Outcomes of ACL Reconstruction in Patients with Diabetes

Medicine and Science in Sports and Exercise
Robert H BrophyKurt P Spindler

Abstract

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. 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. Patients with diabetes had a significantly higher activity level at 2 yr (OR = 2.96; 95% CI, 1.30-6.7...Continue Reading

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Citations

Jul 25, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Venkat BoddapatiAnil S Ranawat
Jan 1, 2021·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Jourdan M CancienneBrian C Werner

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