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Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation
Dhananjaya Sabat1, Vineet Dabas1, Anil Dhal1
1Department of Orthopedics, Maulana Azad Medical College, New Delhi, India.
Abstract:
Late rupture of extensor pollicis longus (EPL) tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP). He was managed with extensor indicis proprius (EIP) transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future.
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