{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:00:40Z","timestamp":1790290840297,"version":"4.1.0"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Volar locking plates (VLPs) are commonly used to treat displaced intra-articular distal radius fractures (DRFs), but multi-fragmented fractures may require additional dorsal fixation. This study assessed the outcomes of a technique combining VLP and a dorsal bone clamp, described here as \u201cscaffold fixation,\u201d and evaluated whether dorsal ulnar corner (DUC) fixation is essential for radiocarpal alignment.<\/jats:p>\n                  <jats:p>In this retrospective cross-sectional study of the ICUC database, 87 patients with DRF with preoperative CT-identified DUC fragments were included. The range of motion was measured, and radiocarpal alignment was evaluated on postoperative and final follow-up radiographs. In addition, we compared cases with long screw purchases or short screw purchases in the DUC with respect to DUC size.<\/jats:p>\n                  <jats:p>No significant differences were found in flexion, extension, supination, or pronation. DUC size was not associated with screw purchase nor with ROM outcomes. Radiocarpal malalignment was seen in 2% of patients postoperatively and 7% at final follow-up, with no difference between screw purchase groups.<\/jats:p>\n                  <jats:p>Scaffold fixation with a VLP, aided by reduction using a dorsal bone clamp, effectively restores ROM and generally preserves radiocarpal alignment in DRF fixation, regardless of DUC screw purchase or DUC size in this cohort.<\/jats:p>\n                  <jats:p>Level III.<\/jats:p>","DOI":"10.1055\/a-2811-1965","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:47:36Z","timestamp":1780526856000},"page":"e84-e91","source":"Crossref","is-referenced-by-count":0,"title":["Scaffold Fixation of Multi-Fragmented Intra-Articular Distal Radius Fractures"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8106-680X","authenticated-orcid":false,"given":"Lente H. M.","family":"Dankelman","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School, Massachusetts, United States","place":["Boston"],"department":["Hand and Upper Extremity Service, Division of Orthopaedics"]},{"name":"Erasmus Medical Center: Erasmus MC, NETHERLANDS","place":["Rotterdam"],"department":["Department of Surgery, Trauma Research Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Chiquiar","sequence":"additional","affiliation":[{"name":"ICUC Medical Learning Project, Uruguay","place":["Montevideo"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Hartwich","sequence":"additional","affiliation":[{"name":"Hospital Britanico, Uruguay","place":["Montevideo"],"department":["Department of Traumatology"]},{"name":"Universidad de Montevideo, Uruguay","place":["Montevideo"],"department":["Department of Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu M. E.","family":"Wijffels","sequence":"additional","affiliation":[{"name":"Erasmus Medical Center: Erasmus MC, NETHERLANDS","place":["Rotterdam"],"department":["Department of Surgery, Trauma Research Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Fernandez Dell'Oca","sequence":"additional","affiliation":[{"name":"Hospital Britanico, Uruguay","place":["Montevideo"],"department":["Department of Traumatology"]},{"name":"Universidad de Montevideo, Uruguay","place":["Montevideo"],"department":["Department of Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse B.","family":"Jupiter","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School, Massachusetts, United States","place":["Boston"],"department":["Hand and Upper Extremity Service, Division of Orthopaedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhiram R.","family":"Bhashyam","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School, Massachusetts, United States","place":["Boston"],"department":["Hand and Upper Extremity Service, Division of Orthopaedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s40001-020-00470-x","article-title":"The treatment of complex intra-articular distal radius fractures with turning radius and distal volaris radius plate fixation","volume":"25","author":"Z Jia","year":"2020","journal-title":"Eur J Med Res"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12891-020-3097-8","article-title":"Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register","volume":"21","author":"J Rundgren","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1016\/j.injury.2017.03.008","article-title":"Complications of volar locking plating of distal radius fractures in 576 patients with 3.2 years follow-up","volume":"48","author":"R Thorninger","year":"2017","journal-title":"Injury"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/1558944717717505","article-title":"Volar locking plate fixations for displaced distal radius fractures: an evaluation of complications and radiographic outcomes","volume":"13","author":"J Wilson","year":"2018","journal-title":"Hand (N Y)"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1055\/s-0033-1350086","article-title":"Volar plate fixation of intra-articular distal radius fractures: a retrospective 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considerations","volume":"11","author":"R Garg","year":"2020","journal-title":"J Clin Orthop Trauma"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/00005131-200711101-00001","article-title":"Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee","volume":"21","author":"J L Marsh","year":"2007","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.hcl.2005.02.008","article-title":"Essential radiographic evaluation for distal radius fractures","volume":"21","author":"R J Medoff","year":"2005","journal-title":"Hand Clin"},{"issue":"09","key":"ref12","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.2106\/00004623-200409000-00007","article-title":"Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius","volume":"86","author":"N G 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Orthop Traumatol Turc"},{"issue":"07","key":"ref38","doi-asserted-by":"crossref","first-page":"110767","DOI":"10.1016\/j.injury.2023.04.054","article-title":"Functional outcomes and complications after treatment of distal radius fracture in patients sixty years and over: a systematic review and network meta-analysis","volume":"54","author":"O Shen","year":"2023","journal-title":"Injury"},{"issue":"02","key":"ref39","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.hcl.2021.02.008","article-title":"Plate fixation of distal radius fractures: what type of plate to use and when?","volume":"37","author":"L E Schindelar","year":"2021","journal-title":"Hand Clin"},{"issue":"06","key":"ref40","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1177\/1558944716675129","article-title":"Management of intra-articular distal radius fractures: volar or dorsal locking plate-which has fewer complications?","volume":"12","author":"Y Abe","year":"2017","journal-title":"Hand (N 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