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dc.contributor.authorKara, Adnan
dc.contributor.authorÇelik, Haluk
dc.contributor.authorÖç, Yunus
dc.contributor.authorUzun, Metin
dc.contributor.authorErdil, Mehmet
dc.contributor.authorTetik, Cihangir
dc.identifier.citationKara, A., Çelik, H., Öç, Y., Uzun, M., Erdil, M. ve Tetik, C. (2016). Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates. Acta Orthopaedica et Traumatologica Turcica, 50 (6), 665-669.
dc.description.abstractObjective: 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.en_US
dc.publisherTurkish Association of Orthopaedics and Traumatologyen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.subjectDistal Radius Fractureen_US
dc.subjectFlexor Tendon Complicationsen_US
dc.subjectIntraarticular Fractureen_US
dc.subjectVolar Platingen_US
dc.titleFlexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking platesen_US
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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