Risk factors for complications after primary repair of Achilles tendon ruptures
- PMID: 29657473
- PMCID: PMC5895883
- DOI: 10.1016/j.jor.2018.01.017
Risk factors for complications after primary repair of Achilles tendon ruptures
Abstract
Purpose: To identify patient characteristics associated with adverse events in Achilles tendon rupture (ATR) surgical repair cases.
Methods: A high risk (HR) cohort group of ATR patients were compared to healthy controls in the ACSNSQIP database with multivariate regression analysis.
Results: Overall, 2% (n = 23) of the group sustained an AE postoperatively, most commonly superficial SSI (0.9%, n = 10). Multivariate analysis did not reveal any patient characteristics to be significantly associated with the occurrence of an AE or superficial SSI.
Conclusions: Obesity, diabetes and a history of smoking did not predispose patients to significantly more AEs in the 30 day postoperative period following ATR repair in this study.
Keywords: Achilles tendon rupture; Diabetes; Outcome studies; Tendon disorders.
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References
-
- Amendola A. Outcomes of open surgery versus nonoperative management of acute achilles tendon rupture. Clin J Sport Med. 2014;24(1):90–91. http://www.ncbi.nlm.nih.gov/pubmed/2436601710.1097/JSM.0000000000000064 [Internet]. Available from: - PubMed
-
- Basques B.A., Webb M.L., Bohl D.D., Golinvaux N.S., Grauer J.N. Adverse events, length of stay, and readmission after surgery for tibial plateau fractures. J Orthop Trauma. 2015;29(March(3)):e121–6. http://www.ncbi.nlm.nih.gov/pubmed/2516297510.1097/BOT.0000000000000231 [Internet], [cited 2015 Feb 26]. Available from: - PubMed
-
- Bohl D.D., Fu M.C., Golinvaux N.S., Basques B.A., Gruskay J.A., Grauer J.N. The July effect in primary total hip and knee arthroplasty: analysis of 21, 434 cases from the ACS-NSQIP database. J Arthroplasty. 2014;29(July(7)):1332–1338. http://www.ncbi.nlm.nih.gov/pubmed/2463112510.1016/j.arth.2014.02.008 [Internet], [cited 2015 Feb 26]. Available from: - PubMed
-
- Braunstein M., Baumbach S.F., Boecker W., Carmont M.R., Polzer H., Early E.M. Development of an accelerated functional rehabilitation protocol following minimal invasive Achilles tendon repair deep vein thrombosis. Knee Surg Sports Traumatol Arthrosc. 2015;(September (26)) [Internet]. Available from: - PubMed
-
- Claessen F.M., de Vos R.J., Reijman M., Meuffels D.E. Predictors of primary achilles tendon ruptures. Sports Med. 2014;2014:1241–1259. - PubMed
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