title: Free tendon grafts in elder patients, a case report of repair of flexor pollicis longus tendon with a free palmaris longus graft in an 89-year-old woman.
abstract: Flexor tendon rupture is a potential complication after volar plating of distal radius fracture. Palliative procedures such as tenodesis and arthrodesis are usually employed in elder patients with imperfect results. We report a case of delayed flexor pollicis longus rupture seven years after volar plating of a distal radius fracture occurring in an 89-year-old woman. The repair with a free tendon graft of palmaris longus was successful in terms of strength and range of motion. Free tendon grafts should not be limited to younger patients and could be used in elder patients after careful selection.
authors.affiliation: Service de chirurgie orthopédique, traumatologique et réparatrice, SOS Main, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: de Panafieu
authors.affiliation: Service de chirurgie orthopédique, traumatologique et réparatrice, SOS Main, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Upex
authors.affiliation: Service de chirurgie orthopédique, traumatologique et réparatrice, SOS Main, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Doursounian
authors.affiliation: Service de chirurgie orthopédique, traumatologique et réparatrice, SOS Main, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France. Electronic address: drnicolasrobert@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Robert
mesh_terms: D000369:Aged, 80 and over; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011885:Radius Fractures / Q000601:surgery*; D012422:Rupture, Spontaneous; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*; D013933:Thumb / Q000293:injuries / Q000601:surgery; D014954:Wrist Injuries / Q000601:surgery*
keywords: Elder patients; Flexor pollicis longus; Greffe tendineuse; Personnes agées; Plaque palmaire; Radius; Tendon graft; Volar plate