{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:19:46Z","timestamp":1770743986255,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82174140"],"award-info":[{"award-number":["82174140"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","award":["NLY22H270003"],"award-info":[{"award-number":["NLY22H270003"]}],"id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Although mini\u2010plate fixation is an attractive treatment option for distal radius metaphyseal diaphysis junction (DRMDJ) fractures in children, the benefits of minimally invasive fixation (MIF) with pre\u2010bent elastic stable intramedullary nails (MIF) remain underexplored. Therefore, this study aimed to evaluate the clinical efficacy of MIF administration in children with DRMDJ fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study enrolled 40 patients with DRMDJ fractures who underwent MIF or mini\u2010plate fixation from January 2016 to January 2021. Radiographic parameters, such as palmar inclination and ulnar deflection angle, were examined postoperatively to assess the anatomical reduction of the wrist joint. Clinical outcomes, including the range of wrist flexion and back extension, were examined to analyze the recovery of the wrist range of motion. Additionally, the Gartland\u2013Werley scoring system was used to assess the recovery status of wrist function and healing condition. The student <jats:italic>t<\/jats:italic>\u2010test and \u03c7<jats:sup>2<\/jats:sup> test were used to compare differences among groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All included patients successfully underwent the operation and were followed up for 12\u201324\u2009months. Patients in the MIF group had a smaller surgical incision length (0.49\u2009\u00b1\u20090.06 cm) compared to those in the mini\u2010plate fixation group (4.41\u2009\u00b1\u20090.73 cm) (<jats:italic>t<\/jats:italic>\u2009=\u200922.438, <jats:italic>p<\/jats:italic>\u2009=\u20090.000). Palmar inclination and ulnar deflection were within the normal range in patients of both groups, and the fractures were successfully anatomically reduced. Moreover, wrist flexion and back extension in the MIF group and mini\u2010plate group were (72.50\u00b0\u2009\u00b1\u20090.64\u00b0 <jats:italic>vs.<\/jats:italic> 70.18\u00b0\u2009\u00b1\u20090.56\u00b0) and (59.55\u00b0\u2009\u00b1\u20091.75\u00b0 <jats:italic>vs.<\/jats:italic> 60.04\u00b0\u2009\u00b1\u20091.37\u00b0), and differences were statistically significant (<jats:italic>t<\/jats:italic>\u2009=\u20092.708, <jats:italic>p<\/jats:italic>\u2009=\u20090.010 and <jats:italic>t<\/jats:italic>\u2009=\u20090.885, <jats:italic>p<\/jats:italic>\u2009=\u20090.382, respectively). Furthermore, MIF treatment resulted in a higher proportion of excellent Gartland\u2013Werley scores (94.44%) than mini\u2010plate fixation (86.36%) (<jats:italic>p<\/jats:italic>\u2009=\u20090.390). In addition, one case in the mini\u2010plate fixation group experienced re\u2010fracture following the removal of the internal fixation, and the fracture healed after reduction and cast fixation. All patients achieved satisfactory bone healing without other complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with mini\u2010plate fixation, MIF has the advantages of small incision length, superior range of motion of thr wrist joint, and better maintenance of the physiological radian, providing a promising approach for clinical and surgical treatment of DRMDJ fractures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13919","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T03:01:22Z","timestamp":1698289282000},"page":"3223-3230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical Outcomes of Minimally Invasive Fixation with Pre\u2010Bent Elastic Stable Intramedullary Nails for the Treatment of Distal Radius Metaphyseal Diaphysis Junction Fractures in Children"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7311-3620","authenticated-orcid":false,"given":"Limeng","family":"Yang","sequence":"first","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"},{"name":"Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuqin","family":"Wang","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"},{"name":"Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jindi","family":"Xu","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"},{"name":"Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changzong","family":"Deng","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Wang","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"},{"name":"Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Zhou","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University  Hangzhou China"},{"name":"Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8868-9313","authenticated-orcid":false,"given":"Hongfeng","family":"Ruan","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics and Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine)  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopaedics The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University 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