title: Complications of Distal Radius Fractures Treated by Volar Locking Plate Fixation.
abstract: The current study investigated the incidence of complications after surgery for distal radial fractures. This multicenter retrospective study was conducted at 11 institutions. A total of 824 patients who had distal radius fractures that were treated surgically between January 2010 and August 2012 were identified. The study patients were older than 18 years and were observed for at least 12 weeks after surgery for distal radius fractures with a volar locking plate. Sex, age, fracture type according to AO classification, implants, wrist range of motion, grip strength, fracture consolidation rate, and complications were studied. Analysis included 694 patients, including 529 women and 165 men, with a mean age of 64 years. The mean follow-up period was 27 weeks. The fracture consolidation rate was 100%. There were 52 complications (7.5%), including 18 cases of carpal tunnel syndrome, 12 cases of peripheral nerve palsy, 8 cases of trigger digit, 4 cases of tendon rupture (none of the flexor pollicis longus), and 10 others. There was no rupture of the flexor pollicis longus tendon because careful attention was paid to the relationship between the implant and the tendon. Peripheral nerve palsy may have been caused by intraoperative traction in 7 cases, temporary fixation by percutaneous Kirschner wires in 3 cases, and axillary nerve block in 1 case; 1 case appeared to be idiopathic. Tendon ruptures were mainly caused by mechanical stress. [Orthopedics.2016; 39(5):e893-e896.].
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Satake
authors.forename: Naomi
authors.initials: N
authors.lastname: Hanaka
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Honma
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Watanabe
authors.forename: Shigeru
authors.initials: S
authors.lastname: Inoue
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Kanauchi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kato
authors.forename: Taku
authors.initials: T
authors.lastname: Nakajima
authors.forename: Daisuke
authors.initials: D
authors.lastname: Sato
authors.forename: Jun
authors.initials: J
authors.lastname: Eto
authors.forename: Masahiro
authors.initials: M
authors.lastname: Maruyama
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Naganuma
authors.forename: Junya
authors.initials: J
authors.lastname: Sasaki
authors.forename: Shuji
authors.initials: S
authors.lastname: Toyono
authors.forename: Mikio
authors.initials: M
authors.lastname: Harada
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ishigaki
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Takahara
authors.forename: Michiaki
authors.initials: M
authors.lastname: Takagi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates / Q000009:adverse effects; D002349:Carpal Tunnel Syndrome / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000453:epidemiology / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology*; D011885:Radius Fractures / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012421:Rupture / Q000453:epidemiology / Q000209:etiology; D013708:Tendon Injuries / Q000209:etiology; D014955:Wrist Joint / Q000503:physiopathology; D055815:Young Adult