Rich Matthew D, Solaiman Rafat H, Hillard Christopher
Division of Plastic Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Medical School, University of Minnesota, Minneapolis, MN, USA.
Plast Surg (Oakv). 2024 Mar 22:22925503241241083. doi: 10.1177/22925503241241083.
We aimed to investigate and compare the 30-day postsurgical complication rates and total operative times for hand or wrist flexor tendon injury repair procedures. We performed a retrospective cohort analysis of the American College of Surgeon National Quality Improvement Program database between 2015 and 2019. Patients were included in our study if they were 18 years or older and underwent surgical repair of a wrist or hand flexor tendon by a plastic surgeon, general surgeon, or orthopedic surgeon. Primary endpoint of the study was 30-day postsurgical complications. Secondary endpoint included subcategory analysis of 30-day postsurgical complications. Another variable of interest included total operative time. There were 2614 surgeries performed for wrist or hand flexor tendon injury repair during the 5-year period. Orthopedic surgeons performed the majority of the operations (1548, 59.2%). Repair or advancement of the flexor tendon zone 2 without grafts (1284, 49.1%) were the most common surgeries performed. Overall surgical site complication rate was 2%, with no significant associations between the complication and the surgical specialty performing the operation. A significant difference in total operative time between surgical specialties was only found in single flexor tendon repairs ( < .001). Surgical repair for hand and wrist flexor tendon injury is a safe surgical procedure with a low short-term postoperative complication rate. Despite variations in training, complications remain similar between specialties for flexor tendon repairs.
我们旨在调查和比较手部或腕部屈肌腱损伤修复手术的30天术后并发症发生率和总手术时间。我们对2015年至2019年间美国外科医师学会国家质量改进计划数据库进行了回顾性队列分析。纳入研究的患者年龄在18岁及以上，由整形外科医生、普通外科医生或骨科医生进行腕部或手部屈肌腱的手术修复。该研究的主要终点是30天术后并发症。次要终点包括30天术后并发症的亚类分析。另一个感兴趣的变量包括总手术时间。在这5年期间，共进行了2614例腕部或手部屈肌腱损伤修复手术。骨科医生进行了大部分手术（1548例，占59.2%）。最常见的手术是在不使用移植物的情况下修复或推进屈肌腱2区（1284例，占49.1%）。总体手术部位并发症发生率为2%，并发症与实施手术的外科专业之间无显著关联。仅在单根屈肌腱修复中发现不同外科专业之间的总手术时间存在显著差异（<0.001）。手部和腕部屈肌腱损伤的手术修复是一种安全的手术，术后短期并发症发生率较低。尽管培训存在差异，但屈肌腱修复各专业之间的并发症仍然相似。
