Evidence map›Paper›PMID 40496413›Full record

ArticleJournal of hand surgery global online2025

FPL Reconstruction After Rupture Following Volar Plate Fixation of Distal Radius Fractures: A Case Series.

Arakua N Welbeck, Brendan J Navarro, Ndéye F Guissé, Charles A Goldfarb, Ryan P Calfee, Christopher J Dy

Abstract read
In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arakua N WelbeckDepartment of Orthopaedic Surgery, Washington University in St. Louis, Saint Louis, MO.
Brendan J NavarroWashington University in St. Louis School of Medicine, Saint Louis, MO.
Ndéye F GuisséDepartment of Orthopaedic Surgery, Washington University in St. Louis, Saint Louis, MO.
Charles A GoldfarbDepartment of Orthopaedic Surgery, Washington University in St. Louis, Saint Louis, MO.
Ryan P CalfeeDepartment of Orthopaedic Surgery, Washington University in St. Louis, Saint Louis, MO.
Christopher J DyDepartment of Orthopaedic Surgery, Washington University in St. Louis, Saint Louis, MO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Volar locking plate (VLP) of distal radius fractures (DRF) carries a number of surgical risks including flexor pollicis longus (FPL) rupture secondary to irritation from prominent hardware. This study reviews FPL reconstruction (with interposition graft or tendon transfer) after VLP-related rupture. Methods: This retrospective case series reports the experience at one tertiary center with FPL reconstruction after DRF. Patients treated between January 1, 2013, and June 12, 2023, were eligible for inclusion. Preoperative radiographs were analyzed for Soong grading and fracture reduction parameters. Accessible patients (n = 7) were examined to evaluate long-term success of reconstruction. Results: Fifteen patients (average age: 63 years) underwent VLP removal and reconstruction to restore FPL function. Rupture occurred at a median of 6 years 3 months after DRF repair (range: 1.8 months to 17 years). Eleven patients had accessible radiographs after plate fixation, all with Soong grade of 1 or 2. Eight patients underwent ring finger flexor digitorum superficialis to FPL transfer, whereas seven were treated with free tendon interposition autograft with palmaris longus (5) or flexor carpi radialis (2). One patient with systemic lupus erythematosus had a rerupture. Of the seven patients available for interview at the time of data collection, mean thumb interphalangeal joint flexion was 35°, whereas mean patient-reported outcomes measurement information system score was 48. Conclusions: Flexor pollicis longus rupture is a known complication of VLP fixation of DRF, occurring over a wide range of time after initial fracture fixation. In cases of rupture, we have had success reconstructing FPL using tendon transfers or interposition autografts, with improvement seen after both techniques. Type of study/level of evidence: Therapeutic IV.

Indexed as

Distal radiusFPL reconstructionFracture

Identifiers

PMID40496413
PMCPMC12147572

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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.