{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:36:01Z","timestamp":1769150161036,"version":"3.49.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Treatment of intra-articular distal radius fractures (DRFs) rests on anatomic internal fixation. Fragment-specific fixation (FSF) is applied when fracture pattern is too complex for standard volar plating (SVP), oftentimes with potential increased risk of complications. We hypothesized that patients undergoing FSF would achieve less wrist range of motion (ROM) with higher risk of complications compared with SVP.<\/jats:p><jats:p>\n          Methods\u2003We conducted a retrospective review of 159 consecutive patients undergoing DRF fixation from 2017 to 2020. Patients\u2009&lt;\u200918 years old,\u2009&lt;\u20098 weeks' follow-up, open fractures, ipsilateral trauma, and fractures requiring dorsal spanning plate were excluded. Patient demographics, specific construct type, AO fracture classification, ROM, and complications were assessed. ROM was calculated using average flexion, extension, supination, and pronation. t-Tests were used to determine differences in ROM among construct types.<\/jats:p><jats:p>\n          Results\u2003Ninety-two patients met all inclusion criteria: 59 underwent SVP and 33 underwent FSF. Average wrist ROM for patients undergoing SVP was 57\u2009degrees\/50\u2009degrees flexion-extension and 87\u2009degrees\/88\u2009degrees supination-pronation; average ROM for patients undergoing FSF was 55\u2009degrees\/49\u2009degrees flexion-extension and 88\u2009degrees\/89\u2009degrees supination-pronation. No significant differences were identified when comparing final wrist flexion (p\u2009=\u20090.08), extension (p\u2009=\u20090.33), supination (p\u2009=\u20090.35), or pronation (p\u2009=\u20090.21). Overall reoperation rate was 5% and higher for FSF (12%) versus SVP (2%). Highest reoperation rate was observed in the double volar hook cohort (80%; N\u2009=\u20094).<\/jats:p><jats:p>\n          Conclusion\u2003Construct type does not appear to affect final ROM if stable internal fixation is achieved. SVP and FSF had similar complication rates; however, double volar hook constructs resulted in increased reoperations likely from fixation failure and plate prominence.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level IV, retrospective review.<\/jats:p>","DOI":"10.1055\/s-0043-1761286","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T23:52:45Z","timestamp":1677109965000},"page":"500-508","source":"Crossref","is-referenced-by-count":4,"title":["Does Construct Type Matter? A Retrospective Review Comparing Outcomes of Distal Radius Fractures Treated with Standard Volar Plating versus Fragment-Specific Fixation"],"prefix":"10.1055","volume":"12","author":[{"given":"Mitchell","family":"Bowers","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Vanderbilt University, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7542-7178","authenticated-orcid":false,"given":"Eric","family":"Gruenberger","sequence":"additional","affiliation":[{"name":"Hughston Foundation Research Program, The Hughston Clinic, Columbus, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achraf H.","family":"Jardaly","sequence":"additional","affiliation":[{"name":"Hughston Foundation Research Program, The Hughston Clinic, Columbus, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison","family":"Wood","sequence":"additional","affiliation":[{"name":"Medical College of Georgia, Medical College of Georgia, Augusta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Ko","sequence":"additional","affiliation":[{"name":"Hughston Foundation Research Program, The Hughston Clinic, Columbus, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"D'Almeida","sequence":"additional","affiliation":[{"name":"Hughston Foundation Research Program, The Hughston Clinic, Columbus, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd A.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Hand and Upper Extremity Surgery Department, Hughston Clinic Orthopaedics, TriStar Centennial Medical Center, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"ref1","volume-title":"Perren's Strain Theory and Fracture Healing","author":"S Halvachizadeh","year":"2020"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3389\/fendo.2018.00006","article-title":"The impact of type 2 diabetes on bone fracture healing","volume":"9","author":"C Marin","year":"2018","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1359\/jbmr.081002","article-title":"Reduced COX-2 expression in aged mice is associated with impaired fracture healing","volume":"24","author":"A A Naik","year":"2009","journal-title":"J Bone Miner Res"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00402-020-03405-7","article-title":"Biomechanical considerations on a CT-based treatment-oriented 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radius","volume":"87","author":"D Ring","year":"2005","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/01.bth.0000158974.15897.1b","article-title":"Fragment-specific fixation of distal radius fractures using the Trimed device","volume":"9","author":"E D Schumer","year":"2005","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.jhsa.2020.02.002","article-title":"Characterization of the dorsal ulnar corner in distal radius fractures in postmenopausal females: implications for surgical decision making","volume":"45","author":"J Zimmer","year":"2020","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1007\/s12178-019-09538-6","article-title":"Fragment-specific fixation in distal radius fractures","volume":"12","author":"B A 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Wolfe","year":"2010"},{"issue":"12","key":"ref24","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1016\/j.jhsa.2019.08.017","article-title":"The impact of obesity and smoking on outcomes after volar plate fixation of distal radius fractures","volume":"44","author":"M J Hall","year":"2019","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1007\/s11552-015-9777-4","article-title":"Postsurgical complications following distal radius volar plating in a diabetic population at short-term follow-up","volume":"10","author":"D M Koehler","year":"2015","journal-title":"Hand (N Y)"}],"container-title":["Journal of Wrist 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