Functional Outcome After EPL-rupture After Distal Radius Fracture

Condition(s) studied

Investigational drug(s) / intervention(s)

primary suture: Primary suture of the EPL-tendon

EIP-transfer: transfer of the EIP-tendon to the EPL-tendon

Study summary

Rupture of the extensor pollicis longus, (EPL) is a common complication after distal radius fractures. A rupture prevents the thumb extension, which in turn has a negative impact on hand function. An EPL-rupture can either be surgically treated by primary suture, which means that the ends of the tendon are sutured. This is however not recommended if the tendon is weakened. In such cases the rupture can be treated by a transfer of, most often, extensor indicis proprius (EIP) to the thumb.

Distal radius fractures are common and a rupture of the EPL-tendon is a known complication thar interferes with hand function and therefore more studies on this patient group are warranted.

The aim of this prospective study is to compare regaining of thumb function after surgery, with the non-injured side, after primary suture and EIP-transfer after EPL-rupture as a complication following distal radius fracture.

Eligibility

Primary outcome measure(s)

• range of motion — 3 months postoperatively
  extension, flexion, abduction, retroposition of thumb
• range of motion — 6 months postoperatively
  extension, flexion, abduction, retroposition of thumb

Trial sites (1)

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