{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:02:49Z","timestamp":1768316569426,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"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":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n \n Dorsal articular collapse in distal radius fractures presents unique fixation challenges. While volar locking plating (\n VLP<\/jats:styled-content>\n ) dominates current practice, dorsal vertical double plating (\n DVDP<\/jats:styled-content>\n ) offers direct biomechanical support but carries perceived tendon risks. This study compares\n DVDP<\/jats:styled-content>\n versus\n VLP<\/jats:styled-content>\n for dorsally collapsed comminuted fractures.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective cohort of 106 patients (2022\u20132024) with\n AO<\/jats:styled-content>\n type\n C2<\/jats:styled-content>\n \/\n C3<\/jats:styled-content>\n fractures received either\n VLP<\/jats:styled-content>\n (\n n<\/jats:italic>\n \u2009=\u200950) or\n DVDP<\/jats:styled-content>\n (\n n<\/jats:italic>\n \u2009=\u200956). General information encompassed gender, age, injured side, injury mechanism,\n AO<\/jats:styled-content>\n classification, time from injury to surgery, operative time and complication profiles. Primary outcomes included 12\u2010month radiographic parameters (volar tilt, ulnar inclination, and radial height), wrist range of motion (\n ROM<\/jats:styled-content>\n ), functional scores (\n DASH<\/jats:styled-content>\n , Gartland\u2010Werley), and complications. Continuous variables were compared using the Mann\u2013Whitney\n U<\/jats:italic>\n test. Categorical variables were analyzed with Pearson's\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n test.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The study cohort comprised 106 patients with dorsally collapsed distal radius fractures (\n VLP<\/jats:styled-content>\n \u2009=\u200950,\n DVDP<\/jats:styled-content>\n \u2009=\u200956). Baseline characteristics, including age (\n VLP<\/jats:styled-content>\n median 59\u2009years [\n IQR:<\/jats:styled-content>\n 55\u201361.25] vs.\n DVDP<\/jats:styled-content>\n 57 [53\u201361]), gender distribution (36% vs. 35.7% male), injury mechanism (72% vs. 71.4% falls), and\n AO<\/jats:styled-content>\n classification (\n C3<\/jats:styled-content>\n : 76% vs. 76.8%), showed no significant differences (all\n p<\/jats:italic>\n \u2009>\u20090.05). At 12\u2010month follow\u2010up, all fractures achieved union with comparable radiographic outcomes: volar tilt (10\u00b0 [8\u00b0\u201312\u00b0] vs. 10\u00b0 [9\u00b0\u201312\u00b0]), ulnar inclination (22\u00b0 [20\u00b0\u201323\u00b0] vs. 23\u00b0 [22\u00b0\u201323\u00b0]), and radial height (11\u2009mm [9\u201312] vs. 11\u2009mm [10\u201312]) (all\n p<\/jats:italic>\n \u2009>\u20090.05). Functional assessments revealed equivalent ranges of motion: dorsiflexion (69.5\u00b0 [62\u00b0\u201376\u00b0] vs. 70\u00b0 [68\u00b0\u201375\u00b0]), palmar flexion (68\u00b0 [60\u00b0\u201370\u00b0] vs. 69.5\u00b0 [66\u00b0\u201370\u00b0]), and rotation (pronation\u2010supination: 80\u00b0 [67.75\u00b0\u201365\u00b0]\/71.5\u00b0 [61.5\u00b0\u201381.25\u00b0] vs. 75.5\u00b0 [70\u00b0\u201382\u00b0]\/75\u00b0 [68\u00b0\u201380\u00b0]). Patient\u2010reported outcomes were similar: Gartland\u2013Werley scores (5 [3\u20138] vs. 5 [3\u20137.75]) and\n DASH<\/jats:styled-content>\n scores (12.5 [10\u201315.42] vs. 12.5 [12.5\u201315]) (all\n p<\/jats:italic>\n \u2009>\u20090.05). Complication rates were comparable (\n VLP<\/jats:styled-content>\n : 10% transient median neuropathy vs.\n DVDP<\/jats:styled-content>\n : 12.5% tendon adhesions,\n p<\/jats:italic>\n \u2009=\u20090.69), with all cases resolving conservatively within 3\u2009months. Crucially, the\n DVDP<\/jats:styled-content>\n group demonstrated zero tendon ruptures using tendon\u2010sparing techniques.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n DVDP<\/jats:styled-content>\n demonstrates non\u2010inferior functional and radiographic outcomes to\n VLP<\/jats:styled-content>\n for dorsally collapsed fractures. With meticulous technique\u2014including intercompartmental approaches and low\u2010profile implants\u2014\n DVDP<\/jats:styled-content>\n eliminates historical tendon risks and serves as a viable surgical alternative.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/os.70218","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T23:49:08Z","timestamp":1764805748000},"page":"93-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is Dorsal Vertical Double Plating an Effective Alternative to Volar Plating for Distal Radius Fractures With Dorsal Collapse?"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7454-9950","authenticated-orcid":false,"given":"Xu","family":"Tian","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junyang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genqiang","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bingshan","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangyu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4573-4078","authenticated-orcid":false,"given":"Lintao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingming","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinical College of Orthopedics Tianjin Medical University Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/2249\u20104863.148101"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.04.019"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4149\/bll_2015_068"},{"key":"e_1_2_11_5_1","first-page":"4","article-title":"Dorsal Plating of Distal Radius Fractures Historical Context and Appropriate Use","volume":"75","author":"Ayalon O.","year":"2017","journal-title":"Bulletin of the Hospital for Joint Diseases"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716675129"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2025.04.013"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002203"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios20291"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.5606\/ehc.2021.75599"},{"key":"e_1_2_11_11_1","first-page":"895","article-title":"Evaluation of Healed Colles' Fractures","volume":"33","author":"Gartland J. J.","year":"1951","journal-title":"Journal of Bone and Joint Surgery, American Volume"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097\u20100274(199606)29:6<602::AID\u2010AJIM4>3.0.CO;2\u2010L"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2021.02.008"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.10.010"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2022.11.012"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447241233763"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2025.111321"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.5152\/j.aott.2022.21157"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002631"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.70218","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:26:08Z","timestamp":1768296368000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/os.70218"],"URL":"https:\/\/doi.org\/10.1111\/os.70218","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,3]]},"assertion":[{"value":"2025-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}