{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:04:12Z","timestamp":1777853052507,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"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":[[2025,11]]},"abstract":"<jats:p>This retrospective study reports the outcome of secondary reconstruction after severe combat-related injuries to the wrist. Fifteen patients with a median age of 36 years were included. Nine patients underwent total wrist arthrodesis and six had a motion-preserving procedure. In patients with wrist injuries involving the distal radius, concomitant bone defects of the ulna, lunate and scaphoid are often present, making wrist motion-preserving surgical procedures challenging. Total wrist arthrodesis required iliac crest bone grafting in all but one case. The final median QuickDASH score for the fusion group was 50, and the final median grip strength was 10\u2009kg. Motion-preserving procedures provided a 50\u00b0 arc of movement with a final median QuickDASH of 34 and median grip strength of 6\u2009kg. Total wrist joint arthrodesis was the primary salvage solution.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    IV\n                  <\/jats:p>","DOI":"10.1177\/17531934251337589","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T12:02:16Z","timestamp":1746446536000},"page":"1333-1338","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Warfare injuries to the wrist. Fusions and motion-preserving procedures"],"prefix":"10.1177","volume":"50","author":[{"given":"Serhii","family":"Tymoshenko","sequence":"first","affiliation":[{"name":"State Institution \u2018National Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine\u2019, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9042-8884","authenticated-orcid":false,"given":"Andrii","family":"Lysak","sequence":"additional","affiliation":[{"name":"State Institution \u2018National Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine\u2019, Kyiv, Ukraine"},{"name":"State Institution \u2018Main Medical Clinical Center of the Ministry of Internal Affairs of Ukraine\u2019, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariia","family":"Kotova","sequence":"additional","affiliation":[{"name":"State Institution \u2018National Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine\u2019, Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.06.004"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.37647\/0132-2486-2022-115-4-53-68"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408100954"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usab143"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2023.03.006"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.22141\/1608-1706.6.18.2017.121180"},{"key":"e_1_3_4_8_1","first-page":"10","article-title":"Tactics of surgical treatment of wounded with gunshot injuries of the upper limb in modern conditions","volume":"2","author":"Strafun SS","year":"2021","unstructured":"Strafun SS, Kurinnyi IM, Borzykh NO, Tsymbaliuk YaV, Shypunov VG. Tactics of surgical treatment of wounded with gunshot injuries of the upper limb in modern conditions. Visnyk Ortopedii Travmatologii Protezuvannia. 2021, 2: 10\u20137.","journal-title":"Visnyk Ortopedii Travmatologii Protezuvannia"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026816"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934251337589","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934251337589","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934251337589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:19Z","timestamp":1777502839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934251337589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/17531934251337589"],"URL":"https:\/\/doi.org\/10.1177\/17531934251337589","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,5]]}}}