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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 12, 1610-1612.
doi: 10.1302/0301-620X.88B12.17696  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures

M. Al-Rashid, MRCS, Research Registrar1; K. Theivendran, MB BS, Senior House Officer1; and M. A. C. Craigen, FRCS(Orth), DIP, Hand Surg(Eur), Consultant Hand and Orthopaedic Surgeon1

1 Birmingam Hand Centre, Selly Oak Hospital, University Hospital Birmingham, Raddlebarn Road, Birmingham B29 6JD, UK.

Correspondence should be sent to Mr K. Theivendran; e-mail: kanthan{at}hotmail.co.uk

The use of volar locking compression plates for the treatment of fractures of the distal radius is becoming increasingly popular because of the stable biomechanical construct, less soft-tissue disturbance and early mobilisation of the wrist. A few studies have reported complications such as rupture of flexor tendons. We describe three cases of rupture of extensor tendons after the use of volar locking compression plates. We recommend extreme care when drilling and placing the distal radial screws to prevent damaging the extensor tendons.




This article has been cited by other articles:


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N. D. Downing and A. Karantana
A revolution in the management of fractures of the distal radius?
J Bone Joint Surg Br, October 1, 2008; 90-B(10): 1271 - 1275.
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K. Egol, M. Walsh, N. Tejwani, T. McLaurin, C. Wynn, and N. Paksima
Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: A RANDOMISED, PROSPECTIVE TRIAL
J Bone Joint Surg Br, September 1, 2008; 90-B(9): 1214 - 1221.
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eLetters:

Read all eLetters

Volar locking plate: Is it really responsible for delayed rupture of extensor tendon?
Bhavuk Garg, et al.
J Bone Joint Surg Br Online, 12 Jan 2007 [Full text]
Authors' reply:
Kanthan Theivendran, et al.
J Bone Joint Surg Br Online, 19 Jan 2007 [Full text]
Prevention of extensor tendon rupture when using volar locking plates for distal radial fractures
Timothy E Hems
J Bone Joint Surg Br Online, 13 Feb 2007 [Full text]
Delayed extensor tendon rupture with volar plating
David M.G Machin, et al.
J Bone Joint Surg Br Online, 7 Mar 2007 [Full text]

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