Risk Factors of Flexor Tendon Rupture After ORIF of Distal Radius Fracture

Kwon, Young Woo; Choi, In Cheul; Kim, Myongwhan; Nam, Jae Jun; Park, Jong Woong

doi:10.1097/bot.0000000000002498

Journal of Orthopaedic Trauma

2023

DOI: 10.1097/bot.0000000000002498

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Risk Factors of Flexor Tendon Rupture After ORIF of Distal Radius Fracture

Young Woo Kwon¹,

In Cheul Choi

Myongwhan Kim

et al.

Abstract: Supplemental Digital Content is Available in the Text.

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2024

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Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures

Langdell,

Emovon,

Hammert

2024

Hand (New York, N,Y.)

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Background: The transition to volar locking plates for the treatment of distal radius fractures has improved patients’ range of motion, reduced extensor tendon issues, and hastened return to activity compared to older fixation methods or nonoperative treatment. One drawback to volar plating is the potential for flexor tendon ruptures due to aberrant plate or screw placement. This study aims to describe the reconstruction options and patient outcomes after flexor tendon rupture due to volar plating. Methods: This is a single-institution, retrospective review of patients who presented with flexor tendon rupture from 2014 to 2023 after a distal radius fracture previously managed with a volar plate. Patient demographics, operative details, range of motion, complications, and patient-reported outcomes were collected. Results: Ten patients presented with flexor tendon ruptures after volar plating for distal radius fractures from 2014 to 2023. The most common rupture was flexor pollicis longus (FPL) in 7 patients, followed by index finger flexor digitorum profundus (FDP) in 2 patients, and small and ring finger FDP rupture in 1 patient. Flexor pollicis longus (FPL) was reconstructed with a palmaris longus (PL) graft in 4 patients, ring finger flexor digitorum superficialis transfer in 2 patients, and repaired primarily in 1 patient. All patients with FPL ruptures regained functional thumb interphalangeal flexion except for 1 patient who reruptured 4 weeks after surgery. Conclusions: Flexor tendon ruptures can occur following volar plating of distal radius fractures, even years after fixation of the fracture. These are attritional ruptures and generally reconstructed with tendon grafting of transfer, providing functional flexion of the affected digit.

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Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures

Langdell,

Emovon,

Hammert

2024

Hand (New York, N,Y.)

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show abstract

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Risk Factors of Flexor Tendon Rupture After ORIF of Distal Radius Fracture

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 1 publication

References 16 publications

Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures

Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures

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