{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:32:46Z","timestamp":1789590766468,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PT17\/0017"],"award-info":[{"award-number":["PT17\/0017"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004837","name":"Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002924","name":"Federaci\u00f3n Espa\u00f1ola de Enfermedades Raras","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002924","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the outcomes of adding arthroscopy to osteosynthesis of distal radius fractures (DRF) with volar locking plate (VLP), by Patient\u2010Rated Wrist Evaluation (PRWE) 1 year after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 186 functionally independent adult patients who met the inclusion criteria (DRF and a clinical decision for surgery with a VLP) were randomized to arthroscopic assistance or not. Primary outcome was PRWE questionnaire results 1 year after surgery. For the main variable, PRWE, we obtained the minimal clinically important difference based on a distribution\u2010based method. Secondary outcomes included Disabilities of the Arm, Shoulder and Hand and 12\u2010Item Short Form Health Survey questionnaires, range of motion, strength, radiographic measures, and presence of joint step\u2010offs by computed tomography. Data were collected preoperatively and at\u00a0+1 and\u00a0+4 weeks,\u00a0+3 and\u00a0+6 months, and\u00a0+1 year after surgery. Complications were recorded throughout the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 180 patients (mean age: 59.0 \u00b1 14.9 years; 76% women) were analyzed by modified intention to treat. A total of 82% of the fractures were intra\u2010articular (AO type C). No significant difference between arthroscopic (AG) and control (CG) groups in median PRWE was found at\u00a0+1 year (median AG: 5.0, median CG: 7.5, difference in medians 2.5; 95% confidence interval [CI] \u20132.0, 7.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .328). The proportion of patients who exceeded the minimal clinically important difference of 12.81 points in the AG and CG was 86.4% vs 85.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .819, respectively. Percentage of associated injuries and step\u2010offs reduction maneuvers was greater with arthroscopy (mean differences: 17.1 95% CI \u20130.1, 26.1,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and 17.4 (95% CI 5.0, 29.7,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .007). The difference in percentage of residual joint step\u2010offs at the postsurgical computed tomography in radioulnar, radioscaphoid, and radiolunate joints was not significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .990,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .538, and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .063). Complications were similar between groups (16.9% vs 20.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .842).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adjuvant arthroscopy did not significantly improve PRWE score\u00a0+1 year after surgery for DRF with VLP, although the statistical power of the study is below the initially estimated to detect the expected difference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level I, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.06.036","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T11:18:17Z","timestamp":1688123897000},"page":"305-317","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Adjuvant Arthroscopy Does Not Improve the Functional Outcome of Volar Locking Plate for Distal Radius Fractures: A Randomized Clinical Trial"],"prefix":"10.1002","volume":"40","author":[{"given":"Mar\u00eda Jos\u00e9","family":"P\u00e9rez\u2010\u00dabeda","sequence":"first","affiliation":[{"name":"Hand and Wrist Surgery Unit Orthopedic Surgery and Traumatology Department Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Arribas","sequence":"additional","affiliation":[{"name":"Rehabilitation Department Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Dolores","family":"Gimeno Garc\u00eda\u2010Andrade","sequence":"additional","affiliation":[{"name":"Hand and Wrist Surgery Unit Orthopedic Surgery and Traumatology Department Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Garv\u00edn","sequence":"additional","affiliation":[{"name":"Rehabilitation Department Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hand and Wrist Surgery Unit Orthopedic Surgery and Traumatology Department Hospital Cl\u00ednico San Carlos Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Ponz","sequence":"additional","affiliation":[{"name":"Hand and Wrist Surgery Unit Orthopedic Surgery and Traumatology Department Hospital Cl\u00ednico San Carlos Madrid 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