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Related Experiment Video

Updated: Jun 6, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Complications after Pi Plate osteosynthesis.

Tomás Sánchez¹, Michael Jakubietz, R Jakubietz

¹Clinic of Hand, Plastic, and Reconstructive Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland. sanchez-naef@bluewin.ch

Plastic and Reconstructive Surgery

|July 1, 2005

Summary

The dorsal Pi Plate for distal radius fractures shows a low rate of extensor tendon ruptures. This surgical option is effective, even for complex fractures, with good patient outcomes and minimal complications.

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Area of Science:

Orthopedic Surgery
Traumatology
Hand and Wrist Surgery

Background:

Distal intraarticular radius fractures are treated via palmar or dorsal approaches.
The dorsal approach has been linked to increased tendon rupture risk.
This study investigates the safety of dorsal implants regarding tendon ruptures.

Purpose of the Study:

To evaluate the rate of extensor tendon ruptures associated with dorsal implants for distal radius fractures.
To demonstrate that dorsal implants do not lead to a high incidence of tendon ruptures.

Main Methods:

Retrospective analysis of 389 patients treated with the dorsal Pi Plate.
Assessment of patient complaints, complications, follow-up duration, and subsequent surgeries.
Specific focus on the incidence and timing of extensor tendon ruptures.

Main Results:

A complication rate of 6.7% within 2 months post-surgery.
Five cases (1.3%) of extensor tendon ruptures occurred within 8 months.
All ruptures were successfully reconstructed; hardware removal was performed in 75.5% of patients.
Long-term retention of plates (in 24.5% of patients) resulted in pain-free outcomes and excellent wrist mobility for 89%.

Conclusions:

The dorsal Pi Plate is a viable surgical option for distal radius fractures, particularly complex C3 types.
The risk of extensor tendon rupture is not excessively high with this dorsal implant.
The study supports the dorsal Pi Plate as a safe and effective treatment for distal intraarticular radius fractures.