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Outcomes of ACL Reconstruction in Patients with Diabetes.

Publication ,  Journal Article
Brophy, RH; Huston, LJ; Wright, RW; Nwosu, SK; Kaeding, CC; Parker, RD; Andrish, JT; Marx, RG; McCarty, EC; Amendola, A; Wolf, BR; Dunn, WR ...
Published in: Med Sci Sports Exerc
June 2016

PURPOSE: Diabetes has been associated with adverse outcomes after various types of surgery. There are no previously published data regarding the effect of diabetes on outcomes from anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to test the hypotheses that diabetes is associated with worse clinical outcomes and a higher prevalence of subsequent surgeries after ACLR. METHODS: Anterior cruciate ligament-deficient patients (n = 2198) undergoing unilateral ACLR from a multicenter prospective study were included. Patients who self-reported diabetes on the basis of comorbidity questions before surgery were identified from the database. They were compared with the remainder of the cohort who did not self-report diabetes. All patients were followed up for a minimum of 2 yr after their index surgery. A minimum 2-yr follow-up was attained on 1905/2198 (87%) via completed outcome questionnaires and 2096/2198 (95%) regarding subsequent surgery. The primary outcome measures were three validated outcome instruments. The secondary outcome measure was the incidence of additional surgery on the ipsilateral and contralateral knees. RESULTS: Patients with diabetes had a significantly higher activity level at 2 yr (OR = 2.96; 95% CI, 1.30-6.77; P = 0.01), but otherwise slightly worse clinical outcomes, compared with patients without diabetes (OR range = 0.42-0.59). The prevalence of subsequent surgeries in patients with diabetes was not significantly different from the prevalence in patients without diabetes. CONCLUSIONS: Patients with diabetes maintain a higher activity level after ACLR despite slightly lower patient-reported outcome scores compared with patients without diabetes and do not have a higher rate of subsequent surgery.

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Published In

Med Sci Sports Exerc

DOI

EISSN

1530-0315

Publication Date

June 2016

Volume

48

Issue

6

Start / End Page

969 / 973

Location

United States

Related Subject Headings

  • Sport Sciences
  • Risk Factors
  • Reoperation
  • Prospective Studies
  • Patient Outcome Assessment
  • Humans
  • Diabetes Complications
  • Anterior Cruciate Ligament Reconstruction
  • Anterior Cruciate Ligament Injuries
  • 4207 Sports science and exercise
 

Citation

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Brophy, R. H., Huston, L. J., Wright, R. W., Nwosu, S. K., Kaeding, C. C., Parker, R. D., … Spindler, K. P. (2016). Outcomes of ACL Reconstruction in Patients with Diabetes. Med Sci Sports Exerc, 48(6), 969–973. https://doi.org/10.1249/MSS.0000000000000876
Brophy, Robert H., Laura J. Huston, Rick W. Wright, Samuel K. Nwosu, Christopher C. Kaeding, Richard D. Parker, Jack T. Andrish, et al. “Outcomes of ACL Reconstruction in Patients with Diabetes.Med Sci Sports Exerc 48, no. 6 (June 2016): 969–73. https://doi.org/10.1249/MSS.0000000000000876.
Brophy RH, Huston LJ, Wright RW, Nwosu SK, Kaeding CC, Parker RD, et al. Outcomes of ACL Reconstruction in Patients with Diabetes. Med Sci Sports Exerc. 2016 Jun;48(6):969–73.
Brophy, Robert H., et al. “Outcomes of ACL Reconstruction in Patients with Diabetes.Med Sci Sports Exerc, vol. 48, no. 6, June 2016, pp. 969–73. Pubmed, doi:10.1249/MSS.0000000000000876.
Brophy RH, Huston LJ, Wright RW, Nwosu SK, Kaeding CC, Parker RD, Andrish JT, Marx RG, McCarty EC, Amendola A, Wolf BR, Dunn WR, Wolcott ML, Spindler KP. Outcomes of ACL Reconstruction in Patients with Diabetes. Med Sci Sports Exerc. 2016 Jun;48(6):969–973.

Published In

Med Sci Sports Exerc

DOI

EISSN

1530-0315

Publication Date

June 2016

Volume

48

Issue

6

Start / End Page

969 / 973

Location

United States

Related Subject Headings

  • Sport Sciences
  • Risk Factors
  • Reoperation
  • Prospective Studies
  • Patient Outcome Assessment
  • Humans
  • Diabetes Complications
  • Anterior Cruciate Ligament Reconstruction
  • Anterior Cruciate Ligament Injuries
  • 4207 Sports science and exercise