{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:58:49Z","timestamp":1777661929594,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate rates of distal radioulnar joint (DRUJ) fixation based on location of the radial shaft fracture and risk factors associated with postoperative complications following radial shaft open reduction internal fixation (ORIF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Adult patients who underwent isolated radial shaft ORIF from 2014 to 2018 were identified from American College of Surgeons National Surgical Quality Improvement Program database and stratified by fracture location and by the presence or absence of DRUJ fixation. Preoperative patient characteristics and postoperative complications were compared to determine risk factors associated with DRUJ fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We identified 1517 patients who underwent isolated radial shaft ORIF, of which 396 (26.1%) underwent DRUJ fixation. Preoperative patient characteristics and postoperative complications were similar between cohorts. Distal radioulnar joint fixation was performed in 50 (30.7%) of 163 distal radial shaft fractures, 191 (21.8%) of 875 midshaft fractures, and 3 (13.0%) of 23 proximal shaft fractures (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .025). Risk factors for patients readmitted include male sex (odds ratio [OR] = 12.76,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .009) and older age (OR = 4.99,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .035). Risk factors for patients with any postoperative complication include dependent functional status (OR = 6.78,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02), older age (50-69 vs &lt;50) (OR = 2.73,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .05), and American Society of Anesthesiologists (ASA) \u22653 (OR = 2.45,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .047).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The rate of DRUJ fixation in radial shaft ORIF exceeded previously reported rates of concomitant DRUJ injury, especially among distal radial shaft fractures. More distally located radial shaft fractures are significantly associated with higher rates of DRUJ fixation. Male sex is a risk factor for readmission, whereas dependent functional status, older age, and ASA \u22653 are risk factors for postoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447211006836","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T01:18:49Z","timestamp":1618535929000},"page":"328-334","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Higher-Than-Expected Rates of Distal Radioulnar Joint Fixation in Radial Shaft Fractures: Location of Fracture Matters"],"prefix":"10.1177","volume":"18","author":[{"given":"Joanne Y.","family":"Zhang","sequence":"first","affiliation":[{"name":"Boston Medical Center, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3850-6384","authenticated-orcid":false,"given":"Aneesh V.","family":"Samineni","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Sing","sequence":"additional","affiliation":[{"name":"Boston Medical Center, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa","family":"Rothman","sequence":"additional","affiliation":[{"name":"Boston Medical Center, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew B.","family":"Stein","sequence":"additional","affiliation":[{"name":"Boston Medical Center, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00581."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01065."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01636."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557080-00006"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.21523."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2015.01.010."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.342135073."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2079-4."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001206010204."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-015-0627-4."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.09.004."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1365825."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1364093."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.04.003."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.09.003."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201110000-00006."},{"key":"e_1_3_2_18_2","unstructured":"American College of Surgeons National Surgical Quality Improvement Program. User guide for the 2012 ACS NSQIP participant use data file. https:\/\/www.facs.org\/~\/media\/files\/qualityprograms\/nsqip\/ug12.ash. Published 2012. Accessed March 22 2021."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971020-00001."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.12.020"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418756591."},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-013-0266-7."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2007.03.004."},{"key":"e_1_3_2_24_2","first-page":"E152","article-title":"Galeazzi fracture with volar dislocation of the distal radioulnar joint","volume":"41","author":"Kim S","year":"2012","unstructured":"Kim S, Ward JP, Rettig ME. Galeazzi fracture with volar dislocation of the distal radioulnar joint. 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