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Flexor tendon repair after rupture caused by volar plate fixation of the distal radius
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
2015 (English)In: Journal of Plastic Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 49, no 2, 112-115 p.Article in journal (Refereed) Published
Abstract [en]

Volar plate fixation of unstable fractures of the distal radius is preferred by a majority of surgeons today. One known complication is the rupture of flexor tendons. The aim of this paper is to present flexor tendon ruptures after volar plate fixation analysing the clinical outcome after tendon surgery, aetiology, and methods of prevention. Seventeen consecutive ruptures in 14 patients were included. The incidence was 1.4%. Three patients declined tendon surgery. Eleven patients were treated with a free tendon graft. Only two patients showed excellent results regarding mobility in the thumb and/or fingers. Analysis of radiographs demonstrated sub-optimal placement of plate or screws in all cases. Rupture of a flexor tendon is a serious complication where the functional outcome after surgical reconstruction is uncertain. Early removal of the plate when the placement is sub-optimal or when local volar tenderness appears would probably prevent many ruptures.

Place, publisher, year, edition, pages
Informa Healthcare , 2015. Vol. 49, no 2, 112-115 p.
Keyword [en]
Hand; flexor tendon; tendon rupture; volar plate; outcome
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-117219DOI: 10.3109/2000656X.2014.951050ISI: 000351350700009PubMedID: 25162925OAI: oai:DiVA.org:liu-117219DiVA: diva2:807108
Available from: 2015-04-22 Created: 2015-04-21 Last updated: 2017-12-04

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Rubensson, CarinYdreborg, KarinKarlander, Lars-Erik

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Division of Clinical SciencesFaculty of Medicine and Health SciencesDepartment of Hand and Plastic SurgeryDepartment of Clinical and Experimental Medicine
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Journal of Plastic Surgery and Hand Surgery
Surgery

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