Evidence map›Paper›PMID 40589697›Full record

ArticleCureus2025

Development of a Novel Surgical Method for Endoscopic Flexor Tendon Repair: Stage 0 (Preclinical) Cadaveric Case Report and Study Protocol Following the IDEAL-D Framework.

Takeru Yokota, Takuya Kameda, Nobuyuki Sasaki, Miho Sekiguchi, Yoshihiro Matsumoto

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Takeru YokotaDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JPN.
Takuya KamedaDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JPN.
Nobuyuki SasakiDepartment of Orthopaedics, Fukushima Red Cross Hospital, Fukushima, JPN.
Miho SekiguchiDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JPN.
Yoshihiro MatsumotoDepartment of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Flexor tendon injuries of the hand are challenging to treat, with open surgical repair causing tissue damage, postoperative edema, and range-of-motion limitations. Minimally invasive endoscopic techniques may address these issues, but no reports describe endoscopic tendon suturing. This IDEAL-D Stage 0 (Preclinical) study presents a cadaveric case report and research protocol for a novel endoscopic flexor tendon repair technique. The case report used the left ring finger of an 88-year-old male cadaver, employing a loop suture technique under endoscopic guidance to visualize and suture tendon ends. Sutures facilitated tendon gliding, withstood 5 N tension, and caused no neurovascular injuries. The protocol involves five cadaver specimens from Fukushima Medical University, excluding those with deformities or prior hand injuries. The primary outcome is the success rate of endoscopic repair, defined as proper tendon alignment, tension, and integrity without complications. Secondary outcomes include suturing time, gap distance, complications, a proposed tendon injury classification system, and a surgical technique video. Results will be analyzed using descriptive statistics with 95% confidence intervals. This technique may offer a minimally invasive, precise solution for flexor tendon injuries.

Indexed as

flexor tendon injuryhand surgeonminimal invasive surgeonsurgical endoscopytendon surgery

Identifiers

PMID40589697
PMCPMC12208514

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