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Brachioradialis Tendon Coverage in Volar Distal Radius Plating
Nicholas B Jew1, John W Karl, Evan Trupia
1*Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN †Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY.
Techniques in Hand & Upper Extremity Surgery
|November 17, 2016
Summary
A new surgical technique uses the brachioradialis tendon to cover the distal plate edge after distal radius fracture fixation. This aims to prevent rare but serious flexor tendon ruptures, improving patient outcomes.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Hand Surgery
Background:
- Volar plate fixation is the preferred surgical method for displaced distal radius fractures.
- Flexor tendon rupture is a rare but serious complication following this procedure.
- Tendon irritation is hypothesized to result from the plate's prominent distal edge.
Purpose of the Study:
- To introduce and describe a novel technique for preventing flexor tendon rupture after volar plate fixation.
- To mitigate complications associated with distal radius fracture repair.
Main Methods:
- A technique utilizing the brachioradialis tendon to shield the distal plate edge is described.
- This method aims to prevent direct irritation of the flexor tendons.
Main Results:
- The described technique provides a protective covering over the prominent distal aspect of the volar plate.
- This aims to reduce the incidence of flexor tendon irritation and subsequent rupture.
Conclusions:
- The brachioradialis tendon graft is a novel approach to prevent flexor tendon rupture after volar plate fixation.
- This technique offers a potential solution to a known complication in distal radius fracture surgery.
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