Surgery-related characteristics n (%)5 | |||
Variable | Postsurgery complications | Total | |
No (n=1021) | Yes (n=72) | ||
Urgency of surgery | |||
Urgent | 345 (34) | 31 (43) | 376 (34) |
Expedited | 645 (63) | 39 (54) | 684 (63) |
Immediate | 15 (1) | 2 (3) | 17 (2) |
Elective | 16 (2) | 0 (0) | 16 (2) |
Surgery indications | |||
Trauma | 910 (89) | 52 (72) | 962 (88) |
Infection | 74 (7) | 17 (24) | 91 (8) |
Cancer | 13 (1) | 0 (0) | 13 (1) |
Nerve compression | 2 (0) | 1 (1) | 3 (<1) |
Other | 22 (2) | 2 (3) | 24 (2) |
Anaesthetic | |||
Local without epinephrine | 363 (36) | 13 (18) | 376 (34) |
Local with epinephrine | 188 (18) | 11 (15) | 199 (18) |
General only | 144 (14) | 17 (24) | 161 (15) |
General and local | 130 (13) | 12 (17) | 142 (13) |
General and regional | 24 (2) | 3 (4) | 27 (2) |
Regional only | 115 (11) | 13 (18) | 128 (12) |
Regional and local | 15 (2) | 1 (1) | 16 (2) |
Regional and sedation +/− | 42 (4) | 2 (3) | 44 (4) |
Procedure type | |||
Nailbed repair | 75 (7) | 3 (4) | 78 (7) |
Soft tissue debride/closure/terminalisation | 322 (32) | 17 (24) | 339 (31) |
Flexor repair | 79 (8) | 14 (19) | 93 (8) |
Extensor repair | 66 (6) | 6 (8) | 72 (6) |
MUA±Cast/POP | 136 (13) | 5 (7) | 141 (13) |
MUA+wire | 55 (5) | 5 (7) | 60 (5) |
ORIF/ex fix | 165 (16) | 11 (15) | 176 (16) |
Local/regional flap | 9 (1) | 0 (0) | 9 (<1) |
Free flap | 0 (0) | 1 (1) | 1 (<1) |
Nerve decompression inc. CTD | 3 (<1) | 1 (1) | 4 (<1) |
Multiple flexors | 8 (1) | 2 (3) | 10 (1) |
Multiple extensors | 6 (1) | 1 (1) | 7 (1) |
Removal metalwork | 27 (3) | 1 (1) | 28 (3) |
Vascular repair/replant | 6 (6) | 3 (4) | 9 (1) |
Nerve repair±graft | 43 (4) | 1 (1) | 44 (4) |
Other soft tissue | 8 (1) | 1 (1) | 9 (1) |
Other bony | 2 (<1) | 0 (0) | 2 (<1) |
Excision tumour/cancer | 11 (1) | 0 (0) | 11 (1) |
Procedure site | |||
Forearm | 93 (9) | 10 (14) | 103 (9) |
Radius/Ulnar distal | 239 (23) | 17 (24) | 256 (23) |
Carpus | 23 (2) | 3 (4) | 26 (2) |
MCs including CMCJs | 145 (14) | 8 (11) | 153 (14) |
P1 and P2 (zone 2 flexor) | 327 (32) | 26 (36) | 353 (32) |
P3 (zone 1 flexor) | 194 (19) | 8 (11) | 202 (18) |
Tourniquet | |||
Yes, arm | 368 (36) | 36 (50) | 404 (37) |
Yes, finger | 199 (19) | 9 (13) | 208 (19) |
No | 427 (42) | 23 (32) | 450 (41) |
Unclear | 27 (3) | 4 (5) | 31 (3) |
Length of stay (days) | |||
0 | 873 (86) | 42 (58) | 915 (84) |
1 | 88 (9) | 7 (10) | 95 (9) |
2–10 | 55 (5) | 14 (19) | 69 (6) |
>10 | 4 (<1) | 9 (13) | 14 (1) |
Follow-up | |||
Face-to-face (surgical team) | 474 (47) | 53 (74) | 527 (48) |
Face-to-face (community team) | 45 (4) | 0 (0) | 45 (4) |
Face-to-face (therapy) | 155 (15) | 11 (15) | 166 (15) |
Remote (surgical team) | 80 (8) | 5 (7) | 85 (8) |
Remote (therapy) | 43 (4) | 0 (0) | 43 (4) |
None | 222 (22) | 3 (4) | 225 (21) |
CTD, carpal tunnel decompression; ex fix, external fixation; MUA, manipulation under anaesthetic; ORIF, open reduction and internal fixation; P1, proximal phalanx; P2, middle phalanx; P3, distal phalanx; POP, plaster of Paris.