{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T10:32:55Z","timestamp":1784802775423,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"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":[[2021,2]]},"abstract":"<jats:p>To compare the outcomes of non-operative versus operative treatment for distal radius fractures in patients aged from 18 to 64 years, we performed a retrospective analysis using the OptumLabs\u00ae Data Warehouse using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes of distal radius fracture. Of the 34,184 distal radius fractures analysed, 11,731 (34%) underwent operative management. Short-term complications within 90 days of fracture identified an overall complication rate of 16.6 per 1000 fractures and the 1-year upper extremity-specific complication rate was 287 per 1000 fractures. Overall, post-injury stiffness was the most common 1-year upper extremity-specific complication and was associated with operative management (202.8 vs. 123.4 per 1000 fractures, operative vs. non-operative, p\u2009&lt;\u20090.01). Secondary procedures were significantly more common following non-operative management (8.7% vs. 43%, operative vs. non-operative, p\u2009&lt;\u20090.01) with carpal tunnel release representing the most common secondary procedure. Operative management of distal radius fractures resulted in significantly fewer secondary procedures at the expense of increased overall 1-year complication rates, specifically stiffness.<\/jats:p>\n                  <jats:p>Level of evidence: III<\/jats:p>","DOI":"10.1177\/1753193420941310","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T02:40:14Z","timestamp":1596595214000},"page":"159-166","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Outcomes and complications of operative versus non-operative management of distal radius fractures in adults under 65 years of age"],"prefix":"10.1177","volume":"46","author":[{"suffix":"Jr","given":"Brent R.","family":"DeGeorge","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly K.","family":"Van Houten","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA"},{"name":"OptumLabs, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Mwangi","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"R Sangaralingham","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA"},{"name":"OptumLabs, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,4]]},"reference":[{"key":"bibr1-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1667304"},{"key":"bibr2-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1685205"},{"key":"bibr3-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-170"},{"key":"bibr4-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"bibr5-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.01.013"},{"key":"bibr6-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000070"},{"key":"bibr7-1753193420941310","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00561"},{"key":"bibr8-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1142\/S2424835518500571"},{"key":"bibr9-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2016.03.005"},{"key":"bibr10-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0373"},{"key":"bibr11-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.05.009"},{"key":"bibr12-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2019.06.013"},{"key":"bibr13-1753193420941310","first-page":"239","volume":"69","author":"Hollevoet N","year":"2003","journal-title":"Acta Orthop Belg"},{"key":"bibr14-1753193420941310","first-page":"643","volume":"79","author":"Hollevoet N","year":"2013","journal-title":"Acta Orthop Belg"},{"key":"bibr15-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.05.007"},{"key":"bibr16-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1177\/2151458516669202"},{"key":"bibr17-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.04.015"},{"key":"bibr18-1753193420941310","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.915824"},{"key":"bibr19-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-019-1344-1"},{"key":"bibr20-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2016.03.003"},{"key":"bibr21-1753193420941310","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00688"},{"key":"bibr22-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"bibr24-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.10.018"},{"key":"bibr25-1753193420941310","first-page":"E54","volume":"46","author":"Swart E","year":"2017","journal-title":"Am J Orthop"},{"key":"bibr26-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0660-2"},{"key":"bibr27-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000342"},{"key":"bibr28-1753193420941310","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0038"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420941310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193420941310","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193420941310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:45:23Z","timestamp":1777502723000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193420941310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,4]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1177\/1753193420941310"],"URL":"https:\/\/doi.org\/10.1177\/1753193420941310","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,4]]}}}