{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:37:00Z","timestamp":1774917420736,"version":"3.50.1"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003The purpose of this study was to evaluate the clinical and functional results of 67 patients with distal radius fracture (DRF), treated with a modified surgical technique that allows three-column fixation through the same palmar approach.<\/jats:p><jats:p>\n          Patients and Methods\u2003Between 2014 and 2019, we treated 67 patients using a particular surgical technique. All patients suffered DRF, classified using the universal classification system. Two different intervals were developed palmary: the first ulnarly to the flexor carpi radialis tendon for direct visualization of the distal radius and the second one radially to the radial artery for direct visualization of the styloid process. An anatomic volar locking compression plate was applied to all patients. The radial styloid process was fixed and stabilized either with Kirschner-wires or an anatomic plate through the same incision. Functional results were evaluated based on the Disabilities of the Arm, Shoulder and Hand and Mayo wrist scores. Range of motion and grip strength of the injured wrist were statistically compared with the opposite side.<\/jats:p><jats:p>\n          Results\u2003The mean follow-up was 47 months (13\u201384). All fractures were united, and all patients recovered to the preinjury level of activity. The mean flexion\u2013extension range was 73.8\u00b0 to 55.2\u00b0 and the supination\u2013pronation range 82.8\u00b0 to 67\u00b0. No infection or nonunion occurred. No major complications were reported.<\/jats:p><jats:p>\n          Conclusion\u2003Open reduction and internal fixation, under specific indications, is the best treatment option in DRF. The described technique provides excellent visualization to the distal radius surfaces and allows the internal fixation of the radial columns through the same skin incision. Therefore, it can constitute an efficient choice in the treatment armamentarium of DRF.<\/jats:p>","DOI":"10.1055\/s-0042-1749162","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T22:34:58Z","timestamp":1654554898000},"page":"232-238","source":"Crossref","is-referenced-by-count":3,"title":["Three Column Fixation Through a Single Incision in Distal Radius Fractures"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9685-4657","authenticated-orcid":false,"given":"Giannis","family":"Kotsalis","sequence":"additional","affiliation":[{"name":"First Department of Orthopedics, General Hospital of Athens G. Gennimatas, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Kotsarinis","sequence":"additional","affiliation":[{"name":"Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Ladogianni","sequence":"additional","affiliation":[{"name":"Department of Upper Limb and Microsurgery , KAT General Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanouil","family":"Fandridis","sequence":"additional","affiliation":[{"name":"Department of Upper Limb and Microsurgery , KAT General Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,6]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"K W Nellans","year":"2012","journal-title":"Hand Clin"},{"issue":"04","key":"ref2","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":"ref3","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1177\/1753193410364179","article-title":"Extension fractures of the distal radius in patients older than 50: a prospective randomized study comparing fixation using mixed pins or a palmar fixed-angle plate","volume":"35","author":"P-S Marcheix","year":"2010","journal-title":"J Hand Surg Eur Vol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jhsa.2005.10.010","article-title":"Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius","volume":"31","author":"T D Rozental","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s11552-010-9281-9","article-title":"Surgical approaches to the distal radius","volume":"6","author":"A M Ilyas","year":"2011","journal-title":"Hand (N Y)"},{"issue":"04","key":"ref6","first-page":"913","article-title":"Trimed fixation system for displaced fractures of the distal radius","volume":"62","author":"N Gerostathopoulos","year":"2007","journal-title":"J Trauma"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jor.2016.10.015","article-title":"Anatomic considerations when performing the modified Henry approach for exposure of distal radius fractures","volume":"14","author":"M A Conti Mica","year":"2016","journal-title":"J Orthop"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/1753193415604795","article-title":"Predictors of unstable distal radius fractures: a systematic review and meta-analysis","volume":"41","author":"M M Walenkamp","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/S0363-5023(05)80153-4","article-title":"Design and biomechanics of a plate for the distal radius","volume":"20","author":"D Gesensway","year":"1995","journal-title":"J Hand Surg Am"},{"key":"ref10","first-page":"361","volume-title":"AO principles of fracture management","author":"D Fernandez","year":"2001"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"1956","DOI":"10.2106\/00004623-200310000-00014","article-title":"Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius","volume":"85","author":"T D Rozental","year":"2003","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/0300060513476438","article-title":"Complications following dorsal versus volar plate fixation of distal radius fracture: a meta-analysis","volume":"41","author":"J Wei","year":"2013","journal-title":"J Int Med Res"},{"key":"ref13","volume-title":"Treatment and Rehabilitation of Fractures","author":"S Hoppenfeld","year":"2000"},{"issue":"21","key":"ref14","first-page":"71","article-title":"Symposium on distal radius fractures","volume":"21","author":"J Rayhack","year":"1990","journal-title":"Contemp Orthop"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S0030-5898(21)00010-9","article-title":"Fractures of the distal radius. 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Am"},{"issue":"02","key":"ref40","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1142\/S2424835516400075","article-title":"Management of distal ulnar fracture combined with distal radius fracture","volume":"21","author":"J K Kim","year":"2016","journal-title":"J Hand Surg Asian Pac Vol"},{"key":"ref41","first-page":"1","article-title":"Distal radius fracture with concomitant ulnar styloid fracture: does distal radioulnar joint stability depend on the location of the ulnar styloid fracture?","author":"K W Kim","year":"2021","journal-title":"Archives of Orthopaedic and Trauma Surgery"},{"issue":"06","key":"ref42","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1053\/jhsu.2002.36525","article-title":"Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability","volume":"27","author":"M M May","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref43","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1177\/02692155211036674","article-title":"Immediate mobilization of distal radius fractures stabilized by volar locking plate results in a better short-term outcome than a five week immobilization: a prospective randomized trial","volume":"36","author":"S Quadlbauer","year":"2022","journal-title":"Clin Rehabil"},{"issue":"03","key":"ref44","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1055\/s-0037-1612593","article-title":"Combined Volar and Dorsal Approach for Fixation of Comminuted Intra-Articular Distal Radial Fractures","volume":"7","author":"G Medlock","year":"2018","journal-title":"J Wrist Surg"},{"issue":"06","key":"ref45","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/s00402-020-03411-9","article-title":"Functional and radiological outcome of distal radius fractures stabilized by volar-locking plate with a minimum follow-up of 1 year","volume":"140","author":"S Quadlbauer","year":"2020","journal-title":"Arch Orthop Trauma Surg"},{"issue":"12","key":"ref46","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1007\/s00402-018-3051-5","article-title":"Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate","volume":"138","author":"S Quadlbauer","year":"2018","journal-title":"Arch Orthop Trauma Surg"}],"container-title":["Journal of Wrist 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