vol. 97, no. 6, Mar. 2015, pp. 450–54. Pubmed, doi:10.2106/JBJS.N.00694.
Brophy RH, Wright RW, Huston LJ, Nwosu SK, MOON Knee Group, Spindler KP. Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2015 Mar 18;97(6):450–454.

Published In

J Bone Joint Surg Am

DOI

EISSN

1535-1386

Publication Date

March 18, 2015

Volume

97

Issue

6

Start / End Page

450 / 454

Location

United States

Related Subject Headings

  • Young Adult
  • Transplantation, Autologous
  • Tendons
  • Surgical Wound Infection
  • Smoking
  • Risk Factors
  • Orthopedics
  • Knee Injuries
  • Humans
  • Diabetes Complications