ArticleOrthopaedic journal of sports medicine2025
Obesity Correlates With 90-Day Postoperative Complications but Not 5-Year Retearing Rates After Anterior Cruciate Ligament Reconstruction.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: While the relationship between obesity and adverse outcomes after anterior cruciate ligament (ACL) reconstruction has been studied, the relationship remains unclear due to conflicting reports from the existing literature. Purpose/Hypothesis: The purpose was to assess the correlation of obesity with 90-day complications, readmissions, and 5-year retearing rates after ACL reconstruction using a large national cohort of patients. It was hypothesized that obesity would be associated with increased odds of adverse outcomes after ACL reconstruction. Study Design: Cohort study; Level of evidence, 3. Methods: The PearlDiver Mariner M165Ortho patient claims database (2010-2022) was used to identify patients who underwent ACL reconstruction. Obese (body mass index, ≥30 kg/m Results: A total of 172,673 patients were identified, with obesity noted in 28,047 (16.2%). After matching the obese and nonobese cohorts, there were no differences in age, sex, or ECI between the 2 cohorts ( Conclusion: In a large cohort of patients, obesity was found to be associated with significantly increased odds of 90-day complications and readmissions after ACL reconstruction. Nonetheless, obesity was not correlated with 5-year rates of ipsilateral ACL retearing or contralateral ACL tearing after ACL reconstruction.
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