Risk factors for complications after primary repair of Achilles tendon ruptures

Christian A Pean; Anthony Christiano; William J Rubenstein; Sanjit R Konda; Kenneth A Egol

doi:10.1016/j.jor.2018.01.017

Risk factors for complications after primary repair of Achilles tendon ruptures

J Orthop. 2018 Feb 3;15(1):226-229. doi: 10.1016/j.jor.2018.01.017. eCollection 2018 Mar.

Authors

Christian A Pean^{1

2}, Anthony Christiano^{1

2}, William J Rubenstein^{1

2}, Sanjit R Konda^{1

2}, Kenneth A Egol^{1

2}

Affiliations

¹ NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA.
² Jamaica Hospital Medical Center, Queens, N.Y., USA.

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.