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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...

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Autores principales: Kara, Adnan, Celik, Haluk, Oc, Yunus, Uzun, Metin, Erdil, Mehmet, Tetik, Cihangir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197461/
https://www.ncbi.nlm.nih.gov/pubmed/27836497
http://dx.doi.org/10.1016/j.aott.2016.04.001
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author Kara, Adnan
Celik, Haluk
Oc, Yunus
Uzun, Metin
Erdil, Mehmet
Tetik, Cihangir
author_facet Kara, Adnan
Celik, Haluk
Oc, Yunus
Uzun, Metin
Erdil, Mehmet
Tetik, Cihangir
author_sort Kara, Adnan
collection PubMed
description 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. Level of Evidence: Level IV, Therapeutic study
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spelling pubmed-61974612018-10-24 Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates Kara, Adnan Celik, Haluk Oc, Yunus Uzun, Metin Erdil, Mehmet Tetik, Cihangir Acta Orthop Traumatol Turc Original Article 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. Level of Evidence: Level IV, Therapeutic study Turkish Association of Orthopaedics and Traumatology 2016-12 2016-11-08 /pmc/articles/PMC6197461/ /pubmed/27836497 http://dx.doi.org/10.1016/j.aott.2016.04.001 Text en © 2016 Publishing services by Elsevier B.V. on behalf of Turkish Association of Orthopaedics and Traumatology. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Kara, Adnan
Celik, Haluk
Oc, Yunus
Uzun, Metin
Erdil, Mehmet
Tetik, Cihangir
Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title_full Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title_fullStr Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title_full_unstemmed Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title_short Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
title_sort flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197461/
https://www.ncbi.nlm.nih.gov/pubmed/27836497
http://dx.doi.org/10.1016/j.aott.2016.04.001
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