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Predictors of postoperative complications in extensor tendon repairs.
Aslı Çalışkan Uçkun1, Fatma Gül Yurdakul2, Hasan Murat Ergani3
1Department of Physical Medicine and Rehabilitation, İzmir City Hospital, İzmir, Türkiye.
Turkish Journal of Physical Medicine and Rehabilitation
|June 17, 2026
Summary
Smoking and severe injuries predict complications after extensor tendon repair. Addressing smoking cessation and injury severity is crucial for better patient outcomes in hand surgery.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Extensor tendon injuries can lead to significant functional impairment.
- Understanding factors influencing complications is vital for optimizing patient recovery.
- Previous research has not fully elucidated the impact of injury location on outcomes.
Purpose of the Study:
- To identify predictors of complications following extensor tendon repair.
- To investigate the influence of injury zone on patient outcomes.
- To inform targeted interventions for reducing post-operative complications.
Main Methods:
- Retrospective cohort study of 206 patients with extensor tendon injuries.
- Standardized surgical and rehabilitation protocols were applied.
- Logistic regression analysis was used to determine complication predictors.
Main Results:
- Overall complication rate was 22.3%, with adhesions and extensor lag being most frequent.
- Smoking (OR=0.161) and higher Hand Injury Severity Score (HISS) were significant predictors of complications.
- Injury zones 1 and 2 had higher complication rates (26.1%), but differences were not statistically significant.
Conclusions:
- Smoking cessation and managing injury severity are key to mitigating complications.
- Targeted interventions and intensive follow-up are recommended for high-risk patients.
- Further research is needed to optimize zone-specific surgical and rehabilitation strategies.
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