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Incidence of postoperative anterior cruciate ligament reconstruction infections: graft choice makes a difference

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dc.contributor.authorMaletis, G.B.
dc.contributor.authorInacio, M.C.S.
dc.contributor.authorReynolds, S.
dc.contributor.authorDesmond, J.J.L.
dc.contributor.authorMaletis, M.M.
dc.contributor.authorFunahashi, T.T.
dc.date.issued2013
dc.description.abstractBackground: Infections after anterior cruciate ligament reconstruction (ACLR) can be devastating. Hamstring tendon autografts may be more susceptible to infections than other graft types. Purpose: To determine the incidence of surgical site infections (SSIs) in a large sample of patients who underwent ACLR and to evaluate the risk of superficial and deep SSIs associated with grafts used for ACLR. Methods: All primary ACLRs performed between February 2005 and September 2010 registered in the Kaiser Permanente ACLR registry were included in the study. The graft types evaluated included the bone–patellar tendon–bone (BPTB) autograft, hamstring tendon autograft, and allograft (all types). The main end point of the study, SSIs (deep and superficial), was prospectively ascertained using an electronic screening algorithm and adjudicated by the principal investigator. Descriptive statistics were used to describe the cohort, and logistic regression models were used to evaluate the likelihood of an infection. Conclusion: The overall SSI rate after ACLR was 0.48%. Deep SSIs were identified in 0.32% of the ACLR cases and superficial SSIs in 0.16%. An 8.2-times higher risk of SSIs was observed in hamstring tendon autografts compared with BPTB autografts. No difference in SSI incidence was identified between allografts and BPTB autografts. Surgeons should bear in mind that although the overall infection rates after ACLR are low, there is an increased risk of deep infections with hamstring tendon autografts.
dc.identifier.citationAmerican Journal of Sports Medicine, 2013; 41(8):1780-1785
dc.identifier.doi10.1177/0363546513490665
dc.identifier.issn0363-5465
dc.identifier.issn1552-3365
dc.identifier.urihttps://hdl.handle.net/1959.8/159392
dc.language.isoen
dc.publisherSage
dc.rightsCopyright 2013 The Authors
dc.source.urihttps://doi.org/10.1177/0363546513490665
dc.subjectACL
dc.subjecthamstring autograft
dc.subjectinfection
dc.subjectsurgical site infection
dc.titleIncidence of postoperative anterior cruciate ligament reconstruction infections: graft choice makes a difference
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9915909912901831

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