{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:46:05Z","timestamp":1779939965425,"version":"3.53.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Distal radius fractures are extremely common. Patients routinely undergo early imaging (around 2 weeks) after open reduction and internal fixation (ORIF) of distal radius fractures despite no clinical concerns. We analyzed the need for these radiographs by evaluating when imaging identifies complications after surgery.<\/jats:p>\n                  <jats:p>All distal radius fractures treated with ORIF via a volar approach by the senior surgeon were included. Intraoperative and postoperative images were analyzed for maintenance of reduction and complications. Demographic data, fracture characteristics, and postoperative complications were also recorded.<\/jats:p>\n                  <jats:p>A total of 342 patients were identified. Postoperative images were obtained from 0 to 14, 15 to 90, 91 to 180, 181 to 365, or greater than 365 days after surgery. Some patients had multiple images. Measurements on postoperative images were statistically equivalent across all time points. Complications mostly occurred &gt;90 days after surgery. Of the 26 patients with complications, 5 had a failure of reduction or plating seen on postoperative imaging. Two occurred after unrelated trauma; only three patients had unanticipated complications caught on routine imaging within 3 months after surgery. These patients had extraordinarily complex fractures in poor bone stock.<\/jats:p>\n                  <jats:p>Early postoperative imaging is not necessary after ORIF for distal radius fractures unless the patient is elderly, or the fracture is severely comminuted with ulnar column or die-punch components. Thus, we suggest that patients have imaging only in the 3- to 6-month period to determine if the union has been achieved, which could provide cost savings to both surgeon and patient.<\/jats:p>","DOI":"10.1055\/s-0044-1788660","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T19:16:02Z","timestamp":1726168562000},"page":"526-531","source":"Crossref","is-referenced-by-count":1,"title":["Assessing the Need for Imaging after Distal Radius Fracture Fixation"],"prefix":"10.1055","volume":"14","author":[{"given":"Nirbhay S.","family":"Jain","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meaghan L.","family":"Barr","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lacey R.","family":"Pflibsen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prosper","family":"Benhaim","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California"},{"name":"Department of Orthopaedic Surgery, University of California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"e0244291","DOI":"10.1371\/journal.pone.0244291","article-title":"Fracture incidence in adults in relation to age and gender: A study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area","volume":"15","author":"C Bergh","year":"2020","journal-title":"PLoS ONE"},{"issue":"04","key":"ref2","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 Surg"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"3311","DOI":"10.1111\/ans.18134","article-title":"Surgical plating versus closed reduction for fractures in the distal radius in older patients: a cost-effectiveness analysis from the hospital perspective","volume":"92","author":"M Howell","year":"2022","journal-title":"ANZ J Surg"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.2106\/JBJS.H.01297","article-title":"Trends in the United States in the treatment of distal radial fractures in the elderly","volume":"91","author":"K C Chung","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"10","key":"ref5","first-page":"e30512","article-title":"Outcome analysis of distal end radius fractures managed with antegrade intramedullary K-wire fixation","volume":"14","author":"A Awasthi","year":"2022","journal-title":"Cureus"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1177\/17531934221143636","article-title":"Anterior locking plate versus non-operative treatment in different age groups with distal radial fractures: a systematic review and meta-analysis","volume":"48","author":"L Linnanm\u00e4ki","year":"2023","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"e187053","DOI":"10.1001\/jamanetworkopen.2018.7053","article-title":"Assessment of distal radius fracture complications among adults 60 years or older: a secondary analysis of the WRIST Randomized Clinical Trial","volume":"2","author":"K C Chung","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1016\/j.jhsa.2005.08.009","article-title":"A meta-analysis of outcomes of external fixation versus plate osteosynthesis for unstable distal radius fractures","volume":"30","author":"Z Margaliot","year":"2005","journal-title":"J Hand Surg Am"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"e035370","DOI":"10.1136\/bmjopen-2019-035370","article-title":"Is reduction of routine radiograph use in patients with distal radius fractures cost effective? Analysis of data from the multicentre, randomised controlled WARRIOR trial","volume":"10","author":"P van Gerven","year":"2020","journal-title":"BMJ Open"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1142\/S2424835519500553","article-title":"The role of early post-operative radiographs following distal radius fracture fixation with a volar locking plate: time for change?","volume":"24","author":"V Sharma","year":"2019","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"16","key":"ref11","first-page":"279","article-title":"Routine X-rays after the osteosynthesis of distal radius and ankle fractures","volume":"119","author":"F Oehme","year":"2022","journal-title":"Dtsch Arztebl Int"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1007\/s00068-018-0977-9","article-title":"Is there a need for standardized postoperative radiographs after operative treatment of wrist or ankle fractures?","volume":"45","author":"F Oehme","year":"2019","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"01","key":"ref13","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":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"280","DOI":"10.3109\/03009734.2011.594183","article-title":"Treatment of unstable distal radius fractures with the volar locking plate","volume":"116","author":"H Minegishi","year":"2011","journal-title":"Ups J Med Sci"},{"key":"ref15","first-page":"137","article-title":"Radiologic evaluation of the distal radius indices in early and late childhood","volume":"38","author":"P Hosseinzadeh","year":"2018","journal-title":"Iowa Orthop 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