{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:49:50Z","timestamp":1785800990496,"version":"3.56.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,4,7]],"date-time":"2017-04-07T00:00:00Z","timestamp":1491523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Depuy-Synths","award":["A82171"],"award-info":[{"award-number":["A82171"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>Background: The goal of this study was to compare the biomechanical stability of a 2.4-mm dorsal spanning bridge plate with a volar locking plate (VLP) in a distal radius fracture model, during simulated crutch weight-bearing. Methods: Five paired cadaveric forearms were tested. A 1-cm dorsal wedge osteotomy was created to simulate an unstable distal radius fracture with dorsal comminution. Fractures were fixed with a VLP or a dorsal bridge plate (DBP). Specimens were mounted to a crutch handle, and optical motion-tracking sensors were attached to the proximal and distal segments. Specimens were loaded in compression at 1 mm\/s on a servohydraulic test frame until failure, defined as 2 mm of gap site displacement. Results: The VLP construct was significantly more stable to axial load in a crutch weight-bearing model compared with the DBP plate (VLP: 493 N vs DBP: 332 N). Stiffness was higher in the VLP constructs, but this was not statistically significant (VLP: 51.4 N\/mm vs DBP: 32.4 N\/mm). With the crutch weight-bearing model, DBP failed consistently with wrist flexion and plate bending, whereas VLP failed with axial compression at the fracture site and dorsal collapse. Conclusions: Dorsal spanning bridge plating is effective as an internal spanning fixator in treating highly comminuted intra-articular distal radius fracture and prevents axial collapse at the radiocarpal joint. However, bridge plating may not offer advantages in early weight-bearing or transfer in polytrauma patients, with less axial stability in our crutch weight-bearing model compared with volar plating. A stiffer 3.5-mm DBP or use of a DBP construct without the central holes may be considered for distal radius fractures if the goal is early crutch weight-bearing through the injured extremity.<\/jats:p>","DOI":"10.1177\/1558944717701235","type":"journal-article","created":{"date-parts":[[2017,4,7]],"date-time":"2017-04-07T07:46:17Z","timestamp":1491551177000},"page":"336-340","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Biomechanical Assessment of the Dorsal Spanning Bridge Plate in Distal Radius Fracture Fixation: Implications for Immediate Weight-Bearing"],"prefix":"10.1177","volume":"13","author":[{"given":"Jerry I.","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bret","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Bellevue","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safa","family":"Herfat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,7]]},"reference":[{"key":"bibr1-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-199812000-00004"},{"key":"bibr2-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.epirev.a036281"},{"key":"bibr3-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.03.021"},{"key":"bibr4-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181f8bf9b"},{"key":"bibr5-1558944717701235","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200603001-00004"},{"key":"bibr6-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000205885.58458.f9"},{"key":"bibr7-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2010.01.001"},{"key":"bibr8-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0103371"},{"key":"bibr9-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.02.034"},{"key":"bibr10-1558944717701235","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200505000-00003"},{"key":"bibr11-1558944717701235","doi-asserted-by":"publisher","DOI":"10.4018\/978-1-4666-0122-2.ch007"},{"key":"bibr12-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00433.x"},{"key":"bibr13-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.12.013"},{"key":"bibr14-1558944717701235","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.09.014"},{"key":"bibr15-1558944717701235","first-page":"67","volume-title":"Orthopaedic Knowledge Update: Trauma","author":"Zabinski SJ","year":"1996"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944717701235","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944717701235","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944717701235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:53Z","timestamp":1777447733000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944717701235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,7]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/1558944717701235"],"URL":"https:\/\/doi.org\/10.1177\/1558944717701235","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,7]]}}}