{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:00:23Z","timestamp":1770742823751,"version":"3.49.0"},"reference-count":32,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016670","name":"Region \u00d6sterg\u00f6tland","doi-asserted-by":"publisher","award":["06080399-30512201"],"award-info":[{"award-number":["06080399-30512201"]}],"id":[{"id":"10.13039\/100016670","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Fractures of the distal radius are the most common fractures of the upper extremity. The choice of surgical method has been debated and studies show that short-term differences, in favour of volar locking plates, are indistinguishable at 1 year follow-up. Few studies have investigated long-term outcomes beyond one year. The aim of this study was to investigate long-term (6\u201310 years) patient-reported outcomes after distal radius fracture surgery, and to determine how fracture pattern\/complexity (Buttazzoni fracture type) affects the results.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>303 patients surgically treated for a distal radius fracture, from 2012\u20132016 were included. The questionnaires used were PRWE, <jats:italic>Quick<\/jats:italic>-DASH and EQ-5D. Previous studies have shown that fracture type influences the choice of surgical method and therefore fracture type was adjusted for in the statistical analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>We found that patients treated with K-wires had significantly better Quick-DASH scores (<jats:italic>p<\/jats:italic> &lt;0.05) and a lower degree of pain (PRWE pain scale) (<jats:italic>p<\/jats:italic> &lt;0.05) than patients treated with volar locking plates. There was no difference between the two groups regarding the remaining outcome measures for any Buttazzoni type of fracture.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>On the basis of these results, K-wires can be considered an equivalent option to locking plates because of equal or better long-term outcomes, lower costs, and shorter operation times.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0307763","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T18:34:29Z","timestamp":1731436469000},"page":"e0307763","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long-term outcome for patients with distal radius fractures treated with volar locking plates versus percutaneous wires"],"prefix":"10.1371","volume":"19","author":[{"given":"Linnea","family":"Wret\u00f6","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2077-8445","authenticated-orcid":true,"given":"Lotta","family":"Fornander","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"pone.0307763.ref001","author":"C. Mellstrand Navarro","year":"2021","journal-title":"Nationellt v\u00e5rdprogram f\u00f6r behandling av distala radiusfrakturer"},{"issue":"1","key":"pone.0307763.ref002","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12891-020-3097-8","article-title":"Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register.","volume":"21","author":"J Rundgren","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"issue":"5","key":"pone.0307763.ref003","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.cjtee.2021.04.005","article-title":"A comparative study of variable angle volar plate and bridging external fixator with K-wire augmentation in comminuted distal radius fractures.","volume":"24","author":"RK Mishra","year":"2021","journal-title":"Chin J Traumatol."},{"issue":"1","key":"pone.0307763.ref004","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jhsa.2018.09.015","article-title":"External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures-A 3-Year Follow-Up of a Randomized Controlled Study.","volume":"44","author":"J Saving","year":"2019","journal-title":"J Hand Surg Am."},{"issue":"4","key":"pone.0307763.ref005","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/BOT.0000000000000519","article-title":"Volar Locking Plate or External Fixation With Optional Addition of K-Wires for Dorsally Displaced Distal Radius Fractures: A Randomized Controlled Study.","volume":"30","author":"C Mellstrand Navarro","year":"2016","journal-title":"J Orthop Trauma."},{"issue":"3","key":"pone.0307763.ref006","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1177\/1753193413489057","article-title":"Comparison of palmar fixed-angle plate fixation with K-wire fixation of 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of fractures of the distal radius is increasing: results from a nationwide Swedish study","author":"C Mellstrand-Navarro","year":"2014","journal-title":"Bone Joint J"},{"key":"pone.0307763.ref010","volume-title":"Internet]","year":"2022"},{"key":"pone.0307763.ref011","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s13018-015-0252-2","article-title":"Meta-analysis for dorsally displaced distal radius fracture fixation: volar locking plate versus percutaneous Kirschner wires.","volume":"10","author":"SL Zong","year":"2015","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"pone.0307763.ref012","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3109\/17453674.2011.552781","article-title":"Wrist function recovers more rapidly after volar locked plating than after external fixation but the outcomes are similar after 1 year.","volume":"82","author":"MK Wilcke","year":"2011","journal-title":"Acta 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A prospective randomised controlled trial.","volume":"42","author":"I McFadyen","year":"2011","journal-title":"Injury"},{"issue":"9","key":"pone.0307763.ref032","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1302\/0301-620X.90B9.20521","article-title":"Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: a randomised, prospective trial","volume":"90","author":"K Egol","year":"2008","journal-title":"J Bone Joint Surg Br"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0307763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T18:34:41Z","timestamp":1731436481000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0307763"}},"subtitle":[],"editor":[{"given":"Hans-Peter","family":"Simmen","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,11,12]]},"references-count":32,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,12]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0307763","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,12]]}}}