{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:17:53Z","timestamp":1789402673835,"version":"build-2803163510"},"reference-count":30,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","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":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"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>Abstract\n\nBackground\nThe aim of this study was to introduce and to evaluate the functional results of volar plating of distal radial fractures through a longitudinal minimally invasive approach.\nMethods\nFrom January 2010 to January 2013, 157 patients with distal radial fractures were randomly allocated to group A (n = 83; 49 men, 34 women; mean age: 42 (18\u201367)) and B (n = 74; 46 men, 28 women; mean age: 41 (22\u201365)), including type A2, A3, B3, C1, and C2 fractures, based on AO Foundation and Orthopaedic Trauma Association Classification. Patients in group A were treated through a 1.5- to 2-cm longitudinal incision, and patients in group B were treated through the conventional flexor carpi radialis approach. All fractures were treated with a locking volar plate. The functional results were compared with range of motion, grip and pronation strengths for each fracture type.\nResults\nAfter a follow-up of 2 years, similar measurements were noted on range of motion and grip strength in both groups. Regarding pronation strength, group A was superior to group B (p &lt; 0.05).\nConclusions\nMinimally invasive volar plating of distal radial fractures is a safe and reliable technique, resulting in better pronation function and appearance.\nLevel of Evidence\nLevel I, Therapeutic study\nER -\n\nKeywords\n\n\n\tDistal radial fracture\n\tPronator quadratus\n\tVolar plating<\/jats:p>","DOI":"10.1016\/j.aott.2017.02.013","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T22:02:26Z","timestamp":1488232946000},"page":"110-117","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["A comparison of minimally invasive approach vs conventional approach for volar plating of distal radial fractures"],"prefix":"10.5152","volume":"51","author":[{"given":"Xu","family":"ZHANG","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangye","family":"HUANG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinzhong","family":"SHAO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongwei","family":"ZHU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianxin","family":"SUN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhui","family":"WANG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2017.02.013_bib1","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/s11751-013-0170-y","article-title":"Operative treatment and outcome of unstable distal radial fractures using a palmar T-miniplate at a non-specialized institution","volume":"8","author":"Skouras","year":"2013","journal-title":"Strateg Trauma Limb Reconstr"},{"key":"10.1016\/j.aott.2017.02.013_bib2","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1016\/j.jhsa.2008.04.018","article-title":"Volar approach to distal radius fractures","volume":"33","author":"Protopsaltis","year":"2008","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.aott.2017.02.013_bib3","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1007\/s11552-012-9420-6","article-title":"The importance of pronator quadratus repair in the treatment of distal radius fractures with volar plating","volume":"7","author":"Ahsan","year":"2012","journal-title":"Hand (N Y)"},{"key":"10.1016\/j.aott.2017.02.013_bib4","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1007\/s00590-013-1364-1","article-title":"Distal radius fixation through a mini-invasive approach of 15 mm. Part 1: feasibility study","volume":"24","author":"Zemirline","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"3","key":"10.1016\/j.aott.2017.02.013_bib5","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/S0266-7681(98)80061-2","article-title":"The detailed anatomy of the palmar cutaneous nerves and its clinical implications","volume":"23","author":"Matloub","year":"1998","journal-title":"J\u00a0Hand Surg Br"},{"key":"10.1016\/j.aott.2017.02.013_bib6","doi-asserted-by":"publisher","first-page":"195","DOI":"10.3109\/2000656X.2012.685623","article-title":"Percutaneous pinning of fractures of the distal radius","volume":"46","author":"Alm-Paulsen","year":"2012","journal-title":"J\u00a0Plast Surg Hand Surg"},{"key":"10.1016\/j.aott.2017.02.013_bib7","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1007\/BF00304351","article-title":"Suction\/irrigation for deep wound infection after spinal instrumentation: a case study","volume":"5","author":"Ido","year":"1996","journal-title":"Eur Spine J"},{"key":"10.1016\/j.aott.2017.02.013_bib8","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.jss.2014.06.018","article-title":"Volar locking plate versus external fixation for the treatment of unstable distal radial fractures: a meta-analysis of randomized controlled trials","volume":"193","author":"Li-hai","year":"2015","journal-title":"J\u00a0Surg Res"},{"key":"10.1016\/j.aott.2017.02.013_bib9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2014\/708574","article-title":"Current options for determining fracture union","volume":"9","author":"Morshed","year":"2014","journal-title":"Adv Med"},{"key":"10.1016\/j.aott.2017.02.013_bib10","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1197\/j.jht.2004.10.011","article-title":"The impact of hand dominance and ulnar and median nerve impairment on strength and basic daily activities","volume":"18","author":"Rajan","year":"2005","journal-title":"J\u00a0Hand Ther"},{"key":"10.1016\/j.aott.2017.02.013_bib11","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1016\/j.jhsa.2009.07.008","article-title":"Quantification of pronator quadratus contribution to isometric pronation torque of the forearm","volume":"34","author":"McConkey","year":"2009","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2017.02.013_bib12","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1016\/j.injury.2011.07.006","article-title":"Isokinetic evaluation of pronation after volar plating of a distal radius fracture","volume":"43","author":"Huh","year":"2012","journal-title":"Injury"},{"key":"10.1016\/j.aott.2017.02.013_bib13","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1016\/0363-5023(94)90280-1","article-title":"Hand strength: normative values","volume":"19","author":"Crosby","year":"1994","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2017.02.013_bib14","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1097\/00005131-199811000-00009","article-title":"Patient rating of wrist pain and disability: a reliable and valid measurement tool","volume":"12","author":"Mac Dermid","year":"1998","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.aott.2017.02.013_bib15","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/00003086-198006000-00007","article-title":"Classification and management of carpal dislocations","volume":"149","author":"Green","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2017.02.013_bib16","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/S1297-3203(01)00067-1","article-title":"Distal radius fracture: the rationale of a classification","volume":"20","author":"Fernandez","year":"2001","journal-title":"Chir Main"},{"key":"10.1016\/j.aott.2017.02.013_bib17","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1097\/01.bth.0000126570.82826.0a","article-title":"Volar fixed-angle fixation of distal radius fractures: the DVR plate","volume":"8","author":"Orbay","year":"2004","journal-title":"Tech Hand Up Extrem Surg"},{"key":"10.1016\/j.aott.2017.02.013_bib18","first-page":"137","article-title":"Distal radius fractures with diaphyseal involvement: fixation with fixed angle volar plate","volume":"12","author":"Rampoldi","year":"2011","journal-title":"J\u00a0Orthop Traumatol"},{"key":"10.1016\/j.aott.2017.02.013_bib19","doi-asserted-by":"crossref","first-page":"233","DOI":"10.55095\/achot2007\/037","article-title":"Current concepts in the management of distal radius fractures","volume":"74","author":"Shin","year":"2007","journal-title":"Acta Chir Orthop Traumatol Cech"},{"issue":"85","key":"10.1016\/j.aott.2017.02.013_bib20","first-page":"31","article-title":"Distal radius fractures: surgical treatment with internal fixation","volume":"22","author":"Valentini","year":"2014","journal-title":"Acta Biomed"},{"key":"10.1016\/j.aott.2017.02.013_bib21","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1142\/S0218810414500282","article-title":"Intra-operative correction of volar tilt of distal radius fractures using volar locking plate as reduction tool: review of 24 cases","volume":"19","author":"Sreedharan","year":"2014","journal-title":"Hand Surg"},{"key":"10.1016\/j.aott.2017.02.013_bib22","doi-asserted-by":"publisher","first-page":"1868","DOI":"10.1016\/j.jhsa.2012.06.005","article-title":"Assessment of pronator quadratus repair integrity following volar plate fixation for distal radius fractures: a prospective clinical cohort study","volume":"37","author":"Swigart","year":"2012","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2017.02.013_bib23","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1016\/S0266-7681(96)80175-6","article-title":"Pronator quadratus revisited","volume":"21","author":"Stuart","year":"1996","journal-title":"J\u00a0Hand Surg Br"},{"key":"10.1016\/j.aott.2017.02.013_bib24","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00590-013-1193-2","article-title":"The pronator quadratus muscle after plating of distal radius fractures: is the muscle still working?","volume":"24","author":"Armangil","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.aott.2017.02.013_bib25","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.main.2013.12.006","article-title":"Technical note: how to spare the pronator quadratus during MIPO of distal radius fractures by using a mini-volar plate","volume":"33","author":"Rey","year":"2014","journal-title":"Chir Main"},{"key":"10.1016\/j.aott.2017.02.013_bib26","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1097\/BOT.0b013e3182008c83","volume":"25","author":"Zenke","year":"2011","journal-title":"J\u00a0Orthop Trauma"},{"issue":"15","key":"10.1016\/j.aott.2017.02.013_bib27","doi-asserted-by":"publisher","first-page":"e1091","DOI":"10.2106\/JBJS.K.01344","article-title":"Variability in the definition and perceived causes of delayed unions and nonunions: a cross-sectional, multinational survey of orthopaedic surgeons","volume":"94","author":"Bhandari","year":"2012","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2017.02.013_bib28","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1097\/PEC.0b013e31828e56fb","article-title":"A\u00a0randomized controlled trial of cast versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference","volume":"29","author":"Williams","year":"2013","journal-title":"Pediatr Emerg Care"},{"key":"10.1016\/j.aott.2017.02.013_bib29","first-page":"25","article-title":"New minimally invasive approach for palmar plating in distal radius fractures","volume":"153","author":"Chmielnicki","year":"2015","journal-title":"Z\u00a0Orthop Unf"},{"key":"10.1016\/j.aott.2017.02.013_bib30","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1016\/S0894-1130(12)80131-1","article-title":"Functional comparison of pronation and supination strengths","volume":"6","author":"Timm","year":"1993","journal-title":"J\u00a0Hand Ther"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301049?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301049?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3236\/3184","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:05:24Z","timestamp":1763463924000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2017,1,2]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2017.02.013","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":"A comparison of minimally invasive approach vs conventional approach for volar plating of distal radial fractures","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2017.02.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}