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[Flexor tendon rupture after palmar osteosynthesis using a multidirectional fixed-angle plate].

B Hohendorff1, P Kurzen, A Boss

  • 1SRO Langenthal, Orthopädie--Traumatologie, St. Urbanstrasse 67, 4900 Langenthal, Schweiz. b.hohendorff@sro.ch

Der Unfallchirurg
|October 18, 2006
PubMed
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A 79-year-old woman experienced flexor tendon tears six months after radius fracture surgery. This case highlights potential complications following internal fixation of distal radius fractures.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Traumatology

Background:

  • Distal intra-articular radius fractures are common injuries, often treated with internal fixation.
  • Fixed-angle plates, such as the APTUS system, are frequently used for stable fixation.
  • Postoperative complications can significantly impact patient outcomes and functional recovery.

Observation:

  • A 79-year-old female patient underwent internal fixation for a distal intra-articular radius fracture.
  • The fracture was stabilized using a fixed-angle plate (APTUS by Medartis).
  • Six months post-surgery, the patient developed chronic tears in multiple flexor tendons.

Findings:

  • The patient presented with chronic tears affecting the flexor digitorum profundus tendons (digits II and III) and the flexor pollicis longus tendon.

Related Experiment Videos

  • These tendon tears occurred as a delayed complication after surgical fixation of the radius fracture.
  • The exact mechanism linking the internal fixation hardware to the tendon pathology requires further investigation.

    • Implications:

    • This case underscores the importance of monitoring for delayed complications after distal radius fracture fixation.
    • Chronic flexor tendon tears can lead to significant morbidity and necessitate further surgical intervention.
    • Consideration of implant prominence, material wear, or inflammatory responses may be relevant in similar cases.