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Risk Factors for Infection After Rotator Cuff Repair.

Bryan G Vopat1, Bea J Lee2, Sherilyn DeStefano3

  • 1Massachusetts General Hospital/Harvard, Boston, Massachusetts, U.S.A..

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|October 21, 2015
PubMed
Summary
This summary is machine-generated.

Open or miniopen rotator cuff repair and male sex increase infection risk. Arthroscopic repair is linked to lower infection rates. This study identifies key factors for preventing post-surgical infections.

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Area of Science:

  • Orthopedic Surgery
  • Infectious Disease Epidemiology

Background:

  • Rotator cuff repair is a common orthopedic procedure.
  • Postoperative infection is a significant complication that can lead to adverse outcomes.

Purpose of the Study:

  • To identify patient characteristics and surgical techniques associated with an increased risk of infection following rotator cuff repair.
  • To compare infection rates between different surgical approaches for rotator cuff repair.

Main Methods:

  • Retrospective review of 1,824 rotator cuff repairs performed by a single surgeon between 1995 and 2010.
  • Case-control study comparing 14 infected patients with 185 randomly selected uninfected controls.
  • Multiple logistic regression analysis to identify predictors of postoperative infection.

Main Results:

  • The overall infection rate was 0.77%.
  • Open or miniopen rotator cuff repair (odds ratio [OR] = 8.63, P = .002) and male sex (OR = 9.52, P = .042) were significant risk factors for infection.
  • Increased body mass index was associated with a reduced odds of infection (OR = 0.81, P = .023).

Conclusions:

  • Open or miniopen surgical techniques and male sex are significant risk factors for infection after rotator cuff repair.
  • Arthroscopic rotator cuff repair is associated with a lower risk of infection compared to open techniques.