BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

 



Categories: Abstracts, 2025-Jan, Poster

Infection following foot and ankle surgery: Further analysis of data captured from the UK FATE Audit

J Shepherd, L Mason, L Houchen-Wolloff, K Malhotra, J Mangwani

1University Hospitals of Leicester NHS Trust, Leicester
2Liverpool University Hospital NHS Foundation Trust, University of Liverpool, Liverpool
3NIHR Leicester Biomedical Research Centre, Leicester
4Royal National Orthopaedic Hospital, Stanmore, London
5University of Leicester, Leicester

Background: The UK Foot and Ankle Thromboembolism (UK FATE) Collaborative’s primary aim was to evaluatein idence of venous thromboembolism (VTE), however it also recorded other complications, including infection rate within 90 days. (1) We therefore aimed to evaluate overall rate of superficial and deep infection following foot and ankle surgery; whether this differed between trauma, elective and acute diabetic surgery; and patient and operative factors affecting infection.

Methods: Data were collected prospectively across 68 centres UK-wide for all patients who underwent foot and ankle surgery, or treatment of Achilles tendon ruptures, between 1st June to 30th November 2022. Data collected included development of superficial and deep infection within 90 days of procedure and presence of co-morbidities.

Results: A total of 9,723 patients were available for analysis. Overall superficial and deep infection rates in trauma, elective and acute diabetic procedures were 4.14% (n=397/9591) and 1.39% (n=133/9591), respectively. Superficial infections were highest in acute diabetic procedures (7.44% (n=29/361)) compared to trauma (3.87% (n=171/4245)) and elective (4.12% (n=197/4588)). Observed deep infection differed between trauma (1.47% (n=65/4351)), elective (0.71% (n=34/4785)) and acute diabetic (8.72% (n=34/356)) procedures. On multi-regressions analysis ASA grade III-IV (p=.01, OR 1.89), current smoker (p<0.001, OR 2.46), diabetes (p<.001, OR 3.06), peripheral vascular disease (p<0001, OR 3.33) and taking chemical prophylaxis (p=0.028, OR 1.60) were independent predictors of infection.

Conclusions: The rate of superficial and deep infections were significantly higher in patients with acute diabetic foot surgery. Deep infection rates were higher in trauma than in elective surgery, but superficial infection rates were similar. Co-morbidities and smoking affect infection rate in foot and ankle surgery and should be considered both pre-operatively and in post-operative monitoring. This data represents infection within 90 days of procedure; however evaluation of long-term outcomes will provide further insight.

Previous Article Infected Charcot ankle neuroarthropathy, any hope before amputation? A prospective study
Next Article Inter- and intra-observer reliability of posterior malleolus fracture classifications systems
Print

Documents to download


Click thumbnail below to view poster / thumbnail:

Archive of Abstracts

2024   -   Prize Winners  |  All Abstracts
2023   -   Prize Winners  |  All Abstracts
2022   -   Prize Winners  |  All Abstracts
2021   -   Prize Winners  
2019   -   Podium  |  Poster
2018   -   Podium  |  Poster
2017   -   Podium  |  Poster
2016   -   Podium  |  Poster
2015   -   Podium  |  Poster
2014   -   Podium  |  Poster
2013   -   Podium  |  Poster
2011   -   All Abstracts
2009   -   All Abstracts
2008   -   All Abstracts
2007   -   All Abstracts
2006   -   All Abstracts
2005   -   All Abstracts
2004   -   All Abstracts
2002   -   All Abstracts
2001   -   All Abstracts
2000   -   All Abstracts
1999   -   All Abstracts
1998   -   All Abstracts
1997   -   All Abstracts
1996   -   All Abstracts
1995   -   All Abstracts
1994   -   All Abstracts
1993   -   All Abstracts
1991   -   All Abstracts
1990   -   All Abstracts
1989   -   All Abstracts
1987   -   All Abstracts
1985   -   All Abstracts
1983   -   All Abstracts