ArticleThe archives of bone and joint surgery2024
Risk for Flexor Pollicis Longus Rupture after Volar Lock Plating for Distal Radius Fracture Lasts Over a Decade.
Article in The archives of bone and joint surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Anatomic pronator quadratus repair increases flexor pollicis longus tendon pressure after volar rim plating: a cadaveric study.BMC musculoskeletal disorders · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Volar locking plate (VLP) fixation is a very common procedure due to the high incidence of distal radius fractures (DRFs). Attritional flexor tendon rupture is a rare, but recognized complication after VLP fixation. There is no current consensus to prevent the condition. Our objective was to highlight the long-term risk for flexor tendon rupture after VLP fixation. Methods: We conducted a retrospective single-center review of patients with attritional flexor tendon rupture after VLP fixation for DRFs between 2016 and 2021. Patient demographics, DRF details including AO fracture classification, Soong grading and tendon reconstruction were collected. Thumb interphalangeal joint (IPJ) motion and Kapandji score were used as outcome measures for the tendon reconstruction. Results: We identified five patients with attritional flexor pollicis longus (FPL) ruptures. The median age of the patients at the time of DRF was 48 (34-56) years. All VLP fixations were Soong grade 2. Median time from VLP fixation to tendon rupture was 7 (3-14) years. Longest surgery-to-rupture interval was 14 years. One rupture was treated conservatively. Four were reconstructed using palmaris longus (PL) tendon graft. Thumb IPJ active range of motion median was 48 (20-55) degrees and Kapandji score 9/10 (7-9/10). Conclusion: Older generation VLP fixations with Soong grade 2 pose a long-term risk for attritional FPL rupture, which can be reconstructed with PL tendon graft with fair to good outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.