{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:44:00Z","timestamp":1789400640738,"version":"build-2803163510"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Distal radius fractures are commonly seen among the elderly, though studies examining their long-term outcomes are limited.<\/jats:p><jats:p>\n          Purpose\u2003The aim of this study was to describe the 5-year trajectory of recovery of distal radius fractures treated with open reduction and internal fixation (ORIF).<\/jats:p><jats:p>\n          Methods\u2003Patients with distal radius fractures (AO\/OTA 23.A-C) treated by ORIF were prospectively studied. Patient-Rated Wrist Evaluation (PRWE) score was measured at baseline (preinjury recall) and postoperatively at 6 months, 1 year, and 5 years. Clinically relevant change in PRWE score was assessed using the minimal clinically important difference (MCID).<\/jats:p><jats:p>\n          Results\u2003A total of 390 patients were included, of which 75% completed 5-year follow-up. Mean baseline PRWE score was 1.25 (standard deviation, SD: 2.9). At 6 months, mean PRWE score was at its highest up to 20.2 (SD: 18.4; p\u2009&lt;\u20090.01). A significant improvement in mean PRWE score was observed at 1 year down to 15.2 (SD: 17.6; p\u2009&lt;\u20090.01); 44% of patients were still one MCID outside of their baseline PRWE score at 1 year. Further significant improvement in mean PRWE score occurred at 5 years down to 9.4 (SD: 13.4; p\u2009&lt;\u20090.01); 29% of patients remained one MCID outside of their baseline PRWE score at 5 years.<\/jats:p><jats:p>\n          Conclusion\u2003Recovery after ORIF for distal radius fractures showed significant worsening after surgery, followed by significant improvements up to 1 year and between years 1 and 5, albeit to a lesser extent. Statistically and clinically relevant wrist pain and disability persisted at 5 years. Future research should examine different treatment modalities and include a nonoperative treatment arm for comparison.<\/jats:p><jats:p>\n          Level of Evidence\u2003Prognostic level II.<\/jats:p>","DOI":"10.1055\/s-0043-1771045","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T22:44:21Z","timestamp":1689288261000},"page":"230-235","source":"Crossref","is-referenced-by-count":7,"title":["Trajectory of Recovery following ORIF for Distal Radius Fractures"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6648-5130","authenticated-orcid":false,"given":"Gabriel","family":"Larose","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren M.","family":"Roffey","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Orthopaedic Trauma, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry M.","family":"Broekhuyse","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Orthopaedic Trauma, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Guy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Orthopaedic Trauma, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Orthopaedic Trauma, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly A.","family":"Lefaivre","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Orthopaedic Trauma, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1055\/s-0039-1685205","article-title":"Epidemiological and treatment trends of distal radius fractures across multiple age groups","volume":"8","author":"A Azad","year":"2019","journal-title":"J Wrist 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