{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T04:11:14Z","timestamp":1748751074028,"version":"3.41.0"},"reference-count":9,"publisher":"World Scientific Pub Co Pte Ltd","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p> Background: Distal radius fractures (DRFs) are a common injury with fracture parameters guiding surgical treatment. Palmar plating is the most common method of fixation in patients needing surgical fixation. However, in fractures with a complete or nearly intact volar cortex, reduction of the fracture fragments may be challenging with the palmar approach. We use a novel Z-osteotomy technique to address this issue and report on our outcomes. <\/jats:p><jats:p> Methods: This is a retrospective review of all patients where a volar Z-osteotomy technique was used. We assessed pre-, intra- and postoperative radiographic parameters, fracture union and final wrist range of motion of all patients. <\/jats:p><jats:p> Results: Twelve DRFs in 11 patients were analysed. All fractures were successfully plated palmarly with volar tilt 9\u201314 (average: 11.3) and all achieved fracture union. This was maintained in the final radiographs with good clinical wrist range of motion. <\/jats:p><jats:p> Conclusions: The volar Z-osteotomy technique described allows surgeons to achieve anatomical reduction of volar tilt in DRFs where the volar cortex is intact with good clinical and radiological outcomes. <\/jats:p><jats:p> Level of Evidence: Level IV (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835525500286","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T09:04:41Z","timestamp":1739869481000},"page":"281-286","source":"Crossref","is-referenced-by-count":0,"title":["Palmar Z-Osteotomy for Distal Radius Fractures"],"prefix":"10.1142","volume":"30","author":[{"given":"Hui Neng","family":"LIM","sequence":"first","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mala","family":"SATKU","sequence":"additional","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jieying","family":"XU","sequence":"additional","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lam-Chuan","family":"TEOH","sequence":"additional","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"S2424835525500286BIB001","doi-asserted-by":"publisher","DOI":"10.1111\/os.12045"},{"key":"S2424835525500286BIB002","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00719"},{"key":"S2424835525500286BIB003","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.02.008"},{"key":"S2424835525500286BIB004","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810414500282"},{"key":"S2424835525500286BIB005","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.10.024"},{"key":"S2424835525500286BIB006","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.02.011"},{"key":"S2424835525500286BIB007","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.02.003"},{"key":"S2424835525500286BIB008","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198707000-00034"},{"key":"S2424835525500286BIB009","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(87)80202-2"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835525500286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T13:35:49Z","timestamp":1748698549000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/10.1142\/S2424835525500286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":9,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1142\/S2424835525500286"],"URL":"https:\/\/doi.org\/10.1142\/s2424835525500286","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"type":"print","value":"2424-8355"},{"type":"electronic","value":"2424-8363"}],"subject":[],"published":{"date-parts":[[2025,2,18]]}}}