{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:34:55Z","timestamp":1787160895638,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":332,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hebei Province Medical Science Research Project","award":["20200991"],"award-info":[{"award-number":["20200991"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>\n                    <jats:italic>Objective<\/jats:italic>\n                    . To evaluate the incidence and risk factors for complications following volar locking plate (VLP) fixation of unstable distal radius fracture (DRF).\n                    <jats:italic>Methods<\/jats:italic>\n                    . This retrospective study identified patients who underwent VLP fixation of unstable DRF between 2017 and 2020 with a minimum 12\u2010month follow\u2010up assessments. By reviewing electronic medical records and follow\u2010up notes, patients were categorized complication or noncomplication group. Differences in variables were detected by using univariate analyses, and independent factors were identified using multivariate logistic regression analysis.\n                    <jats:italic>Results<\/jats:italic>\n                    . During this study period, 423 patients were included, and 63 (rate, 14.9%) complications in 58 patients were documented. Wound infection (17, 4.0%) was most common, followed in decreasing frequency by carpal tunnel syndrome (13, 3.1%), tendon rupture\/irritation (10, 2.4%), complex regional pain syndrome (8, 1.9%), and plate\/screw\u2010related complications (5, 1.7%). In the univariate analyses, 18 variables were found to be significantly different (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05). Logistic regression analysis identified 5 independent factors, including being male (OR, 3.5;\n                    <jats:italic>p<\/jats:italic>\n                    = 0.014), type C fracture (vs. type A, OR: 2.7, and\n                    <jats:italic>p<\/jats:italic>\n                    = 0.035), general anesthesia (vs. regional, OR: 2.4, and\n                    <jats:italic>p<\/jats:italic>\n                    = 0.045), bone grafting (OR, 6.3;\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), and surgery performed by less experienced surgeons (OR, 3.1;\n                    <jats:italic>p<\/jats:italic>\n                    = 0.003). The goodness\u2010of\u2010fit of the final model was acceptable.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . These factors will help surgeons individualize and stratify the risk of complications and help patients for risk counselling; especially, an informed clinical decision targeting those modifiable factors (anesthesia mode, bone grafting, and surgeon experience) can be considered, when indicated.\n                  <\/jats:p>","DOI":"10.1155\/2022\/9117533","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:54:06Z","timestamp":1669769646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Risk Factors for Complications following Volar Locking Plate (VLP) Fixation of Unstable Distal Radius Fracture (DRF)"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7822-9329","authenticated-orcid":false,"given":"Yanbin","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3581-9772","authenticated-orcid":false,"given":"Song","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8103-2340","authenticated-orcid":false,"given":"Yansen","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2532-2861","authenticated-orcid":false,"given":"Qianru","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6981-3312","authenticated-orcid":false,"given":"Ruoxiang","family":"Miao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5419-7078","authenticated-orcid":false,"given":"Yingze","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"Clinical Epidemiology of Orthopaedic Trauma","author":"Zhang Y.","year":"2016"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9420-6"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201003000-00007"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2018.10.005"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-016-0441-8"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.26662"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B8.35234"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418811559"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2021.12.011"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006636"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.08.017"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718810882"},{"key":"e_1_2_11_13_2","first-page":"413","article-title":"Analysis of associated risk factors for surgical site infection after intra-articular fracture of distal radius by surgery","volume":"41","author":"Wang Hongqing Z. 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