1Marwa Khurram, 2Hassan Raza. 3Mohib Ali, 4Ayesha Bano, 5Mobeen Ali, 6Ahsan Ul haq
1PIMS
2PIMS
3PIMS
4PIMS
5PIMS
6Associate Professor, Orthopaedic Surgery, Mohterma Benazir Bhutto Shaheed Medical College Mirpur Azad Kashmir,
Abstract
Background: ACL reconstruction, rotator cuff repair and meniscectomy are among the orthopaedic sports medicine surgeries that aid significantly in reconstructing those people’s useful lives. Diabetes which, comprises Type 1, Type 2, and Gestational diabetes, is a prevalent disease and exacts substantial consequences on surgical results. Diabetes is considered to affect wound healing, raise complications incidence and impact general rehabilitation in patients.
Aim: To that end, this research aims at establishing the effect of diabetes in orthopaedic sports medicine surgeries to manage risk factors that affect patients with diabetes, with an intent of improving patients’ results.
Method: A retro cohort analytical study was conducted on diabetic and non-diabetic patients with orthopaedic sports medicine surgical procedures. Information was retrieved from medical notes, patients’ interviews, and questionnaires, which included demographic details, probability of surgical success, incidence of complications, rate of healing, and patients’ perceptions. To evaluate the effect of diabetes on the surgeries, various tests such the multivariate regression analysis as well as propensity score matching were used to help minimize the effects of the confounding factors. Procedures of Ethical approval and informed consent were followed to gain participants consent and to maintain data security.
Results: Surgical success was significantly lower among diabetic patients as was the rates of complications and the time required for wound healing compared to non-diabetic patients. More so, patients with diabetes reported more cases of infections, slow rate of healing, and repeat surgeries than non-diabetic patients. Moreover, patients’ self-perception of their quality of life and satisfaction with their lives proved to be decreased among diabetic patients. Results of statistical analyses further supported these findings; indeed, diabetes was found to have a negative and statistically significantly impact on surgical outcomes in the multivariate analyses.
Conclusion: This study reveals that diabetes presents great complications in orthopaedic sports medicine surgeries and proper management has to be implemented. Strategy recommendations include targeting better preoperative management of hyperglycemia, lengthening the standard of infection precautions, and creating individualized rehabilitation protocols. The results of the present study expand the knowledge in the field by emphasizing the role of patient and risk tailored care in diabetic patients and by fostering the continuation of future investigations for advanced surgical approaches and preventative strategies for better outcomes.
Keywords: Orthopaedic Sports Medicine, Diabetes, Surgical Outcomes, Complications, Healing Times, Patient-Reported Outcomes, Glycemic Control, Personalized Care.