Infection following foot and ankle surgery : a subanalysis of data captured from the UK Foot and Ankle Thromboembolism (FATE) audit.

Shepherd Jenna, Mason Lyndon, Houchen-Wolloff Linzy, Malhotra Karan, Mangwani Jitendra, UK-FATE Collaborative, Ahmad Irfan, Zeb Junaid, Ishaq Usman, Thomas Jija, Jain Kowshik, Goff Thomas, Bagshaw Oliver, Slade Henry, Andrzejowski Paul, Gomati Ayoub, Drake Chris, Akram Nimra, Lowdon Hamish, Sherif AhmedKamel-, Jones Anette, Best Alistair, Zabaglo Mate, Masunda Stanley, Federer Simon, Ahmad Faheem, Lashin Ahmed, Kaddah Ahmed, Oladeji Emmanuel, Dawe Ed, Akram Nimra, Al-Hubeshy Zahra, Patel Bhavi, Hussein Mohamed, Clark Callum, Giddie Jasdeep, Dega Raman, Islam Amirul, Molloy Andy, Nusir Ben, Chapman James, Holmes David, Mamoowala Neville, Almond Kieran, Wright Claire, Loveday David, Bawa Akshdeep, Gilmore Rebecca, Schankat Kerstin, Koc Togay, Morcos Zeid, Robertson Gregory, Holmes Natal, Tribe Howard, Pearkes Tim, Soliman Ahmed, Valente Lucia, Ajis Adam, Ghani Yaser, Chandrashekhar Suresh, Millan Ravi Kant, Elhassan Yahya, Adeniyi Adebowale, Aspinall Will, Matthews Hannah, Shiers-Gelalis Fleur, Ting Jason, Place Stuart, Budgen Adam, Stanley James, Jowett Charlie, Welck Matthew, Patel Shelain, Sykes Adam, Thibbaiah Mahesh Mamballi, Hadi Hosain, Haldar Anil, Ardakani Amir Gahanbani, Jani Priyanka, Prasanna Anil, Blomfield Mark, Craven Joanna, Malhotra Anubhav, Toner Aileen, Jackson Gillian, Render Luke, Ashley Connor, Limb Richard, Ayyaswamy Brijesh, Prasad Pradeepsyam, Anand Mr, Sunilraj Dr, Lane Suzanne, Prathap Swetha, Limaye Rajiv, Johnson-Lynn Sarah, Sethi Mohit, Zahra Wajiha, Heaver Catriona, Duffy Sean, Harries William, Riddick Andrew, Ghobra Amro, Kinsey Harry, Marsh Luke, Corin Nicole, Walls Andrew, Robinson Peter, Winson Ian, Lines Steve, Morriss Felix, Pwint Zalatt, Ghandour Omar, Hepple Steve, Smith Robert, Hughes Luke, Mohamed Muyed, Fraser Debbie, Elhalawany Ahmed, Beastall James, Cousins Gerard, Nunag Perrico, Deol Rupinderbir, Faroug Rad, Johal Karan, Mordecai Simon, Argyropouos Miltiadis, Chawla Amit, Ibrahim Mohamed, Pereira Marta, McIntyre Joshua, Blacklock Calum, Middleton Scott, Clayton Robert, Tong Aureola, Joyner Claire, Dean Mike, Hughes Adrian, Shuttlewood Kimberley, Little Zoe, Saleem Jawaad, Jolly Lewis, Jain Aman, Qadri Ansar, Alvi Farhan, Jacob Jagan, Reddy Raji, Sateesh Vaishnav, Hrycaiczuk Alex, Thornhill Christopher, Jeyakumar Gowsikan, Vaithilingam Delani, Potter Kate, Jamal Bilal, Chan Pete, Barton Tristan, Robinson Derek, Graham Selina, Zeolla Julian, Kapoor Smriti, Bailey James, Mukhopadhyay Ishani, Rana Sarina, Tarig Hamza, Qualaghassi Mahdi, Seewoonarian Sheena, Rose Barry, Makwana Nilesh, Kaisi Kahlan Al, Al-Musabi Musab, Crate Georgina, Abbott Sarah, Fenner Christopher, Geleit Ryan, Yousaf Sohail, Flanagan George, Uddin Akram, Reilly Ian, Pillai Anand, Madhi Imad, Alsalihy Mazin, Elamin Khadija, Yip Chee Rong, Tew Lucy, Dahiya Rohan, Sayani Junaid, Kyaw Olive, Khin Chan, Ali Ramla, Shaik Yousufuddin, Hossain Natasha, Guha Abhijit, Pereira Melwyn, Ayoub Atif, Paraoan Vlad, Hali Nayeem, Baird Charles, Kugan Raj, Abdallatif Ahmad, Bashir Muhammad Amer, Saini Jigyasa, Atkinson Henry, Lever Caroline, Bansod Vaibhav, Iyengar Kartik, Wadood Abdul, McMillan Lara, Toh Eugene, Rymaruk Sophy, Igbagiri Kueni, Gaukroger Andrew, Solan Matthew, Peacock Christian, Fan Ka Siu, Lau Benjamin, Naik Arjun, Tung Eleanor, Murhekar Siddhartha, Ray Mr Robbie, Lyle Miss Shirley, Shaikh Rabia, Alfred Wilam, Okhifun Imobhio, Cinar Ece, Bua Nelson, Vemulapalli Krishna, Acharya Ashok, Teoh Kar, Kamat Sanil, Bajracharya Abhijit, Ngwayi James Reeves Mbori, Imtiaz Galal, Blackmore Noah, Clark Andrew, Rahman Kashed, Sykes Mark, Joseph Vinay, Day Miriam, Kulkarni Avadhut, Garabadi Mohanrao, Akhtar Meraj, Hossain Munier, Yunus Shamael, Saleem Maleeha, Fong Joanna, Simons Michiel, Hodgson Paul, Thomas Rhys, Stevens Sam, Dasari Kishore, Nandhara Gurbinder, Kumar Pritesh, Gupta Prateek, Poole Hope, Zace Pamela, Gadd Richard, Money-Taylor John, Kantharaju Rohit, Bhosale Abhijit, Bahri Suchita, Broadbent Rosie, Kutuzov Vladislav, Gibbons James, Trussler Daniel, Hawley Eve, Akhtar Sabeen, Caruana Ethan, Watson Thomas, Allison Georgia, Barr Lynne, Julies Elda, Hill Francesca, Butler Katherine, Kendal Adrian, Bugeja Mark, Mooteeram Justin, Saedi Farid, Azhar Muhammad Saad, Sturdee Simon, Hussain Halima, Sonde Sarah, Luqman Muhammad Qais, Farooq Rahy, Wells Gareth, Shenolikar Aneil, Rajan Praveen, Patil Vijay, Amer Omer, Malik Kalim, Pavanerathan Pranavan, Mallick Arijit, Seferiadis Ilias, Hind Jamie, Morgan Rebecca, Khalaf Ahmed, Ditta Adeel, Ramasamy Arul, Khan Shahrukh, Balasubramanian Satishkumar, Fawcett Nicholas, Fraig Hossam, Hamad Farouk, Marsland Daniel, Elliot Robin, Nolan Ciaran, El-Bayouk Khalil, Dhukaram Vivek, Chapman Anna, Mckenzie James, Budair Basil, Prem Hari, Elmajee Mohammed, Rajgor Harshadkumar Dhirajlal, Thurston Daniel, Pond Erika, Brooks Margaret, Everett Samuel, Iqbal Mohammad, Gourbault Lysander, Singh Shashwat, Tang Cary, Tarhini Mariam, Kankate Mr Raghubir, Aktselis Mr Ioannis, Davda Mr Kinner, Vijapur Mr Arvind, Tayyem Mr Mohammed, Chau Ms Jackie, Alzaranky Muhammed, Elhassan Osman, Chhantyal Kishor, Arora Abhishek, Abiddin Zain, Kucharski Robert, Gledhill Andrea, Craven James, Cichero Matt, Yates Ben, Newton Ayla, Grice John, Beddard Laura, Thomas Alex, Garg Vipul, Taylor Heath, Kelsall Nikki, Roslee Charline, Elsenosy Adelfatah, Martin Miss Rebecca, Pujol-Nichol Miss Andrea, Carroll Miss Natalie, Boucher Alexander, Alward Mustafa, Myint Yuland, Currall Verity, Sadasivan Preetha, Kumar Sunil, RezaSanjani Shahrukh, Ciaccio Maria, Jeyaseelan Lucky, Drummond Isabella, Jones Neil, Shah Savan, Ravindrarjah Thuwarahan, Yasen Zaid, Singh Kunjshri, Al-Habsi Ruqaiya, Jeyaseelan Lucky, Habbiba Abdullah, Walker Thomas, Dewhurst Maximilian, Glasgow Nisha, Eze Dominic, Carter Gary

СтатьяМногоцентровое исследованиеПеревод в очереди

Аннотация

AIMS: The UK Foot and Ankle Thromboembolism (UK-FATE) Collaborative evaluated incidence of venous thromboembolism (VTE) in foot and ankle surgery and Achilles tendon (AT) rupture. As part of the data collection, infection within 90 days was a secondary outcome. This study aimed to evaluate overall rate of superficial and deep infection following foot and ankle surgery in trauma, elective, and acute diabetic surgery.

METHODS

Data were collected prospectively across 68 centres in the UK for all patients who underwent foot and ankle surgery between 1 June and 30 November 2022. Over 500,000 data points were collected, including development of superficial and deep infection within 90 days of procedure and presence of comorbidities.

RESULTS

UK-FATE captured 90-day infection data for a total of 9,723 cases. When nonoperatively managed AT ruptures were excluded, infection data were available for 9,591 trauma, elective, and acute diabetic procedures. Overall superficial and deep infection rates in all procedures were 4.1% (n = 397/9,591) and 1.4% (n = 133/9,591), respectively. Both superficial (7.4% (n = 29); p < 0.001) and deep infection (8.7% (n = 34); p < 0.001) rates were highest in acute diabetic procedures. Deep infection differed between trauma (1.4% (n = 65/4,351)) and elective (0.7% (n = 34/4,785)) procedures (p < 0.001), but superficial infection rates were similar (3.9% (n = 171/4,245) and 4.1% (n = 197/4,588), respectively (p = 0.638)). On multivariate regression analysis, peripheral vascular disease (OR (odds ratio) 2.86 (95% CI 1.74 to 4.56); p < 0.001), smoking (OR 1.54 (95% CI 1.18 to 2.00); p = 0.001), diabetes (OR 1.83 (95% CI 1.35 to 2.44); p < 0.001), American Society of Anesthesiologists grade III to IV (OR 1.94 (95% CI 1.37 to 2.73); p < 0.001), and chemical VTE prophylaxis (OR 1.38 (95% CI 1.03 to 1.85); p = 0.031) were independent predictors for developing infection.

CONCLUSION

Rates of superficial and deep infection were significantly higher in patients with acute diabetic surgery. Deep infection rates were higher in trauma than in elective surgery, but superficial infection rates were similar. Comorbidities and smoking affected infection rate in foot and ankle surgery, and should be optimized preoperatively and considered in postoperative monitoring.

Для цитирования: Shepherd Jenna, Mason Lyndon, Houchen-Wolloff Linzy, Malhotra Karan, Mangwani Jitendra, UK-FATE Collaborative, Ahmad Irfan, Zeb Junaid, Ishaq Usman, Thomas Jija, Jain Kowshik, Goff Thomas, Bagshaw Oliver, Slade Henry, Andrzejowski Paul, Gomati Ayoub, Drake Chris, Akram Nimra, Lowdon Hamish, Sherif AhmedKamel-, Jones Anette, Best Alistair, Zabaglo Mate, Masunda Stanley, Federer Simon, Ahmad Faheem, Lashin Ahmed, Kaddah Ahmed, Oladeji Emmanuel, Dawe Ed, Akram Nimra, Al-Hubeshy Zahra, Patel Bhavi, Hussein Mohamed, Clark Callum, Giddie Jasdeep, Dega Raman, Islam Amirul, Molloy Andy, Nusir Ben, Chapman James, Holmes David, Mamoowala Neville, Almond Kieran, Wright Claire, Loveday David, Bawa Akshdeep, Gilmore Rebecca, Schankat Kerstin, Koc Togay, Morcos Zeid, Robertson Gregory, Holmes Natal, Tribe Howard, Pearkes Tim, Soliman Ahmed, Valente Lucia, Ajis Adam, Ghani Yaser, Chandrashekhar Suresh, Millan Ravi Kant, Elhassan Yahya, Adeniyi Adebowale, Aspinall Will, Matthews Hannah, Shiers-Gelalis Fleur, Ting Jason, Place Stuart, Budgen Adam, Stanley James, Jowett Charlie, Welck Matthew, Patel Shelain, Sykes Adam, Thibbaiah Mahesh Mamballi, Hadi Hosain, Haldar Anil, Ardakani Amir Gahanbani, Jani Priyanka, Prasanna Anil, Blomfield Mark, Craven Joanna, Malhotra Anubhav, Toner Aileen, Jackson Gillian, Render Luke, Ashley Connor, Limb Richard, Ayyaswamy Brijesh, Prasad Pradeepsyam, Anand Mr, Sunilraj Dr, Lane Suzanne, Prathap Swetha, Limaye Rajiv, Johnson-Lynn Sarah, Sethi Mohit, Zahra Wajiha, Heaver Catriona, Duffy Sean, Harries William, Riddick Andrew, Ghobra Amro, Kinsey Harry, Marsh Luke, Corin Nicole, Walls Andrew, Robinson Peter, Winson Ian, Lines Steve, Morriss Felix, Pwint Zalatt, Ghandour Omar, Hepple Steve, Smith Robert, Hughes Luke, Mohamed Muyed, Fraser Debbie, Elhalawany Ahmed, Beastall James, Cousins Gerard, Nunag Perrico, Deol Rupinderbir, Faroug Rad, Johal Karan, Mordecai Simon, Argyropouos Miltiadis, Chawla Amit, Ibrahim Mohamed, Pereira Marta, McIntyre Joshua, Blacklock Calum, Middleton Scott, Clayton Robert, Tong Aureola, Joyner Claire, Dean Mike, Hughes Adrian, Shuttlewood Kimberley, Little Zoe, Saleem Jawaad, Jolly Lewis, Jain Aman, Qadri Ansar, Alvi Farhan, Jacob Jagan, Reddy Raji, Sateesh Vaishnav, Hrycaiczuk Alex, Thornhill Christopher, Jeyakumar Gowsikan, Vaithilingam Delani, Potter Kate, Jamal Bilal, Chan Pete, Barton Tristan, Robinson Derek, Graham Selina, Zeolla Julian, Kapoor Smriti, Bailey James, Mukhopadhyay Ishani, Rana Sarina, Tarig Hamza, Qualaghassi Mahdi, Seewoonarian Sheena, Rose Barry, Makwana Nilesh, Kaisi Kahlan Al, Al-Musabi Musab, Crate Georgina, Abbott Sarah, Fenner Christopher, Geleit Ryan, Yousaf Sohail, Flanagan George, Uddin Akram, Reilly Ian, Pillai Anand, Madhi Imad, Alsalihy Mazin, Elamin Khadija, Yip Chee Rong, Tew Lucy, Dahiya Rohan, Sayani Junaid, Kyaw Olive, Khin Chan, Ali Ramla, Shaik Yousufuddin, Hossain Natasha, Guha Abhijit, Pereira Melwyn, Ayoub Atif, Paraoan Vlad, Hali Nayeem, Baird Charles, Kugan Raj, Abdallatif Ahmad, Bashir Muhammad Amer, Saini Jigyasa, Atkinson Henry, Lever Caroline, Bansod Vaibhav, Iyengar Kartik, Wadood Abdul, McMillan Lara, Toh Eugene, Rymaruk Sophy, Igbagiri Kueni, Gaukroger Andrew, Solan Matthew, Peacock Christian, Fan Ka Siu, Lau Benjamin, Naik Arjun, Tung Eleanor, Murhekar Siddhartha, Ray Mr Robbie, Lyle Miss Shirley, Shaikh Rabia, Alfred Wilam, Okhifun Imobhio, Cinar Ece, Bua Nelson, Vemulapalli Krishna, Acharya Ashok, Teoh Kar, Kamat Sanil, Bajracharya Abhijit, Ngwayi James Reeves Mbori, Imtiaz Galal, Blackmore Noah, Clark Andrew, Rahman Kashed, Sykes Mark, Joseph Vinay, Day Miriam, Kulkarni Avadhut, Garabadi Mohanrao, Akhtar Meraj, Hossain Munier, Yunus Shamael, Saleem Maleeha, Fong Joanna, Simons Michiel, Hodgson Paul, Thomas Rhys, Stevens Sam, Dasari Kishore, Nandhara Gurbinder, Kumar Pritesh, Gupta Prateek, Poole Hope, Zace Pamela, Gadd Richard, Money-Taylor John, Kantharaju Rohit, Bhosale Abhijit, Bahri Suchita, Broadbent Rosie, Kutuzov Vladislav, Gibbons James, Trussler Daniel, Hawley Eve, Akhtar Sabeen, Caruana Ethan, Watson Thomas, Allison Georgia, Barr Lynne, Julies Elda, Hill Francesca, Butler Katherine, Kendal Adrian, Bugeja Mark, Mooteeram Justin, Saedi Farid, Azhar Muhammad Saad, Sturdee Simon, Hussain Halima, Sonde Sarah, Luqman Muhammad Qais, Farooq Rahy, Wells Gareth, Shenolikar Aneil, Rajan Praveen, Patil Vijay, Amer Omer, Malik Kalim, Pavanerathan Pranavan, Mallick Arijit, Seferiadis Ilias, Hind Jamie, Morgan Rebecca, Khalaf Ahmed, Ditta Adeel, Ramasamy Arul, Khan Shahrukh, Balasubramanian Satishkumar, Fawcett Nicholas, Fraig Hossam, Hamad Farouk, Marsland Daniel, Elliot Robin, Nolan Ciaran, El-Bayouk Khalil, Dhukaram Vivek, Chapman Anna, Mckenzie James, Budair Basil, Prem Hari, Elmajee Mohammed, Rajgor Harshadkumar Dhirajlal, Thurston Daniel, Pond Erika, Brooks Margaret, Everett Samuel, Iqbal Mohammad, Gourbault Lysander, Singh Shashwat, Tang Cary, Tarhini Mariam, Kankate Mr Raghubir, Aktselis Mr Ioannis, Davda Mr Kinner, Vijapur Mr Arvind, Tayyem Mr Mohammed, Chau Ms Jackie, Alzaranky Muhammed, Elhassan Osman, Chhantyal Kishor, Arora Abhishek, Abiddin Zain, Kucharski Robert, Gledhill Andrea, Craven James, Cichero Matt, Yates Ben, Newton Ayla, Grice John, Beddard Laura, Thomas Alex, Garg Vipul, Taylor Heath, Kelsall Nikki, Roslee Charline, Elsenosy Adelfatah, Martin Miss Rebecca, Pujol-Nichol Miss Andrea, Carroll Miss Natalie, Boucher Alexander, Alward Mustafa, Myint Yuland, Currall Verity, Sadasivan Preetha, Kumar Sunil, RezaSanjani Shahrukh, Ciaccio Maria, Jeyaseelan Lucky, Drummond Isabella, Jones Neil, Shah Savan, Ravindrarjah Thuwarahan, Yasen Zaid, Singh Kunjshri, Al-Habsi Ruqaiya, Jeyaseelan Lucky, Habbiba Abdullah, Walker Thomas, Dewhurst Maximilian, Glasgow Nisha, Eze Dominic, Carter Gary. Infection following foot and ankle surgery : a subanalysis of data captured from the UK Foot and Ankle Thromboembolism (FATE) audit.. The bone & joint journal. 2026. DOI: 10.1302/0301-620x.108b6.bjj-2025-1345.r1.

Предметные рубрики MeSH

Humans United Kingdom Surgical Wound Infection Female Ankle Male Foot Prospective Studies Incidence Venous Thromboembolism Middle Aged Risk Factors Orthopedic Procedures Achilles Tendon Adult

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