Krutsch, Werner and Zellner, Johannes and Zeman, Florian and Nerlich, Michael and Koch, Matthias and Pfeifer, Christian and Angele, Peter (2017) Sports-specific differences in postsurgical infections after arthroscopically assisted anterior cruciate ligament reconstruction. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 25 (12). pp. 3878-3883. ISSN 0942-2056, 1433-7347
Full text not available from this repository. (Request a copy)Abstract
Post-operative infection after arthroscopically assisted anterior cruciate ligament (ACL) reconstruction is a rare but severe complication, particularly for young and active patients. It is unclear whether the prevalence of knee infection is correlated with the type of sports or the level of performance. From 2008 to 2012, the internal single-centre ACL registry of the FIFA Medical Centre of Excellence Regensburg was retrospectively screened for sex, age, time between isolated primary ACL rupture and surgery, surgical technique, rate of infection after ACL reconstruction and the type of sports practised. In total, 4801 ACL reconstructions had been conducted over 5 years, 4579 in amateur and 221 in professional athletes. After application of the exclusion criteria, 1809 athletes with ACL reconstruction were analysed regarding postsurgical infection and the type of sports practised. Professionals and amateurs did not significantly differ with regard to infection rates (n.s.) but in the timing of ACL repair (p < 0.001). Eleven of 1130 football players had developed postsurgical infection after ACL reconstruction (1.0%) in contrast to 557 skiers and snowboarders without infection (p = 0.02). The timing of ACL repair did not differ between the different types of sports (n.s.). Staphylococcus aureus and epidermidis were the predominant detected bacteria. All patients were hospitalised and successfully treated with arthroscopic lavage and antibiotic medication. ACL infections showed sports-related differences. Athletes practising summer outdoor sports such as football had a significantly higher risk of infection after ACL reconstruction than winter sports athletes. No difference was found between professional and amateur athletes. Relevant prevention strategies for postsurgical ACL infections should consider influencing patient factors such as the type of sports activity and attendant circumstances. III.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RESISTANT STAPHYLOCOCCUS-AUREUS; SEPTIC ARTHRITIS; ACL RECONSTRUCTION; SURGERY; ARTHROFIBROSIS; PREVALENCE; MANAGEMENT; RETURN; ACL reconstruction; Infection; Sports; Professional; Football |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:19 |
| Last Modified: | 19 Feb 2019 07:43 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1793 |
Actions (login required)
 |
View Item |
