Mental and behavioural disorders increase the risk of tendon rupture after flexor tendon repair in zone I and II

IF 0.9 Q4 REHABILITATION

Hand Therapy Pub Date : 2023-12-16 DOI:10.1177/17589983231222832

Jonas Svingen, Marianne Arner

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引用次数: 0

Abstract

The effect of mental and behavioural disorders (MBD) on the risk of tendon ruptures after flexor tendon repair is not well understood. This study aimed to analyse the association between MBD and tendon rupture after flexor tendon repair in zones I and II. Data from the Swedish National Registry for Hand Surgery (HAKIR) on patients with a complete flexor tendon repair at our department between 2012 and 2019 were followed for a minimum of 2 years to assess the rate of rupture. Independent variables were collected from HAKIR and clinical records: prevalence MBD based on ICD-10 codes F0-F99, age, sex, injured tendon, number of injured fingers, day to surgery, core suture, digital nerve injury, smoking, injury mechanism, and rehabilitation method. Multiple logistic regression was used to assess the association between variables. A cohort of 593 patients with 49 ruptures (8.2%) was identified. Potential causes of rupture were non-adherence behaviour in 16 (33%), accidents in seven (14%), infections in six (12%), and no clear cause in 20 (41%) patients. Patients with MBD had an association to rupture (OR 3.6), 17.7% ruptures compared to 7.2% in patients with no diagnosed disorders. Patients >50 years of age had a higher risk compared to patients <25 years (OR 4.3), 15% compared to 3.9%' respectively. Men had a higher risk compared to women (OR 2.9), 10% compared to 4.3%' respectively. We identified an association between the prevalence of mental and behavioural disorders and rupture after flexor tendon repair.

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精神和行为障碍会增加Ⅰ区和Ⅱ区屈肌腱修复后肌腱断裂的风险

精神和行为障碍（MBD）对屈肌腱修复术后肌腱断裂风险的影响尚不十分清楚。本研究旨在分析Ⅰ区和Ⅱ区屈肌腱修复术后精神和行为障碍与肌腱断裂之间的关系。研究人员对瑞典国家手外科登记处（HAKIR）提供的数据进行了至少 2 年的随访，这些数据涉及 2012 年至 2019 年期间在我院进行完全屈肌腱修复术的患者，以评估肌腱断裂率。从 HAKIR 和临床记录中收集了独立变量：基于 ICD-10 代码 F0-F99 的 MBD 患病率、年龄、性别、受伤肌腱、受伤手指数量、手术天数、核心缝合、数字神经损伤、吸烟、受伤机制和康复方法。多重逻辑回归用于评估变量之间的关联。结果发现，593 例患者中有 49 例断裂（8.2%）。破裂的潜在原因包括：16 名患者（33%）未遵守医嘱，7 名患者（14%）发生意外，6 名患者（12%）受到感染，20 名患者（41%）无明确原因。多发性硬化症患者与动脉破裂有关联（OR 3.6），17.7%的患者动脉破裂，而未确诊疾病的患者只有 7.2%。年龄大于 50 岁的患者比年龄小于 25 岁的患者风险更高（OR 4.3），分别为 15%和 3.9%。与女性相比，男性的风险更高（OR 2.9），分别为 10%和 4.3%。我们发现精神和行为障碍的发生率与屈肌腱修复术后断裂之间存在关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hand Therapy REHABILITATION-

CiteScore

1.60

自引率

10.00%

发文量