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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature
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Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature

机译：plate骨远端骨折钢板固定后的屈肌腱损伤：文献系统评价

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class="Heading">Background class="Para">Flexor tendon rupture is a rare but major complication associated with volar plate fixation of distal radius fractures. class="Heading">Materials and methods class="Para">We performed a systematic review to evaluate the demographics, clinical profile, treatment and outcome of flexor tendon rupture following volar plate fixation of distal radius fracture. Electronic searches of the MEDLINE, EMBASE, and Cochrane databases for systematic reviews and conference proceedings were performed. Studies were included if they reported flexor tendon rupture (partial or complete) as a complication of distal radius fracture plating (all levels of evidence). class="Heading">Result class="Para">Our search yielded 21 studies. There were 12 case reports and 9 clinical studies. A total of 47 cases were reported. There were 11 males and 23 females (n?=?16 studies). The mean age was 61?years old (range 30–85). The median interval between the surgery and flexor tendon rupture was 9?months (interquartile range, 6–26?months). Twenty-nine plates were locking and 15 were nonlocking (n?=?20 studies). FPL was the most commonly ruptured tendon (n?=?27 cases, 57?%), with FDP to index finger being the second most common (n?=?7 cases, 15?%). Palmaris longus tendon graft and primary end-to-end repair were the most common surgical methods used in cases of FPL tendon rupture. class="Heading">Conclusion class="Para">Flexor tendon rupture is a recognised complication of volar plating of distal radius fracture. Positioning of the plate proximal to the “watershed” line and early removal of the plate in cases with plate prominence or warning symptoms can reduce the risk of this complication.
机译：class =“ Heading”>背景 class =“ Para”>屈肌腱断裂是一种罕见的但与radius骨远端骨折的掌侧钢板固定相关的主要并发症。 class =“ Heading “>材料和方法 class =” Para“>我们进行了系统的评价，以评估radius骨远端vol骨钢板固定后屈肌腱断裂的人口统计学，临床资料，治疗方法和结果。对MEDLINE，EMBASE和Cochrane数据库进行电子搜索以进行系统评价和会议记录。如果他们报告了屈肌腱断裂（部分或全部）是radius骨远端骨折的并发症（所有证据水平），则纳入研究。 class =“ Heading”>结果 class = “ Para“>我们的搜索产生了21项研究。有12例病例报告和9项临床研究。总共报告了47例。有11位男性和23位女性（ n ？=？16个研究）。平均年龄为61岁（30-85岁）。手术与屈肌腱断裂之间的中位间隔为9个月（四分位间距为6到26个月）。 29个板处于锁定状态，而15个处于非锁定状态（<20个研究）。 FPL是最常见的肌腱断裂（ n ？=？27例，占57 %%），FDP食指是第二个最常见的肌腱（ n ？=？7例，占15％）。在FPL肌腱断裂的病例中，最常用的手术方法是手掌长肌腱移植和一次端到端修复。 class =“ Heading”>结论 class =“ Para” >屈肌腱断裂是distal骨远端骨折的掌侧钢板的公认并发症。将板放置在“分水岭”线附近，并在出现板突出或警告症状的情况下尽早取出板，可以降低发生这种并发症的风险。

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