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Traumatic extensor tendon repairs: is the operating room necessary? A comparative study.

Tal Frenkel Rutenberg1, Efrat Daglan2, Sorin Daniel Iordache2

  • 1Rabin Medical Center, Beilinson Hospital, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Petah Tikva, Israel. tal_frenkel@hotmail.com.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|July 31, 2025
PubMed
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This summary is machine-generated.

Emergency department minor procedure room repairs for extensor tendon injuries (ETI) show outcomes comparable to operating room repairs. This approach may reduce costs and length of stay for patients with ETI.

Area of Science:

  • Orthopedic surgery
  • Emergency medicine
  • Surgical outcomes

Background:

  • Extensor tendon injuries (ETI) are common and often require surgical repair.
  • Indications for repair include injuries involving more than half of the tendon width.
  • Comparing treatment settings is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To compare the outcomes of extensor tendon injury repairs performed in an emergency department minor procedure room (ED MPR) versus a traditional operating room (OR).
  • To evaluate patient demographics, injury characteristics, and postoperative complications between the two settings.

Main Methods:

  • Retrospective study comparing consecutive patients treated for ETI in an OR (2018-2023) and an ED MPR (2019-2022).
  • Analysis included patient demographics, injury mechanisms, injury zones, and postoperative complications within 90 days.
Keywords:
Extensor lacerationHand injuryLocal anesthesiaMinor procedure roomTraumatic extensor tendon repair

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  • Comparison of intraoperative findings and postoperative outcomes between the two treatment groups.

    • Main Results:

    • 113 patients (147 tendons) in the OR and 179 patients (203 tendons) in the ED MPR were analyzed.
    • Demographics and injury mechanisms were similar; OR patients had more complete tears.
    • Postoperative infection rates were comparable (4.4% OR vs. 1.7% ED MPR; p=0.268).
    • OR treatment was associated with longer surgical delays, longer hospital stays, and increased opioid prescriptions.

    Conclusions:

    • Extensor tendon repairs in an ED MPR yield outcomes comparable to those performed in an OR.
    • The ED MPR setting may offer benefits such as reduced medical costs and shorter patient length of stay.
    • ED MPRs are a viable alternative for certain extensor tendon injury repairs.