No. of Complications
StudySample SizeTendon RuptureLong Finger Extensor LagTendon AdhesionDigital StiffnessImplant FailureWrist PainInfectionWound IssueRadial NeuritisCRPSMalunion/Nonunion
Plating to 2nd metacarpal
 Hanel et al.14621 (ECRL)NA001 (same patient as ECRL rupture)NA00NA00
 Dodds et al.24250NANA (19 patients had tenolysis at time of plate removal)NA3NA0NA0NANA
 Lauder et al.23180NA0NA0200NA00
Plating to 3rd metacarpal
 Burke and Singer9100NANA000NANA00
 Ruch et al.102203 (resolved to <10° after plate removal)NA00NA3 (open fractures only)0NANA0
 Mithani et al.1980NA0NANA1NANA000
Plating to either 2nd or 3rd metacarpal
 Hanel et al.151341 (EPL)NA2NA5NA23NANA2 malunion, 2 nonunion
 Richard et al.17330NA1 (required tenolysis at time of plate removal)10NANA1 (open fracture)1 (same patient as infection)110
 Pooled total303233109364114
 Percent total0.7%1.0%1.0%3.3%3.0%1.0%2.0%1.3%0.3%0.3%1.3%
  • * CRPS = complex regional pain syndrome, ECRL = extensor carpi radialis longus, NA = not available, EPL = extensor pollicis longus,.

  • Total complication rate: 15%.