{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T23:41:40Z","timestamp":1779147700063,"version":"3.51.4"},"reference-count":26,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T00:00:00Z","timestamp":1476316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates.\n\nMethods: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO\/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014. Radial length, radial inclination and palmar tilt were compared with the intact wrist. Results were evaluated with the Mayo wrist and Lidstrom scores. Complications were documented throughout the follow-up period of 23.8 (range: 12 to 48) months.\n\nResults: Postoperative measurements of the radial length, inclination and palmar tilt did not differ significantly. Mayo wrist and Lidstrom scores were good and excellent in 27 and 32 patients, respectively. Flexor tenosynovitis was symptomatic in 15 patients and asymptomatic (localized swelling only) in 21. Plates were removed from 15 patients due to symptomatic tenosynovitis and from six patients due to partial rupture of the flexor pollicis longus tendon. The flexor digitorum profundus tendon of the second finger was also partially ruptured in three patients.\n\nConclusion: Anatomic volar rim locking plates provide satisfying radiological and functional results in treating AO\/OTA Type C2-C3 comminuted distal radius fractures. However, if these plates interfere with the union of the fracture, they should be removed to avoid potential tendon problems caused by their placement in the rim region.\n\nLevel of Evidence: Level IV, Therapeutic study<\/jats:p>","DOI":"10.1016\/j.aott.2016.04.001","type":"journal-article","created":{"date-parts":[[2016,11,8]],"date-time":"2016-11-08T20:31:48Z","timestamp":1478637108000},"page":"665-669","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates"],"prefix":"10.5152","volume":"50","author":[{"given":"Adnan","family":"Kara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haluk","family":"Celik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunus","family":"Oc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"Uzun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Erdil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cihangir","family":"Tetik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2016.04.001_bib1","doi-asserted-by":"crossref","first-page":"840","DOI":"10.2106\/00004623-197961060-00006","article-title":"External pin fixation for unstable Colles' fractures","volume":"61","author":"Cooney","year":"1979","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib2","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1053\/jhsu.1999.0525","article-title":"Wire-loop fixation of volar displaced osteochondral fractures of the distal radius","volume":"24","author":"Chin","year":"1999","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/BTH.0000000000000038","article-title":"Fragment-specific volar hook plate for volar marginal rim fractures","volume":"18","author":"Bakker","year":"2014","journal-title":"Tech Hand Up Extrem Surg"},{"key":"10.1016\/j.aott.2016.04.001_bib4","first-page":"227","article-title":"Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature","volume":"14","author":"Asadollahi","year":"2013","journal-title":"J\u00a0Orthop Traumatol"},{"key":"10.1016\/j.aott.2016.04.001_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00264-002-0393-x","article-title":"Osteosynthesis of distal radial fractures with a volar locking screw plate system","volume":"27","author":"Drobetz","year":"2003","journal-title":"Int Orthop"},{"key":"10.1016\/j.aott.2016.04.001_bib6","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1177\/1753193408100964","article-title":"Flexor pollicis longus tendon ruptures after palmar plate fixation of fractures of the distal radius","volume":"34","author":"Casaletto","year":"2009","journal-title":"J\u00a0Hand Surg Eur Vol"},{"issue":"Suppl 1 Pt 1","key":"10.1016\/j.aott.2016.04.001_bib7","doi-asserted-by":"crossref","first-page":"96","DOI":"10.2106\/JBJS.I.01340","article-title":"Operative management of distal radial fractures with 2.4-millimeter locking plates: a multicenter prospective case series","volume":"92","author":"Jupiter","year":"2010","journal-title":"Surg Tech J Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib8","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1007\/s00590-014-1420-5","article-title":"Reducing the risk of flexor pollicis longus tendon rupture after volar plate fixation for distal radius fractures: validation of the tendon irritation test","volume":"24","author":"Suganuma","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.aott.2016.04.001_bib9","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/BOT.0b013e318059b993","article-title":"Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate","volume":"21","author":"Arora","year":"2007","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.aott.2016.04.001_bib10","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00402-009-0990-x","article-title":"Clinical and radiological outcomes after stabilisation of complex intra-articular fractures of the distal radius with the volar 2.4 mm LCP","volume":"130","author":"Konstantinidis","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.aott.2016.04.001_bib11","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium \u2013 2007: orthopaedic Trauma Association classification, database and outcomes committee","volume":"21","author":"Marsh","year":"2007","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.aott.2016.04.001_bib12","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.jhsa.2008.01.024","article-title":"Prospective study of distal radius fractures treated with a volar locking plate system","volume":"33","author":"Osada","year":"2008","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib13","unstructured":"http:\/\/synthes.vo.llnwd.net\/o16\/LLNWMB8\/US Mobile\/Synthes North America\/Product Support Materials\/Technique Guides\/SUTG2.4VALCPVolarRimDRPJ10270C.pdf."},{"key":"10.1016\/j.aott.2016.04.001_bib14","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/0363-5023(89)90191-3","article-title":"Scaphoid malunion","volume":"14","author":"Amadio","year":"1989","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib15","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2106\/00004623-197557030-00004","article-title":"Colles' fractures. Functional bracing in supination","volume":"57","author":"Sarmiento","year":"1975","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib16","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1142\/S0218810411005539","article-title":"Prevention of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures","volume":"16","author":"Tada","year":"2011","journal-title":"Hand Surg"},{"key":"10.1016\/j.aott.2016.04.001_bib17","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/0266-7681(92)90083-E","article-title":"Partial flexor tendon injuries: to repair or not","volume":"17","author":"McGeorge","year":"1992","journal-title":"J\u00a0Hand Surg Br"},{"key":"10.1016\/j.aott.2016.04.001_bib18","first-page":"247","article-title":"Volar plate fixation of intra-articular distal radius fractures: a retrospective study","volume":"2","author":"Fok","year":"2013","journal-title":"J\u00a0Wrist Surg"},{"key":"10.1016\/j.aott.2016.04.001_bib19","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.hcl.2009.08.002","article-title":"Plating for distal radius fractures","volume":"26","author":"Martineau","year":"2010","journal-title":"Hand Clin"},{"key":"10.1016\/j.aott.2016.04.001_bib20","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s00276-010-0754-x","article-title":"Anatomical and radiological study applied to distal radius surgery","volume":"33","author":"Gasse","year":"2011","journal-title":"Surg Radiol Anat"},{"issue":"3","key":"10.1016\/j.aott.2016.04.001_bib21","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s00590-014-1550-9","article-title":"Plate fixation of distal radius fracture and related complications","volume":"25","author":"Obert","year":"2015","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.aott.2016.04.001_bib22","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3944\/AOTT.2012.2623","article-title":"Results of volar locking plating for unstable distal radius fractures","volume":"46","author":"Sugun","year":"2012","journal-title":"Acta Orthop Traumatol Turc"},{"key":"10.1016\/j.aott.2016.04.001_bib23","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.jhsa.2015.11.022","article-title":"Ultrasonic evaluation of the flexor pollicis longus tendon following volar plate fixation for distal radius fractures","volume":"41","author":"Kara","year":"2016","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib24","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.jhsa.2006.01.011","article-title":"Volar fixed-angle plating of distal radius extension fractures: influence of plate position on secondary loss of reduction\u2013a biomechanic study in a cadaveric model","volume":"31","author":"Drobetz","year":"2006","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib25","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.2106\/00004623-200409000-00007","article-title":"Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius","volume":"86-a","author":"Harness","year":"2004","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2016.04.001_bib26","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jhsa.2014.09.013","article-title":"Displaced intra-articular fractures involving the volar rim of the distal radius","volume":"40","author":"Marcano","year":"2015","journal-title":"J\u00a0Hand Surg Am"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16302346?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16302346?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3202\/3151","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:06:17Z","timestamp":1763463977000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":26,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2016,1,6]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2016.04.001","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Flexor tendon complications in comminuted distal radius fractures treated with anatomic volar rim locking plates","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2016.04.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Publishing services by Elsevier B.V. on behalf of Turkish Association of Orthopaedics and Traumatology.","name":"copyright","label":"Copyright"}]}}