{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:50:16Z","timestamp":1785801016330,"version":"3.56.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:00:00Z","timestamp":1714608000000},"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":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The dorsal spanning plate (DSP) is a versatile implant suitable for bridging severely comminuted intraarticular distal radius fractures [AO (Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen) 23-C.1-C.3]. It may be used alone or with supplemental fixation such as a volar locking plate (VLP) or fragment-specific fixation (FSF). Outcomes following DSP fixation with additional implants have not been specifically evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive patients who underwent internal fixation of a distal radius fracture by a single surgeon from 2017 to 2021. Patients were grouped according to implants used: DSP only, DSP + FSF, and DSP + VLP. Preoperative variables, treatment times, and wrist range of motion (ROM) were assessed. Functional wrist ROM was defined as minimum 80\u00b0 combined flexion and extension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred fifty-two patients underwent surgery for wrist fracture, 33 of them were treated with a DSP: 8 DSP only, 6 DSP + VLP, and 19 DSP + FSF. Falls from height greater than 10 ft accounted for 52% of injuries, most of which were treated with a DSP + FSF. Treatment times and ROM were similar between subgroups. Wrist ROM did not improve significantly beyond 4 weeks following DSP removal. Overall, DSP patients recovered a mean wrist ROM of 85\u00b0 (range 0\u00b0-130\u00b0) within a median 26 weeks total treatment period (range 12-68 weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Regardless of the construct used, if the distal radius articular surface is well reduced and other principles of fracture fixation are applied, most patients treated with a DSP can expect to regain functional wrist ROM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV\u2014Retrospective review of prospectively collected data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241247335","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T07:40:47Z","timestamp":1714635647000},"page":"1116-1123","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["What to Expect? Use of Supplemental Fixation With a Concomitant Dorsal Spanning Plate for Complex Intraarticular Distal Radius Fractures"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6716-6740","authenticated-orcid":false,"given":"Eric","family":"Gruenberger","sequence":"first","affiliation":[{"name":"The Hughston Clinic and Foundation, Columbus, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K.","family":"Carlino","sequence":"additional","affiliation":[{"name":"The Hughston Clinic and Foundation, Columbus, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7056-3675","authenticated-orcid":false,"given":"Adam","family":"Webb","sequence":"additional","affiliation":[{"name":"Mercer School of Medicine, Macon, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Bowers","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent","family":"Ponce","sequence":"additional","affiliation":[{"name":"The Hughston Clinic and Foundation, Columbus, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Rubin","sequence":"additional","affiliation":[{"name":"The Hughston Clinic, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09555-5"},{"issue":"46","key":"e_1_3_2_3_2","first-page":"779","article-title":"The treatment of displaced intra-articular distal radius fractures in elderly patients","volume":"111","author":"Bartl C","year":"2014","unstructured":"Bartl C, Stengel D, Bruckner T, et al. The treatment of displaced intra-articular distal radius fractures in elderly patients. Dtsch Arztebl Int. 2014;111(46):779-787.","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.02.002"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-199812000-00004"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000205885.58458.f9"},{"issue":"3","key":"e_1_3_2_7_2","first-page":"203","article-title":"Computed tomography and pathobiomechanical-based treatment of volar distal radius fractures","volume":"11","author":"Hintringer W","year":"2021","unstructured":"Hintringer W, Rosenauer R, Quadlbauer S. Computed tomography and pathobiomechanical-based treatment of volar distal radius fractures. J Wrist Surg. 2021;11(3):203-213.","journal-title":"J Wrist Surg"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03405-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1612593"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1722573"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2010.01.001"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001524"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3182a5cbf8"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1394134"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.10.005"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719893068"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206895"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(91)90006-W"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.11.026"},{"issue":"5","key":"e_1_3_2_20_2","first-page":"388","article-title":"Radiographic outcomes following K-wire augmentation of dorsal spanning plate fixation for intra-articular fractures of the distal radius","volume":"11","author":"Shah HA","year":"2021","unstructured":"Shah HA, Martin AR, Geller JS, et al. Radiographic outcomes following K-wire augmentation of dorsal spanning plate fixation for intra-articular fractures of the distal radius. J Wrist Surg. 2021;11(5):388-394.","journal-title":"J Wrist Surg"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2019.10.001"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412468266"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.05.008"},{"key":"e_1_3_2_24_2","first-page":"3256891","article-title":"Bridge plate failure with extensor tendon injury: a case report and literature review","volume":"2018","author":"Lefebvre R","year":"2018","unstructured":"Lefebvre R, Intravia J, Cao L, et al. Bridge plate failure with extensor tendon injury: a case report and literature review. 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