{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:55Z","timestamp":1740167395700,"version":"3.37.3"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Open reduction and internal fixation of distal radius fractures is one of the most common procedures performed in wrist surgery. The use of volar locking plate has gained increasing interest in the past decade. Epiphyseal fixation can be done either with locking screws or smooth locking pegs, with no evidence supporting the use of one rather than the other.<\/jats:p><jats:p>\n          Purpose\u2003The aim of this study is to compare the stability of distal radius fixation by volar locking plate using locking screws or smooth locking pegs.<\/jats:p><jats:p>\n          Methods\u2003Adult patients with A2\u2013A3 AO fractures treated with a volar plate with locking screws only or smooth locking pegs only were retrospectively included. Radiographic assessment was performed to evaluate extra-articular parameters in the intraoperative postreduction and fixation period and after bony healing. Forty-seven distal radius fractures were included.<\/jats:p><jats:p>\n          Results\u2003Twenty-four fractures had fixation with locking screws and 23 had fixation with smooth locking pegs. For both groups, all radiographic parameters measured showed a statistically significant difference between the intraoperative postreduction and fixation period and the remote postoperative period after union of the fracture (p\u2009&lt;\u20090.05) attesting a slight loss of reduction. Nevertheless, there were no significant differences between the groups in radiographic extra-articular parameters.<\/jats:p><jats:p>\n          Conclusion\u2003This clinical study shows that there is no difference in stability fixation between locking screws or smooth locking pegs in A2\u2013A3 distal radius fractures.<\/jats:p><jats:p>\n          Clinical Relevance\u2003The use of smooth locking pegs only for epiphyseal fixation appears to be safe in volar plating of A2\u2013A3 distal radius fractures in adult patients and could be an alternative to locking screws. More clinical data are needed to confirm these results.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level III; retrospective comparative study.<\/jats:p>","DOI":"10.1055\/s-0043-1771338","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T22:51:49Z","timestamp":1690584709000},"page":"151-157","source":"Crossref","is-referenced-by-count":0,"title":["Volar Locking Plating of Extra-articular Distal Radius Fracture: A Retrospective Clinical Study Comparing Locking Screws versus Smooth Locking Pegs"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6669-1153","authenticated-orcid":false,"given":"Daniel","family":"Tordjman","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Younis","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Hillel Yaffe Medical Center, Hadera, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6232-3524","authenticated-orcid":false,"given":"Shai","family":"Factor","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7352-6458","authenticated-orcid":false,"given":"Gilad","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2057-8948","authenticated-orcid":false,"given":"Franck","family":"Atlan","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"McBeth","sequence":"additional","affiliation":[{"name":"Division of Orthopedic, Santa Clara Valley Medical Center, San Jose, California"},{"name":"Stanford University School of Medicine, Palo Alto, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamir","family":"Pritsch","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yishai","family":"Rosenblatt","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Division of Orthopedic, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"issue":"03","key":"ref1","first-page":"357","article-title":"Incidence and characteristics of distal radial fractures in an urban population in The Netherlands","volume":"40","author":"A Bentohami","year":"2014","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1302\/0301-620X.96B7.33149","article-title":"The operative treatment of fractures of the distal radius is increasing: results from a nationwide Swedish study","volume":"96-B","author":"C Mellstrand-Navarro","year":"2014","journal-title":"Bone Joint J"},{"issue":"03","key":"ref3","first-page":"612","article-title":"Displaced distal radial fractures treated using volar locking plates: maintenance of normal anatomy","volume":"67","author":"I Stevenson","year":"2009","journal-title":"J Trauma"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/j.jhsa.2008.01.006","article-title":"Volar plating of AO C3 distal radius fractures: biomechanical evaluation of locking screw and locking smooth peg configurations","volume":"33","author":"P A Martineau","year":"2008","journal-title":"J Hand Surg Am"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1302\/0301-620X.90B10.21293","article-title":"A revolution in the management of fractures of the distal radius?","volume":"90","author":"N D Downing","year":"2008","journal-title":"J Bone Joint Surg 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Orbay","year":"2004","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1053\/jhsu.2002.32081","article-title":"Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report","volume":"27","author":"J L Orbay","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"102842","DOI":"10.1016\/j.otsr.2021.102842","article-title":"Loss of radial height in extra-articular distal radial fracture following volar locking plate fixation","volume":"107","author":"M F Cheng","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"issue":"07","key":"ref15","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/BOT.0b013e318180db09","article-title":"Volar plate fixation of AO type C2 and C3 distal radius fractures, a single-center study of 55 patients","volume":"22","author":"G Gruber","year":"2008","journal-title":"J Orthop Trauma"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s13018-015-0283-8","article-title":"The influence of distal screw length on the primary stability of volar plate osteosynthesis\u2013a biomechanical study","volume":"10","author":"S F Baumbach","year":"2015","journal-title":"J Orthop Surg Res"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.jhsa.2011.12.013","article-title":"The effects of screw length on stability of simulated osteoporotic distal radius fractures fixed with volar locking plates","volume":"37","author":"L B Wall","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.jhsa.2006.01.011","article-title":"Volar fixed-angle plating of distal radius extension fractures: influence of plate position on secondary loss of reduction\u2013a biomechanic study in a cadaveric model","volume":"31","author":"H Drobetz","year":"2006","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist 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