Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates

Objective: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates. Methods: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014. Radial length, radial inclination and palmar tilt were compared with the intact wrist. Results were evaluated with the Mayo wrist and Lidstrom scores. Complications were documented throughout the follow-up period of 23.8 (range: 12 to 48) months. Results: Postoperative measurements of the radial length, inclination and palmar tilt did not differ significantly. Mayo wrist and Lidstrom scores were good and excellent in 27 and 32 patients, respectively. Flexor tenosynovitis was symptomatic in 15 patients and asymptomatic (localized swelling only) in 21. Plates were removed from 15 patients due to symptomatic tenosynovitis and from six patients due to partial rupture of the flexor pollicis longus tendon. The flexor digitorum profundus tendon of the second finger was also partially ruptured in three patients. Conclusion: Anatomic volar rim locking plates provide satisfying radiological and functional results in treating AO/OTA Type C2-C3 comminuted distal radius fractures. However, if these plates interfere with the union of the fracture, they should be removed to avoid potential tendon problems caused by their placement in the rim region. (C) 2016 Publishing services by Elsevier B.V. on behalf of Turkish Association of Orthopaedics and Traumatology.

Yazar Kara, Adnan
Celik, Haluk
Oc, Yunus
Uzun, Metin
Erdil, Mehmet
Tetik, Cihangir
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2659
Tek Biçim Adres 10.1016/j.aott.2016.04.001
Konu Başlıkları Distal radius fracture
Flexor tendon complications
Intraarticular fracture
Volar plating
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
Dergi Cilt Bilgisi 50
Dergi Sayısı 6
Sayfalar 665 - 669
Yayın Yılı 2016
Eser Adı
[dc.title]
Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
Yazar
[dc.contributor.author]
Kara, Adnan
Yazar
[dc.contributor.author]
Celik, Haluk
Yazar
[dc.contributor.author]
Oc, Yunus
Yazar
[dc.contributor.author]
Uzun, Metin
Yazar
[dc.contributor.author]
Erdil, Mehmet
Yazar
[dc.contributor.author]
Tetik, Cihangir
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates. Methods: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014. Radial length, radial inclination and palmar tilt were compared with the intact wrist. Results were evaluated with the Mayo wrist and Lidstrom scores. Complications were documented throughout the follow-up period of 23.8 (range: 12 to 48) months. Results: Postoperative measurements of the radial length, inclination and palmar tilt did not differ significantly. Mayo wrist and Lidstrom scores were good and excellent in 27 and 32 patients, respectively. Flexor tenosynovitis was symptomatic in 15 patients and asymptomatic (localized swelling only) in 21. Plates were removed from 15 patients due to symptomatic tenosynovitis and from six patients due to partial rupture of the flexor pollicis longus tendon. The flexor digitorum profundus tendon of the second finger was also partially ruptured in three patients. Conclusion: Anatomic volar rim locking plates provide satisfying radiological and functional results in treating AO/OTA Type C2-C3 comminuted distal radius fractures. However, if these plates interfere with the union of the fracture, they should be removed to avoid potential tendon problems caused by their placement in the rim region. (C) 2016 Publishing services by Elsevier B.V. on behalf of Turkish Association of Orthopaedics and Traumatology.
Açıklama
[dc.description]
WOS: 000392918400014
Açıklama
[dc.description]
PubMed: 27836497
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Distal radius fracture
Konu Başlıkları
[dc.subject]
Flexor tendon complications
Konu Başlıkları
[dc.subject]
Intraarticular fracture
Konu Başlıkları
[dc.subject]
Volar plating
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1017-995X
İlk Sayfa Sayısı
[dc.identifier.startpage]
665
Son Sayfa Sayısı
[dc.identifier.endpage]
669
Dergi Adı
[dc.relation.journal]
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
Dergi Sayısı
[dc.identifier.issue]
6
Dergi Cilt Bilgisi
[dc.identifier.volume]
50
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.aott.2016.04.001
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2659
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
242
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
11 Haziran 2024 00:30
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Tıklayınız
patients plates distal radius fractures flexor tendon inclination scores Lidstrom results functional Results radiological palmar removed Anatomic locking tenosynovitis treating symptomatic length comminuted AO/OTA radial digitorum Objective longus pollicis rupture partial second Plates swelling (localized
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