Flexor pollicis longus tendon rupture after volar wrist plating : reconstruction with palmaris longus interposition graft

被引:0
|
作者
Berger, Pieter [1 ]
Duerinckx, Joris [1 ]
机构
[1] Ziekenhuis Oost Limburg, Dept Orthopaed Surg & Traumatol, Schiepse Bos 6, B-3600 Genk, Belgium
来源
ACTA ORTHOPAEDICA BELGICA | 2017年 / 83卷 / 03期
关键词
distal radius fracture; osteosynthesis; complication; flexor pollicis longus; palmaris longus; tendon rupture; SUPERFICIALIS TENDON; RESTORATION; INJURIES; FIXATION; THUMB;
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Rupture of the flexor pollicis longus tendon is a rare complication after volar plating of distal radius fractures. Several surgical treatment options have been proposed but postoperative results are not well documented. The authors retrospectively studied the clinical outcome of 4 patients after flexor pollicis longus tendon reconstruction with a palmaris longus interposition graft. Minimal follow-up was 12 months. Mean active interphalangeal joint flexion (44 degrees) and thumb opposition (Kapandji 8/10) were significantly reduced compared to the opposite side. Mean power grip (32 kg) and key pinch strength (8kg) of the operated hand were comparable to the contralateral hand. The mean Visual Analogue Scale for pain was 2.5/10. The mean DASH score was 14 points. Although flexion and opposition of the thumb did not return to normal after surgery, patients reported excellent functional results.
引用
收藏
页码:467 / 472
页数:6
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