{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:45Z","timestamp":1740148605385,"version":"3.37.3"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T00:00:00Z","timestamp":1734739200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar a efic\u00e1cia das placas volares do r\u00e1dio distal em casos de fragmentos dorsais na borda cubital (BC) e no tub\u00e9rculo de Lister (TL).<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo retrospectivo que incluiu pacientes com fraturas do r\u00e1dio distal (FRDs) com fragmentos dorsais na BC e no TL tratados com placas volares. Foram exclu\u00eddos pacientes com fraturas da faceta semilunar, raz\u00e3o de fragmentos da BC inferior a 25% e tratamento com placas dorsais. As medidas radiogr\u00e1ficas e tomogr\u00e1ficas inclu\u00edram comprimento radial (CR), inclina\u00e7\u00e3o radial (IR), vari\u00e2ncia cubital (VC), inclina\u00e7\u00e3o palmar (IP), \u00e1reas de fragmentos, raz\u00e3o de fragmentos da BC e luxa\u00e7\u00f5es. Foram avaliados as pontua\u00e7\u00f5es na classifica\u00e7\u00e3o de Gartland Werley (GW) e no question\u00e1rio Disabilities of the Arm, Shoulder and Hand (DASH), al\u00e9m da for\u00e7a de preens\u00e3o e da amplitude de movimento (ADM).<\/jats:p><jats:p>\n          Resultados\u2003O estudo incluiu 17 homens e 5 mulheres (idade m\u00e9dia: 39,7\u2009\u00b1\u200910,7 anos). Os fragmentos da BC e do TL apresentaram \u00e1reas m\u00e9dias de 1,62\u2009\u00b1\u20090,73\u2009cm2 e raz\u00e3o de fragmentos da BC de 0,4\u2009\u00b1\u20090,1. As taxas de fixa\u00e7\u00e3o dos fragmentos da BC e do TL foram de 18,12% e 31,8%, respectivamente. Melhoras na IR, na VC e na IP foram observadas ap\u00f3s a cirurgia. As m\u00e9dias das pontua\u00e7\u00f5es na GW e no DASH foram de 2,1\u2009\u00b1\u20092,0 e 4,3\u2009\u00b1\u20093,2, respectivamente. A for\u00e7a de preens\u00e3o no lado operado foi de 89,5\u2009\u00b1\u20099,8% em compara\u00e7\u00e3o ao lado sadio, e pelo menos 90,9% dos pacientes alcan\u00e7aram ADM adequada.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Embora as placas volares sejam o tratamento padr\u00e3o para FRDs intra-articulares, fragmentos dorsais deslocados podem afetar os resultados. Mini-incis\u00f5es dorsais podem auxiliar na fixa\u00e7\u00e3o de fragmentos da BC de tratamento dif\u00edcil com placas volares, para preservar a sa\u00fade das articula\u00e7\u00f5es.<\/jats:p>","DOI":"10.1055\/s-0044-1790579","type":"journal-article","created":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T23:30:21Z","timestamp":1734823821000},"page":"e981-e990","source":"Crossref","is-referenced-by-count":0,"title":["Efic\u00e1cia do tratamento com placas volares em fraturas da borda dorsal do r\u00e1dio distal"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9053-8637","authenticated-orcid":false,"given":"U\u011fur","family":"Bezirgan","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Traumatologia e Cirurgia da M\u00e3o, Faculdade de Medicina, Ankara University, Alt\u0131nda\u011f, Ankara, 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fractures using the 2.4-mm locking compression plates","volume":"30","author":"D S Musgrave","year":"2005","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1302\/0301-620X.93B2.25631","article-title":"What are the radiological predictors of functional outcome following fractures of the distal radius?","volume":"93","author":"C Y Ng","year":"2011","journal-title":"J Bone Joint Surg Br"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"647","DOI":"10.2106\/00004623-198668050-00003","article-title":"Intra-articular fractures of the distal end of the radius in young adults","volume":"68","author":"J L Knirk","year":"1986","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/BTH.0b013e3181c15de2","article-title":"Dorsal fixation of intra-articular distal radius fractures using 2.4-mm locking plates","volume":"13","author":"K Lutsky","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"01","key":"ref7","first-page":"59","article-title":"Combined palmar and dorsal plating of four-part distal radius fractures: Our clinical and radiological results","volume":"32","author":"B Kibar","year":"2021","journal-title":"Jt Dis Relat Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1177\/1753193416641590","article-title":"Why and how to report surgeons' levels of expertise","volume":"41","author":"J B Tang","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s12178-019-09540-y","article-title":"Best Approaches in Distal Radius Fracture Malunions","volume":"12","author":"B T Evans","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"739","DOI":"10.2106\/00004623-199605000-00014","article-title":"A comparison of early and late reconstruction of malunited fractures of the distal end of the radius","volume":"78","author":"J B Jupiter","year":"1996","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/0363-5023(91)90006-W","article-title":"Functional ranges of motion of the wrist joint","volume":"16","author":"J Y Ryu","year":"1991","journal-title":"J Hand Surg Am"},{"issue":"12","key":"ref13","first-page":"614","article-title":"Biostatistics 104: correlational analysis","volume":"44","author":"Y H Chan","year":"2003","journal-title":"Singapore Med J"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1749-799X-5-90","article-title":"Efficacy of radial styloid targeting screws in volar plate fixation of intra-articular distal radial fractures: a biomechanical study in a cadaver fracture model","volume":"5","author":"K Iba","year":"2010","journal-title":"J Orthop Surg Res"},{"issue":"04","key":"ref15","first-page":"31","article-title":"Functional Outcome of Unstable Distal Radius Fracture with Dorsally Displaced Radial rim Treated with Volar Variable Angle Locking Compression Plate","volume":"8","author":"O R Rajadurai","year":"2020","journal-title":"Int J Sci Stud"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1053\/jhsu.2001.22930a","article-title":"Computed tomography scanning of intra-articular distal radius fractures: does it influence treatment?","volume":"26","author":"M A Katz","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.injury.2011.03.049","article-title":"The effects of a displaced dorsal rim fracture on outcomes after volar plate fixation of a distal radius fracture","volume":"43","author":"J K Kim","year":"2012","journal-title":"Injury"},{"issue":"S 05","key":"ref18","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.1016\/j.injury.2015.08.010","article-title":"DVR plating of distal radius fractures","volume":"46","author":"J Vanhaecke","year":"2015","journal-title":"Injury"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1142\/S0218810413500184","article-title":"Treatment of distal radial fractures with the DVR-A plate\u2013the early Bristol experience","volume":"18","author":"J Loveridge","year":"2013","journal-title":"Hand Surg"},{"issue":"03","key":"ref20","first-page":"155","article-title":"Complex fractures of the distal radius treated with angular stability plates","volume":"93","author":"M Frattini","year":"2009","journal-title":"Chir Organi Mov"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s12306-011-0140-9","article-title":"The treatment of distal radius articular fractures of C1-C2 type with DVR plate: analysis of 40 cases","volume":"95","author":"L Tarallo","year":"2011","journal-title":"Musculoskelet Surg"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.hcl.2005.02.003","article-title":"Volar plate fixation of distal radius fractures","volume":"21","author":"J Orbay","year":"2005","journal-title":"Hand Clin"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00264-007-0368-z","article-title":"Outcome evaluation measures for wrist and hand: which one to choose?","volume":"32","author":"M Changulani","year":"2008","journal-title":"Int Orthop"},{"issue":"02","key":"ref24","first-page":"128","article-title":"Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity","volume":"14","author":"D E Beaton","year":"2001","journal-title":"J Hand Ther"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1177\/1558944715614855","article-title":"Patient-Reported Outcome Measures for Hand and Wrist Trauma: Is There Sufficient Evidence of Reliability, Validity, and Responsiveness?","volume":"11","author":"P J Dacombe","year":"2016","journal-title":"Hand (N Y)"},{"issue":"09","key":"ref26","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.2106\/00004623-200409000-00007","article-title":"Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius","volume":"86","author":"N G Harness","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"11","key":"ref27","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1016\/j.jhsa.2010.07.036","article-title":"Corrective osteotomy for isolated malunion of the palmar lunate facet in distal radius fractures","volume":"35","author":"D S Ruch","year":"2010","journal-title":"J Hand Surg Am"},{"issue":"07","key":"ref28","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.arthro.2007.01.026","article-title":"Arthroscopic repair of triangular fibrocartilage complex tears","volume":"23","author":"E P Estrella","year":"2007","journal-title":"Arthroscopy"},{"issue":"01","key":"ref29","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1055\/s-0035-1571184","article-title":"The Effect of Displaced Dorsal Rim Fragment in a Distal Radius Fracture","volume":"5","author":"J K Kim","year":"2016","journal-title":"J Wrist Surg"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.hcl.2005.02.008","article-title":"Essential radiographic evaluation for distal radius fractures","volume":"21","author":"R J Medoff","year":"2005","journal-title":"Hand Clin"},{"issue":"11","key":"ref31","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1016\/j.jhsa.2011.08.021","article-title":"Intra-articular fractures of the distal radius evaluated by computed tomography","volume":"36","author":"K Tanabe","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref32","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1002\/jor.20322","article-title":"Effects of distal radius malunion on distal radioulnar joint mechanics\u2013an in vivo study","volume":"25","author":"J J Crisco","year":"2007","journal-title":"J Orthop Res"},{"issue":"09","key":"ref33","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1007\/s00402-015-2290-y","article-title":"The effects of the Frag-Loc(\u00ae) compression screw on distal radius fracture with a displaced dorsoulnar fragment","volume":"135","author":"J I Lee","year":"2015","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref34","first-page":"108","article-title":"A three-dimensional finite element model of the radiocarpal joint: distal radius fracture step-off and stress transfer","volume":"25","author":"D D Anderson","year":"2005","journal-title":"Iowa Orthop J"},{"issue":"06","key":"ref35","doi-asserted-by":"crossref","first-page":"839","DOI":"10.2106\/00004623-198971060-00007","article-title":"Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius","volume":"71","author":"J K Bradway","year":"1989","journal-title":"J Bone Joint Surg Am"},{"issue":"10","key":"ref36","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.2106\/00004623-198870100-00014","article-title":"Radial osteotomy and Bowers arthroplasty for malunited fractures of the distal end of the radius","volume":"70","author":"D L Fernandez","year":"1988","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref37","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/S0363-5023(88)80012-1","article-title":"Limited open reduction of the lunate facet in comminuted intra-articular fractures of the distal radius","volume":"13","author":"T Axelrod","year":"1988","journal-title":"J Hand Surg Am"}],"container-title":["Revista Brasileira de 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