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Rupture rate following primary flexor tendon repair of the hand with potential contributing risk factors.

Ibrahim, Mazin Saad and Khan, Muhammad Asim and Rostom, Mai and Platt, Alastair (2014) Rupture rate following primary flexor tendon repair of the hand with potential contributing risk factors. Surgical technology international, 24. pp. 363-7. ISSN 1090-3941.

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Official URL: http://www.surgicaltechnology.net/

Abstract

This study aimed to investigate rupture rates following primary flexor tendon repair and to identify potential risk factors of rupture. Fifty-one patients with 100 flexor tendon injuries who underwent primary repair over a one-year period were reviewed. We collected demographic and surgical data. Causes of rupture were examined. Ruptured primary tendon repairs were compared with those that did not rupture. Univariate and multivariate analysis were undertaken to identify significant risk factors. Eleven percent of repaired tendons ruptured with a higher rupture rate noted in the non-dominant hand (p value = 0.009), in Zone II (0.001), and when more than 72 hours surgical delay occurred (0.01). Multivariate regression analysis identified repair in Zone II injuries to be the most significant predictor. Our rate of rupture of 11% was associated with delay in surgery, repair on non-dominant hand, and Zone II repairs. Careful consideration of these factors is crucial to reduce this rate.

Item Type: Article
Subjects: WE Musculoskeletal. Orthopaedics
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 19 Aug 2014 10:20
Last Modified: 19 Aug 2014 10:20
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/539

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