Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures
Objective This study was performed to analyze the risk factors associated with flexor pollicis longus (FPL) attrition or rupture after volar plating of distal radius fractures. Methods Three hundred thirty-eight patients with distal radius fractures were included in this retrospective study. Univari...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-08-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211031438 |
| _version_ | 1818363547520860160 |
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| author | Yang-Xun Lv Mang-Mang Chen Chen-Xian Su Hao-Nan Ye Jie Yang Jing Li |
| author_facet | Yang-Xun Lv Mang-Mang Chen Chen-Xian Su Hao-Nan Ye Jie Yang Jing Li |
| author_sort | Yang-Xun Lv |
| collection | DOAJ |
| description | Objective This study was performed to analyze the risk factors associated with flexor pollicis longus (FPL) attrition or rupture after volar plating of distal radius fractures. Methods Three hundred thirty-eight patients with distal radius fractures were included in this retrospective study. Univariate analysis and multivariate logistic regression analysis were performed to predict risk factors. Results Univariate analysis showed that sex, volar tilt, the Soong grade, the plate-to-critical line distance (PCLD), the plate-to-volar rim distance (PVRD), and the time of plate removal were significantly associated with FPL attrition or rupture. Multivariate logistic regression analysis demonstrated that decreased volar tilt, Soong grade 2, PCLD of >2 mm, PVRD of <3 mm, and plate removal at ≥1 year were the risk factors significantly associated with FPL attrition or rupture. Conclusions Reduced volar tilt, Soong grade 2, PCLD of >2 mm, and PVRD of <3 mm appear to be risk factors that are significantly associated with FPL attrition or rupture. The findings of this study also suggest that the risk of tendon rupture is lower if a Soong grade 2 plate is removed, the PCLD is >2 mm, the PVRD is <3 mm, or reduced volar tilt is achieved earlier (at <1 year). |
| first_indexed | 2024-12-13T21:50:13Z |
| format | Article |
| id | doaj.art-2ebedabbdf6a4fb0af177d73f5e28ceb |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-13T21:50:13Z |
| publishDate | 2021-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-2ebedabbdf6a4fb0af177d73f5e28ceb2022-12-21T23:30:18ZengSAGE PublishingJournal of International Medical Research1473-23002021-08-014910.1177/03000605211031438Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fracturesYang-Xun LvMang-Mang ChenChen-Xian SuHao-Nan YeJie YangJing LiObjective This study was performed to analyze the risk factors associated with flexor pollicis longus (FPL) attrition or rupture after volar plating of distal radius fractures. Methods Three hundred thirty-eight patients with distal radius fractures were included in this retrospective study. Univariate analysis and multivariate logistic regression analysis were performed to predict risk factors. Results Univariate analysis showed that sex, volar tilt, the Soong grade, the plate-to-critical line distance (PCLD), the plate-to-volar rim distance (PVRD), and the time of plate removal were significantly associated with FPL attrition or rupture. Multivariate logistic regression analysis demonstrated that decreased volar tilt, Soong grade 2, PCLD of >2 mm, PVRD of <3 mm, and plate removal at ≥1 year were the risk factors significantly associated with FPL attrition or rupture. Conclusions Reduced volar tilt, Soong grade 2, PCLD of >2 mm, and PVRD of <3 mm appear to be risk factors that are significantly associated with FPL attrition or rupture. The findings of this study also suggest that the risk of tendon rupture is lower if a Soong grade 2 plate is removed, the PCLD is >2 mm, the PVRD is <3 mm, or reduced volar tilt is achieved earlier (at <1 year).https://doi.org/10.1177/03000605211031438 |
| spellingShingle | Yang-Xun Lv Mang-Mang Chen Chen-Xian Su Hao-Nan Ye Jie Yang Jing Li Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures Journal of International Medical Research |
| title | Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| title_full | Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| title_fullStr | Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| title_full_unstemmed | Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| title_short | Analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| title_sort | analysis of risk factors associated with flexor pollicis longus injury after volar plating of distal radius fractures |
| url | https://doi.org/10.1177/03000605211031438 |
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