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Review
. 2016 Sep;11(3):278-286.
doi: 10.1177/1558944715620792. Epub 2016 Feb 19.

Hand Surgeon Reporting of Tendon Rupture Following Distal Radius Volar Plating

Nathan A Monaco  1 , C Liam Dwyer  1 , Alex J Ferikes  1 , John D Lubahn  2
Affiliations
Review

Hand Surgeon Reporting of Tendon Rupture Following Distal Radius Volar Plating

Nathan A Monaco et al. Hand (N Y). 2016 Sep.

Abstract

Background: Volar plate fixation with locked screws has become the preferred treatment of displaced distal radius fractures that cannot be managed nonoperatively. This treatment, however, is not without complication. The purpose of this study was to determine what percentage of hand surgeons, over a 12-month period, have experienced a tendon complication when using volar plates for the treatment of distal radius fractures. Methods: A total of 3022 hand surgeons were e-mailed a link to an online questionnaire regarding their observation and treatment of tendon injuries associated with volar plating of distal radius fractures. Responses were reported using descriptive statistics. Results: Of the 596 (20%) respondents, 199 (33%) surgeons reported encountering at least one flexor tendon injury after distal radius volar plating over the past year of practice. The flexor pollicis longus was the most commonly reported tendon injury (254, 75%). Palmaris longus grafting (118, 37%) and tendon transfer (114, 36%) were the most often reported treatments following this complication. A total of 216 respondents (36%) also encountered 324 cases of extensor tendon rupture after volar plating of distal radius fractures, with tendon transfer (88%) being the preferred treatment option. Conclusions: Both flexor and extensor tendon ruptures can be seen after volar plating of distal radius fractures. Surgeons should be aware of these complications. Critical assessment of hardware position at the time of index procedure is recommended to avoid complications. Long-term studies are needed to standardize approaches to managing tendon rupture following volar plating of distal radius fractures.

Keywords: questionnaire; survey; tendon rupture; volar locked plating.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Respondent distribution to survey question 1: How many years have you been in practice?
None
See this image and copyright information in PMC

References

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