{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:50:16Z","timestamp":1785801016164,"version":"3.56.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Spanning plates are being increasingly used for the treatment of complex fractures of the distal radius. The traditional recommendation is to leave the hardware in place for at least 12 weeks.<\/jats:p><jats:p>\n          Questions\/Purpose\u2003This study assesses the comparative outcomes of spanning plates removed at or before 10 weeks. We hypothesized that acceptable healing and functional outcomes can be achieved with earlier hardware removal to allow for earlier range of motion, rehabilitation, and return to function.<\/jats:p><jats:p>\n          Patients and Methods\u2003All patients treated for a comminuted, intra-articular distal radius fracture with a temporary spanning plate were identified. Outcomes of bridge plates removed before 10 weeks were compared with plates removed after 12 weeks. Twenty patients in the short duration cohort were compared with 40 patients in the long duration cohort.<\/jats:p><jats:p>\n          Results\u2003All fractures healed and there were 10 complications (4 short duration, 6 long duration) and 2 reoperations (1 short duration, 1 long duration) in the study population. There were no significant differences in final Quick-DASH scores (27.4 short duration, 20.9 long duration) or radiographic alignment. Mean values for wrist extension and ulnar deviation were significantly worse in the long duration cohort, although these differences are of unclear clinical significance.<\/jats:p><jats:p>\n          Conclusion\u2003It may be safe to remove spanning bridge plates earlier than what is traditionally recommended. Plate removal at or before 10 weeks did not detract from healing or radiographic alignment. Prospective investigations assessing the optimal duration of fixation for this technique are needed.<\/jats:p><jats:p>\n          Level of Evidence\u2003This is a Level IV study.<\/jats:p>","DOI":"10.1055\/s-0040-1722573","type":"journal-article","created":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T00:29:43Z","timestamp":1611361783000},"page":"229-233","source":"Crossref","is-referenced-by-count":10,"title":["Early Retrieval of Spanning Plates Used for Fixation of Complex Fractures of the Distal Radius"],"prefix":"10.1055","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-5424","authenticated-orcid":false,"given":"Tyler W.","family":"Henry","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob E.","family":"Tulipan","sequence":"additional","affiliation":[{"name":"Department of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"McEntee","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro K.","family":"Beredjiklian","sequence":"additional","affiliation":[{"name":"Department of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12891-018-1983-0","article-title":"Incidence of distal radius fracture surgery in Finns aged 50 years or more between 1998 and 2016 - too many patients are yet operated on?","volume":"19","author":"T P Hevonkorpi","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.2106\/JBJS.RVW.16.00044","article-title":"Spanning bridge plate fixation of distal radial fractures","volume":"5","author":"A Lauder","year":"2017","journal-title":"JBJS Rev"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/j.jhsa.2012.02.034","article-title":"Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients","volume":"37","author":"M J Richard","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1055\/s-0039-1694063","article-title":"Dorsal bridge plating versus external fixation for distal radius fractures","volume":"9","author":"W L Wang","year":"2020","journal-title":"J Wrist Surg"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1016\/j.jhsa.2011.06.030","article-title":"Analysis of the complications of palmar plating versus external fixation for fractures of the distal radius","volume":"36","author":"M J Richard","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"445","key":"ref6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/01.blo.0000205885.58458.f9","article-title":"Bridge plating of distal radius fractures: the Harborview method","volume":"445","author":"D P Hanel","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"945","DOI":"10.2106\/00004623-200505000-00003","article-title":"Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution","volume":"87","author":"D S Ruch","year":"2005","journal-title":"J Bone Joint Surg Am"},{"issue":"13","key":"ref8","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.2106\/JBJS.17.00912","article-title":"A comparison of the effect of one, three, or six weeks of immobilization on function and pain after open reduction and internal fixation of distal radial fractures in adults: a randomized controlled trial","volume":"100","author":"N Watson","year":"2018","journal-title":"J Bone Joint Surg Am"},{"issue":"19","key":"ref9","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.2106\/JBJS.M.00860","article-title":"Accelerated rehabilitation compared with a standard protocol after distal radial fractures treated with volar open reduction and internal fixation: a prospective, randomized, controlled study","volume":"96","author":"J L Brehmer","year":"2014","journal-title":"J Bone Joint Surg Am"},{"issue":"S 01","key":"ref10","first-page":"29","article-title":"Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution. Surgical technique","volume":"88","author":"T A Ginn","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/BF02364658","article-title":"Time evolution of the mechanical properties of the callus of fresh fractures","volume":"9","author":"P Christel","year":"1981","journal-title":"Ann Biomed Eng"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1016\/S0736-0266(02)00266-8","article-title":"Biomechanical evaluation of healing in a non-critical defect in a large animal model of osteoporosis","volume":"21","author":"C A Lill","year":"2003","journal-title":"J Orthop Res"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00130911-199812000-00004","article-title":"Treatment of comminuted distal radius with the use of an internal distraction plate","volume":"2","author":"E F Burke","year":"1998","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.jhsa.2015.05.008","article-title":"Functional outcomes following bridge plate fixation for distal radius fractures","volume":"40","author":"A Lauder","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"10","key":"ref15","doi-asserted-by":"crossref","first-page":"1578","DOI":"10.1016\/j.jhsa.2006.09.014","article-title":"A biomechanic comparison of an internal radiocarpal-spanning 2.4-mm locking plate and external fixation in a model of distal radius fractures","volume":"31","author":"J C Wolf","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/0021-9290(80)90343-7","article-title":"The wrist position between neutral and ulnar deviation that facilitates the maximum power grip strength","volume":"13","author":"J C Pryce","year":"1980","journal-title":"J Biomech"},{"issue":"04","key":"ref17","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/BTH.0b013e3182a5cbf8","article-title":"Dorsal spanning plate fixation for distal radius fractures","volume":"17","author":"S D Dodds","year":"2013","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.hcl.2010.01.001","article-title":"Complications associated with distraction plate fixation of wrist fractures","volume":"26","author":"D P Hanel","year":"2010","journal-title":"Hand Clin"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.injury.2012.12.003","article-title":"External fixation versus open reduction with plate fixation for distal radius fractures: a meta-analysis of randomised controlled trials","volume":"44","author":"J Esposito","year":"2013","journal-title":"Injury"},{"issue":"08","key":"ref20","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1007\/s11999-009-0752-7","article-title":"Monitoring the mechanical properties of healing bone","volume":"467","author":"L E Claes","year":"2009","journal-title":"Clin Orthop Relat Res"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/00005131-200002000-00003","article-title":"Mechanical strength of fracture callus in osteopenic bone at different phases of healing","volume":"14","author":"D L Wheeler","year":"2000","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/17453670710013988","article-title":"Experimental osteoporosis induced by ovariectomy and vitamin D deficiency does not markedly affect fracture healing in rats","volume":"78","author":"G Melhus","year":"2007","journal-title":"Acta Orthop"},{"issue":"S 01","key":"ref23","doi-asserted-by":"crossref","first-page":"S90","DOI":"10.1016\/j.injury.2007.02.014","article-title":"Fracture healing in osteoporotic fractures: is it really different? A basic science perspective","volume":"38","author":"P Giannoudis","year":"2007","journal-title":"Injury"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0960-0760(99)00032-1","article-title":"Osteoporosis influences the late period of fracture healing in a rat model prepared by ovariectomy and low calcium diet","volume":"68","author":"T Kubo","year":"1999","journal-title":"J Steroid Biochem Mol Biol"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/S0736-0266(00)90034-2","article-title":"Age and ovariectomy impair both the normalization of mechanical properties and the accretion of mineral by the fracture callus in rats","volume":"19","author":"R A Meyer Jr","year":"2001","journal-title":"J Orthop Res"},{"issue":"12","key":"ref26","doi-asserted-by":"crossref","first-page":"2237","DOI":"10.1359\/jbmr.2002.17.12.2237","article-title":"Raloxifene, estrogen, and alendronate affect the processes of fracture repair differently in ovariectomized rats","volume":"17","author":"Y Cao","year":"2002","journal-title":"J Bone Miner Res"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722573.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T22:38:31Z","timestamp":1622587111000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,22]]},"references-count":26,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722573","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,22]]}}}