{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:05:51Z","timestamp":1790251551087,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Distal radius fractures are common injuries with a substantial burden of disease. Although volar locking plate fixation is commonly used, the relationship between preoperative factors and early\u2010 to medium\u2010term patient\u2010reported outcomes remains poorly delineated. This study examined whether patient characteristics, injury features and routine prereduction radiographic measurements were associated with 3\u2010month Patient\u2010Rated Wrist and Hand Evaluation (PRWHE) scores after volar locking plate fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study at a tertiary trauma centre was conducted. Adults who underwent volar locking plate fixation were identified from a prospectively maintained registry. Demographics, comorbidities, injury details and prereduction radiographs were reviewed. The primary outcome was the PRWHE score at 3\u2009months postoperative. Grip strength and range of motion were also assessed, where available. Multivariable linear regression analysis evaluated associations between preoperative factors and PRWHE scores. Sensitivity analysis utilised complete\u2010case analysis, and paired testing was used to assess temporal associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Amongst prereduction radiographic factors, greater sagittal translation and ulnar styloid fracture were associated with poorer patient\u2010reported outcomes. Older age was associated with worse function, and female sex was associated with better outcomes. When considering clinician\u2010measured outcomes, greater grip strength and ulnar deviation were associated with superior patient\u2010reported outcomes. Analysis of the small paired 3\u2010 to 6\u2010month cohort revealed improvement in pain, grip strength and wrist range of motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Certain prereduction radiographic features, male sex and older age are associated with poorer patient\u2010reported outcomes following volar locking plate fixation of distal radius fractures. These findings may assist in preoperative counselling, prognostication and identification of patients at risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70868","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T03:00:27Z","timestamp":1784516427000},"page":"2371-2378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Factors Associated With Early\u2010 to Medium\u2010Term Patient\u2010Reported Outcomes Following Volar Locking Plate Fixation of Distal Radius Fractures"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0157-1601","authenticated-orcid":false,"given":"Martin","family":"Franke","sequence":"first","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Raymond","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Ledgard","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Rouvray","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Prior","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0890-2132","authenticated-orcid":false,"given":"Brahman","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"e_1_2_11_3_1","unstructured":"Australian Institute of Health and Welfare \u201cInjury in Australia Canberra: Australian Institute of Health and Welfare \u201d2025 https:\/\/www.aihw.gov.au\/getmedia\/5ec57d60-5ad7-4fba-9162-67ddec2dec73\/injury-in-australia.pdf?v=20250714211756&inline=true."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.11.011"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.3640"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80006-2"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.05.003"},{"key":"e_1_2_11_8_1","first-page":"376","article-title":"Do Radiological and Functional Outcomes Correlate for Fractures of the Distal Radius?","volume":"99","author":"Plant C. 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