{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:07:25Z","timestamp":1773601645044,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T00:00:00Z","timestamp":1633737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T00:00:00Z","timestamp":1633737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T00:00:00Z","timestamp":1633737600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the risk of post\u2010operative infection after intra\u2010articular steroid injection at the time of knee arthroscopy at a single institution high\u2010volume sports medicine practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The electronic medical record at a single institution was queried for all patients who underwent knee arthroscopy from 2011 to 2019. Patients were included if they underwent more simple arthroscopic procedures: diagnostic arthroscopy, meniscectomy, loose body removal, synovectomy, or microfracture. Patients were excluded if they underwent more complex procedures, such as ligament reconstruction, meniscus repair, or any open procedures. These patients\u2019 medical records were then queried for current procedural terminology and international classification of disease codes indicating post\u2010operative infection. Individual chart review was performed on this group of patients to determine if a true postoperative infection occurred within 6\u00a0months of the index arthroscopy. Patients were then categorized into \u201cintra\u2010operative steroid injection\u201d versus \u201cno steroid\u201d based on each surgeon\u2019s preferred intra\u2010operative analgesic injection cocktail.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 6889 patients were identified, including 2416 (35.1%) who were given intra\u2010articular steroid at the time of knee arthroscopy. Post\u2010operative infection occurred in 10 patients (0.15%) at a median of 18\u00a0days (range 9\u201342\u00a0days), 7 who received intra\u2010operative steroid injection (0.29%) and 3 who did not (0.067%), <jats:italic>p<\/jats:italic>\u2009=\u20090.040. The relative risk of infection for those who received intra\u2010operative steroid injection was 4.32 times higher than those who did not, with a number needed to harm of 448. There were no significant differences in age, body mass index, smoking status, or the prevalence of diabetes between those who got infected and those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Knee infection following arthroscopic surgery is rare. Intra\u2010operative steroid injection during arthroscopic knee surgery is associated with a 4.3\u2010fold increased risk of subsequent knee infection. While the overall risk remains low, the use of intra\u2010operative steroids is expected to result in one additional knee infection for every 448 arthroscopic procedures performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06763-w","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T04:24:40Z","timestamp":1633839880000},"page":"1846-1853","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Intra\u2010articular steroid injection at the time of knee arthroscopy increases risk of post\u2010operative infection"],"prefix":"10.1002","volume":"30","author":[{"given":"Morgan","family":"Kohls","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Magnussen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Kaeding","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Flanigan","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8816-9091","authenticated-orcid":false,"given":"Robert","family":"Duerr","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center 2835 Fred Taylor Drive 43202 Columbus OH 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