{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:30:37Z","timestamp":1793669437180,"version":"4.5.1"},"reference-count":0,"publisher":"World Scientific Pub Co Pte Lt","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p> Background: Several approaches to plate fixation of the proximal phalanx have been proposed, such as the dorsal extensor splitting approach and the lateral or dorso-lateral extensor sparing approach, which aims to minimise invasiveness to promote native extensor tendon glide. This study aimed to meta-analyse the outcomes of these two approaches. <\/jats:p><jats:p> Methods: A systematic review of electronic databases was undertaken, and the outcomes of comparative studies meta-analysed. <\/jats:p><jats:p> Results: Three studies were included for meta-analysis. Total active motion (TAM) was significantly greater in the extensor sparing group compared to the extensor splitting (Mean difference 8.52 degrees, 95%CI 0.8\u201316.36, p = 0.03). <\/jats:p><jats:p> Conclusions: This study demonstrates that there is preliminary evidence favouring the use of extensor sparing approaches when fixing proximal phalanxes \u2013 however, this result requires validation with randomised controlled trials. <\/jats:p>","DOI":"10.1142\/s2424835520500514","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T09:00:51Z","timestamp":1603962051000},"page":"462-468","source":"Crossref","is-referenced-by-count":20,"title":["Range of Motion Following Extensor Tendon Splitting vs. Tendon Sparing Approaches for Plate Osteosynthesis of Proximal Phalangeal Fractures \u2013 A Systematic Review and Meta-Analysis"],"prefix":"10.1142","volume":"25","author":[{"given":"Brahman S.","family":"Sivakumar","sequence":"first","affiliation":[{"name":"Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent VG.","family":"An","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Camperdown, NSW,  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Phan","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, Liverpool, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Ledgard","sequence":"additional","affiliation":[{"name":"Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Furniss","sequence":"additional","affiliation":[{"name":"Botnar research centre, Nuffield Department of Orthopaedics, Rhuematology and Musculoskeletal Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"219","published-online":{"date-parts":[[2020,10,28]]},"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835520500514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T02:14:28Z","timestamp":1604024068000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835520500514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,28]]},"references-count":0,"journal-issue":{"issue":"04","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1142\/S2424835520500514"],"URL":"https:\/\/doi.org\/10.1142\/s2424835520500514","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,28]]}}}