{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:42:17Z","timestamp":1789674137208,"version":"4.0.1"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Distal radius fractures are one of the most frequent orthopaedic injuries. There are many effective treatment methods, such as volar plate, dorsal plate, percutaneous pins, external fixation, and casting; however, comparison of the treatment outcomes has not been thoroughly investigated. Our purpose is to determine if volar plating is the superior treatment method for distal radius fractures. We will address this through the following questions: First, is volar plating superior to dorsal plating, percutaneous pins, external fixation, or casting in terms of reported complications? Second, does volar plating produce superior functional outcomes to dorsal plating, percutaneous pins, external fixation, or casting? Third, are the radiographic outcomes superior for volar plating when compared with dorsal plating, percutaneous pins, external fixation, or casting?<\/jats:p><jats:p>\n          Methods\u2003MEDLINE, Academic Search Ultimate, Academic Search Complete, CINAHL Plus, and JSTOR databases, as well as manual search, were used to identify papers comparing complications and functional results of volar plating to other treatment methods for distal radius fractures published after the year 2000. Complication data and function scores were recorded. Risk of bias was assessed using the Cochrane Risk of Bias Tool and data was analyzed for meta-analysis using Cochrane ReviewManager software.<\/jats:p><jats:p>\n          Results\u2003Compared with dorsal plate, volar plate performed significantly better in Gartland and Werley score. Volar plating outperformed percutaneous pins for loss of reduction, infection, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and ulnar deviation. Loss of reduction, malunion, Patient Related Wrist Evaluation (PRWE) score, DASH score, grip strength, ulnar deviation, and supination were significantly better for volar plating when compared with casting. When compared with external fixation, volar plating had significantly less cases of infection, lower QuickDASH score, and higher range of motion for flexion, pronation, and supination. All other complication and functional outcomes were not significantly different.<\/jats:p><jats:p>\n          Conclusions\u2003Distal radius fractures treated with volar plating showed relatively better measures of complications, function scores, and range of motion than other treatment methods; however, there was no significant difference in healing time when compared with percutaneous pins. More studies are needed to compare the rest of the treatment methods with each other.<\/jats:p>","DOI":"10.1055\/s-0041-1723793","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:09:04Z","timestamp":1612915744000},"page":"440-457","source":"Crossref","is-referenced-by-count":10,"title":["Interventions for Distal Radius Fractures: A Meta-analysis of Comparison Studies"],"prefix":"10.1055","volume":"10","author":[{"given":"Julia","family":"Beyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Wynkoop","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5895-8276","authenticated-orcid":false,"given":"Jiayong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil A.","family":"Ebraheim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toledo Medical Center, Toledo, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.3906\/sag-1811-73","article-title":"Comparison of 2-year clinical and radiological outcomes between volar plating and external fixation with additional K-wires for AO Type C distal radius fractures","volume":"49","author":"\u00d6 \u00c7\u0130\u00c7EKL\u0130","year":"2019","journal-title":"Turk J Med Sci"},{"issue":"03","key":"ref2","first-page":"255","article-title":"Volar locking plate versus K-wire-supported external fixation in the treatment of AO\/ASIF type C distal radius fractures: A comparison of functional and radiological outcomes","volume":"24","author":"A Duramaz","year":"2018","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1749-799X-7-8","article-title":"Palmar and dorsal fixed-angle plates in AO C-type fractures of the distal radius: is there an advantage of palmar plates in the long term?","volume":"7","author":"M G Jakubietz","year":"2012","journal-title":"J Orthop Surg Res"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jhsa.2014.09.025","article-title":"A randomized comparison of volar plate and external fixation for intra-articular distal radius fractures","volume":"40","author":"Y H Roh","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.2106\/JBJS.H.01478","article-title":"Functional outcomes for unstable distal radial fractures treated with open reduction and internal fixation or closed reduction and percutaneous fixation. A prospective randomized trial","volume":"91","author":"T D Rozental","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s10195-016-0441-8","article-title":"Outcomes and financial implications of intra-articular distal radius fractures: a comparative study of open reduction internal fixation (ORIF) with volar locking plates versus nonoperative management","volume":"18","author":"D H Toon","year":"2017","journal-title":"J Orthop Traumatol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.injury.2015.08.040","article-title":"Volar plate versus k-wire fixation of distal radius fractures","volume":"47","author":"S A Brennan","year":"2016","journal-title":"Injury"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1142\/S021881041450004X","article-title":"Comparison between cast immobilization versus volar locking plate 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elderly patients","volume":"39","author":"F Goehre","year":"2014","journal-title":"J Hand Surg Eur Vol"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00402-013-1698-5","article-title":"Non-bridging external fixation employing multiplanar K-wires versus volar locked plating for dorsally displaced fractures of the distal radius","volume":"133","author":"G Gradl","year":"2013","journal-title":"Arch Orthop Trauma Surg"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2106\/JBJS.18.00014","article-title":"Volar locking plates versus augmented external fixation of intra-articular distal radial fractures: functional results from a randomized controlled trial","volume":"101","author":"O L Hammer","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"01","key":"ref31","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/s12891-020-3101-3","article-title":"Surgical outcomes of elderly 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fixation and adjuvant pin fixation in unstable distal radius fractures: a randomized, controlled study","volume":"38","author":"J H Williksen","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"23","key":"ref35","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.2106\/JBJS.J.01597","article-title":"A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older","volume":"93","author":"R Arora","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref36","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/1753193417727139","article-title":"Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating","volume":"43","author":"D Martinez-Mendez","year":"2018","journal-title":"J Hand Surg Eur 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