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J Hand Surg Am. 2012 May;37(5):919-24. doi: 10.1016/j.jhsa.2012.02.003. Epub 2012 Mar 28.

The epidemiology of reoperation after flexor tendon repair.

Author information

1
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Abstract

PURPOSE:

To describe the incidence of reoperation and the demographic factors that may be associated with reoperation after flexor tendon repair.

METHODS:

Using a New York statewide hospital administrative database covering an 8-year period, we examined unique patient discharges with an index procedure of flexor tendon repair for reoperation (re-repair or tenolysis). We compared the age, sex, race, and insurance type by reoperation status using standard univariate statistics and multivariate regression analysis. We performed trend analysis using the Cochran-Armitage trend test.

RESULTS:

From 1998 to 2005, there were 5,229 flexor tendon repairs with a frequency of reoperation of 6%; of these, 91% were in the first year after the primary procedure. Those who underwent reoperation were significantly older than those who did not undergo reoperation. Patients with workers' compensation were 63% more likely to undergo reoperation than those with other forms of insurance. Patients who had concomitant nerve repair during the index procedure were 26% less likely to undergo reoperation. The rate of reoperation did not change during the study period.

CONCLUSIONS:

These results may be useful in shaping research agendas to evaluate sociodemographic factors contributing to reoperations.

TYPE OF STUDY/LEVEL OF EVIDENCE:

Prognostic II.

PMID:
22459656
DOI:
10.1016/j.jhsa.2012.02.003
[Indexed for MEDLINE]

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