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Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study
BACKGROUND AND PURPOSE: Soong classification is used to estimate volar locking plate prominence and evaluate the risk for flexor tendon ruptures after surgical treatment of distal radius fractures (DRFs). However, the scientific community has questioned the Soong classification due to lacking eviden...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084605/ https://www.ncbi.nlm.nih.gov/pubmed/37038208 http://dx.doi.org/10.1186/s12891-023-06313-0 |
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author | Vasara, Henri Tarkiainen, Petra Stenroos, Antti Kosola, Jussi Anttila, Turkka Aavikko, Anni Nordback, Panu H Aspinen, Samuli |
author_facet | Vasara, Henri Tarkiainen, Petra Stenroos, Antti Kosola, Jussi Anttila, Turkka Aavikko, Anni Nordback, Panu H Aspinen, Samuli |
author_sort | Vasara, Henri |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Soong classification is used to estimate volar locking plate prominence and evaluate the risk for flexor tendon ruptures after surgical treatment of distal radius fractures (DRFs). However, the scientific community has questioned the Soong classification due to lacking evidence. Therefore, this study aimed to evaluate the accuracy of Soong grading as a predictor for flexor tendon issues and plate removal. PATIENTS AND METHODS: We performed a retrospective single-center review of adult distal radius fracture patients treated with a volar locking plate between 2009 and 2019. In total, 2779 patients were included in the study. The primary outcome was a flexor tendon issue (flexor tendon rupture, tendinitis, or flexor irritation), whereas plate removal was a secondary outcome. Using Soong grade 0 as a reference, we used univariable and multivariable logistic regression to calculate odds ratios (OR) with 95% confidence intervals (CI) for flexor tendon issues and plate removal. RESULTS: In total, 756 (27%) patients were graded as Soong 0, 1679 (60%) Soong 1, and 344 (12%) Soong 2, respectively. There were 32 (1.2%) patients with flexor tendon issues, of which 4 were flexor tendon ruptures, 8 tendinitises, and 20 flexor irritations. The adjusted OR for flexor tendon issues was 4.4 (CI 1.1–39.7) for Soong grade 1 and 9.7 (CI 2.2–91.1) for Soong grade 2. The plate was removed from 167 (6.0%) patients. Soong grade 1 had a univariable OR of 1.8 (CI 1.2–2.8) for plate removal, and Soong grade 2 had an OR of 3.5. (CI 2.1–5.8), respectively. CONCLUSION: Flexor tendon ruptures are rare complications after the volar plating of DRFs. A higher Soong grade is a risk factor for flexor tendon issues and plate removal. TRIAL REGISTRATION: The trial was retrospectively registered. |
format | Online Article Text |
id | pubmed-10084605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100846052023-04-11 Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study Vasara, Henri Tarkiainen, Petra Stenroos, Antti Kosola, Jussi Anttila, Turkka Aavikko, Anni Nordback, Panu H Aspinen, Samuli BMC Musculoskelet Disord Research BACKGROUND AND PURPOSE: Soong classification is used to estimate volar locking plate prominence and evaluate the risk for flexor tendon ruptures after surgical treatment of distal radius fractures (DRFs). However, the scientific community has questioned the Soong classification due to lacking evidence. Therefore, this study aimed to evaluate the accuracy of Soong grading as a predictor for flexor tendon issues and plate removal. PATIENTS AND METHODS: We performed a retrospective single-center review of adult distal radius fracture patients treated with a volar locking plate between 2009 and 2019. In total, 2779 patients were included in the study. The primary outcome was a flexor tendon issue (flexor tendon rupture, tendinitis, or flexor irritation), whereas plate removal was a secondary outcome. Using Soong grade 0 as a reference, we used univariable and multivariable logistic regression to calculate odds ratios (OR) with 95% confidence intervals (CI) for flexor tendon issues and plate removal. RESULTS: In total, 756 (27%) patients were graded as Soong 0, 1679 (60%) Soong 1, and 344 (12%) Soong 2, respectively. There were 32 (1.2%) patients with flexor tendon issues, of which 4 were flexor tendon ruptures, 8 tendinitises, and 20 flexor irritations. The adjusted OR for flexor tendon issues was 4.4 (CI 1.1–39.7) for Soong grade 1 and 9.7 (CI 2.2–91.1) for Soong grade 2. The plate was removed from 167 (6.0%) patients. Soong grade 1 had a univariable OR of 1.8 (CI 1.2–2.8) for plate removal, and Soong grade 2 had an OR of 3.5. (CI 2.1–5.8), respectively. CONCLUSION: Flexor tendon ruptures are rare complications after the volar plating of DRFs. A higher Soong grade is a risk factor for flexor tendon issues and plate removal. TRIAL REGISTRATION: The trial was retrospectively registered. BioMed Central 2023-04-10 /pmc/articles/PMC10084605/ /pubmed/37038208 http://dx.doi.org/10.1186/s12891-023-06313-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Vasara, Henri Tarkiainen, Petra Stenroos, Antti Kosola, Jussi Anttila, Turkka Aavikko, Anni Nordback, Panu H Aspinen, Samuli Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title | Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title_full | Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title_fullStr | Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title_full_unstemmed | Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title_short | Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
title_sort | higher soong grade predicts flexor tendon issues after volar plating of distal radius fractures – a retrospective cohort study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084605/ https://www.ncbi.nlm.nih.gov/pubmed/37038208 http://dx.doi.org/10.1186/s12891-023-06313-0 |
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