{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:15Z","timestamp":1787019315392,"version":"build-2736575974"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Locked anterior plating remains the most common form of surgical fixation for displaced fractures of the distal radius. We hypothesized that delayed surgical fixation later than 2\u00a0weeks after injury contributes to poorer patient outcomes for patients with displaced or intra-articular fractures of the distal radius. We conducted a retrospective cohort study of 158 patients who underwent locked anterior plating for an intra-articular or displaced fracture of the distal radius using multiple regression analysis to identify any relationship between patient, injury or treatment factors with the patient-rated wrist and hand evaluation score or finger and wrist stiffness. There was no significant correlation between timing of surgery and functional scores. A delay in time to surgery of more than 2\u00a0weeks did correlate significantly with increased finger and thumb stiffness. However, this relationship was not seen for wrist stiffness. Our study supports the consensus that early recovery and function is facilitated by surgical fixation within 2\u00a0weeks and that delayed fixation beyond this may contribute to protracted finger stiffness.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193420936591","type":"journal-article","created":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T01:56:07Z","timestamp":1593741367000},"page":"64-68","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Surgical fixation of fractures of the distal radius within 2\u00a0weeks reduces postoperative finger stiffness"],"prefix":"10.1177","volume":"46","author":[{"given":"Thomas","family":"Ashdown","sequence":"first","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Morris","sequence":"additional","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Mckeon","sequence":"additional","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver T.","family":"Clough","sequence":"additional","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Little","sequence":"additional","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond E.","family":"Anakwe","sequence":"additional","affiliation":[{"name":"The Hand and Wrist Service, St Mary\u2019s Hospital Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,2]]},"reference":[{"key":"bibr1-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.016218"},{"key":"bibr2-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1685205"},{"key":"bibr3-1753193420936591","unstructured":"British Orthopaedic Association (BOA) and British Society for Surgery of the Hand (BSSH). Best practice for management of distal radial fractures (DRFs). Blue Book Guideline, 2018. https:\/\/www.bssh.ac.uk\/_userfiles\/pages\/files\/professionals\/Radius\/Blue%20Book%20DRF%20Final%20Document.pdf (accessed 1 April 2020)."},{"key":"bibr4-1753193420936591","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01297"},{"key":"bibr5-1753193420936591","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00268"},{"key":"bibr6-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-3101-3"},{"key":"bibr7-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005088"},{"key":"bibr8-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1177\/2151458516669202"},{"key":"bibr9-1753193420936591","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01569"},{"key":"bibr10-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.01.001"},{"key":"bibr11-1753193420936591","unstructured":"National Institute for Clinical Excellence. Fractures (non-complex): assessment and management. NICE Guideline NG38, 2016. https:\/\/www.nice.org.uk\/guidance\/ng38\/chapter\/Recommendations#ongoing-orthopaedic-management (accessed 1 April 2020)."},{"key":"bibr12-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"bibr13-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-018-3051-5"},{"key":"bibr14-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000342"},{"key":"bibr15-1753193420936591","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2018.06.001"},{"key":"bibr16-1753193420936591","doi-asserted-by":"publisher","DOI":"10.7888\/juoeh.37.111"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420936591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193420936591","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420936591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:45:12Z","timestamp":1777502712000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193420936591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,2]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/1753193420936591"],"URL":"https:\/\/doi.org\/10.1177\/1753193420936591","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,2]]}}}