Functional Outcome After Suture or EIP-transfer in EPL-rupture After Distal Radius Fracture

What this Trial Is About

Rupture of the extensor pollicis longus (EPL) tendon is a common complication following distal radius fractures, affecting the ability to extend the thumb and impairing hand function. This research aims to compare how well patients regain thumb function after surgery, specifically between two surgical treatments: primary suture and transfer of the extensor indicis proprius (EIP) tendon. The study is prospective and focuses on patients who have experienced EPL rupture as a complication of distal radius fracture. The study evaluates two surgical methods for repairing the EPL tendon rupture. One group receives primary suture, where the torn ends of the tendon are stitched together, while the other group undergoes an EIP tendon transfer to restore thumb extension. After surgery, patients are immobilized with a cast (4 weeks for primary suture, 2 weeks for tendon transfer) followed by a specific thumb mobility exercise program using a static splint. Free mobilization and increased activity load are allowed six weeks after surgery, with no load restrictions after twelve weeks. Participants will be monitored through data collection at three and six months after surgery. Researchers will assess range of motion and strength of the thumb by comparing the injured hand to the non-injured side. Outcome measures include both objective tests and patient-reported function. The study also tracks recovery progress through grip and pinch strength tests and evaluates differences between the two surgical groups. The total participation time includes follow-up visits up to six months postoperatively to ensure safety and functional recovery.

Functional Outcome After EPL-rupture After Distal Radius Fracture