Uğur Bezirgan, Mehmet Yalçın, Yusuf Kıratlıoğlu, Osman Talha Nergizal, Ebru Dumlupınar
Hand and Microsurgery - 2025;14(2):54-62
Introduction: Flexor tendon injuries in zones 1 and 2 are common in hand surgery and can lead to functional impairment if not managed properly. This study investigates risk factors for complications following primary repair. Methods: This retrospective study analyzed patient demographics, smoking habits, injury characteristics, surgical techniques, and rehabilitation status to assess their impact on postoperative complications. Results: Smoking significantly increased the risk of tendon rupture (p = 0.046) and was associated with lower TAM scores (p = 0.003). High school graduates had a higher complication rate (p = 0.001). Patients who underwent rehabilitation had increased complications (p = 0.048), though this was likely due to pre-existing adhesions. Return-to-work time was significantly longer in patients with complications (p < 0.001). Other variables, including injured fingers, injury subzones, and suture techniques, did not significantly affect outcomes. Conclusion: Smoking and rehabilitation status are key predictors of complications following flexor tendon repair. Future studies should further evaluate these factors to optimize patient outcomes.
