Observational studyArchives of orthopaedic and trauma surgery2026
Rerupture after flexor tendon repair of the hand and wrist: a retrospective risk factor analysis.
Observational study in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRerupture after primary flexor tendon repair of the hand and wrist is a serious complication that can substantially impair hand function and restrict activities of daily living, occupational performance, and recreation. Identifying factors associated with rerupture is essential to optimize surgical techniques and postoperative rehabilitation strategies and to improve patient outcomes.
methodsA retrospective observational cohort study was conducted including patients who underwent surgical repair of flexor tendon injuries of the hand and wrist at a single institution between 2010 and 2022. The study included 292 patients with 429 complete tendon injuries. Collected data comprised demographic characteristics, injury mechanism and type, anatomical location, surgical timing and technique, and postoperative immobilization and rehabilitation protocols. Associations between potential risk factors and rerupture were explored using univariable analyses, followed by a multivariable logistic regression model to identify independent predictors.
resultsThe overall rerupture rate was low but clinically relevant, occurring in a small proportion of patients and tendon lesions. Rerupture was more frequently observed in male patients, older individuals, and those with specific injury mechanisms. Surgical factors, particularly the need for pulley reconstruction, were associated with a higher risk of rerupture. All reruptures occurred in patients who underwent prolonged immobilization. In the multivariable analysis, male sex and pulley reconstruction remained independent predictors of rerupture, whereas rehabilitation-related variables did not independently influence risk.
conclusionThis large single-center cohort study identifies male sex and pulley reconstruction as independent risk factors for rerupture following primary flexor tendon repair. Awareness of these factors may assist surgeons and therapists in patient counseling, risk stratification, and the development of tailored postoperative strategies. Prospective multicenter studies are warranted to confirm these findings and further refine preventive approaches. LEVEL OF EVIDENCE: Level III.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.