{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:53:37Z","timestamp":1789844017867,"version":"4.0.1"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"2024 General Project of the Natural Science Foundation of Hubei Province","award":["2024AFB977"],"award-info":[{"award-number":["2024AFB977"]}]},{"name":"Hubei Provincial Health Commission\u2019s Youth Talent Program","award":["ZY2025Q036"],"award-info":[{"award-number":["ZY2025Q036"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>External fixation for geriatric C-type distal radius fractures (DRF) often restricts early wrist motion. This study compares a strategy of early mobilization after 3\u20134\u00a0weeks of external fixation with lightweight support against the conventional approach of 6\u20137\u00a0weeks of continuous external fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 174 patients aged 60 or older with C-type DRF were included. They were assigned to either an early mobilization group (n = 86), where external fixation was replaced with a lightweight support at 3\u20134\u00a0weeks, or a control group (n = 88) with conventional 6\u20137\u00a0weeks of external fixation. Outcomes included radiographic measures, functional scores (Gartland-Werley and Quick DASH), and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At week 7, no significant difference in radiographic data was observed between groups (all P &gt; 0.05). At month 12, the control group showed better radiographic outcomes (P = 0.03). The early mobilization group had better functional scores at week 7 for both Gartland-Werley (P = 0.01) and Quick DASH (P = 0.02) compared to the control group. At 6 and 12\u00a0months, no significant differences were found between groups in either score (all P &gt; 0.05). Patient satisfaction was significantly higher in the early mobilization group (P &lt; 0.001). There were no significant differences in complication rates (P = 0.13).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transitioning to early mobilization after 3\u20134\u00a0weeks of external fixation facilitates earlier functional recovery and improves patient satisfaction compared to prolonged immobilization, despite a slight increase in ulnar variance that did not impact functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251401234","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T23:43:46Z","timestamp":1763595826000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Distal radius fractures: External fixation for 6\u20137 Weeks versus early mobilization following 3\u20134 Weeks of external fixation and light splintage"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8733-7216","authenticated-orcid":false,"given":"Nan","family":"Fang","sequence":"first","affiliation":[{"name":"Hubei University of Chinese Medicine"},{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5250-1251","authenticated-orcid":false,"given":"Shilin","family":"Yan","sequence":"additional","affiliation":[{"name":"Hubei University of Chinese Medicine"},{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiecheng","family":"Jiang","sequence":"additional","affiliation":[{"name":"Hubei University of Chinese Medicine"},{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5633-6467","authenticated-orcid":false,"given":"Zhigang","family":"Wang","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"},{"name":"Hubei University of Chinese Medicine"},{"name":"Hubei Provincial Hospital of TCM"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijian","family":"Wu","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"},{"name":"Hubei University of Chinese Medicine"},{"name":"Hubei Provincial Hospital of TCM"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zitong","family":"Wang","sequence":"additional","affiliation":[{"name":"Hubei University of Chinese Medicine"},{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4937-3508","authenticated-orcid":false,"given":"Aofei","family":"Yang","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Hubei University of Chinese Medicine"},{"name":"Hubei University of Chinese Medicine"},{"name":"Hubei Provincial Hospital of TCM"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_3_6_2_2","first-page":"209","article-title":"The epidemiology of adult fractures according to the AO\/OTA fracture classification","volume":"28","author":"Bilge O","year":"2022","unstructured":"Bilge O, D\u00fcndar ZD, At\u0131lgan N, et al. 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