{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:14:29Z","timestamp":1791893669296,"version":"4.3.4"},"reference-count":148,"publisher":"Bioscientifica","issue":"6","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"\n Purpose<\/jats:title>\n \n \n Distal radius fractures (DRFs) represent up to 18% of all fractures in the elderly population, yet studies on the rate of complications following surgery are lacking in the literature. This systematic review aimed to quantify the rate of complications and reinterventions in patients treated with volar plate for distal radius fractures, and analyze if there was any predisposing factor.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n \n A comprehensive literature search was performed on three databases up to January 2023, following PRISMA guidelines. Studies describing volar plate complications and hardware removal were included. A systematic review was performed on complications and rate of reintervention. Assessment of risk of bias and quality of evidence was performed with the \u2018Down and Black\u2019s Checklist for measuring quality\u2019.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n About112 studies including 17\u2009288 patients were included. The number of complications was 2434 in 2335 patients; the most frequent was carpal tunnel syndrome (CTS), representing 14.3% of all complications. About 104 studies reported the number of reinterventions, being 1880 with a reintervention rate of 8.5%. About 84 studies reported the reason of reintervention; the most common were patient\u2019s will (3.0%), pain (1.1%), CTS (1.2%), and device failure (1.1%).<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n The complication rate after DRFs is 13.5%, with the main complication being CTS (14.3%), followed by pain and tendinopathy. The reintervention rate is 8.5%, mainly due to the patient\u2019s willingness, and all these patients had plate removal. Correct positioning of the plate and correct information to the patient before surgery can reduce the number of hardware removal, thereby reducing costs and the risk of complications associated with VLP for distal radius fractures.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:sec>","DOI":"10.1530\/eor-23-0188","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T08:16:06Z","timestamp":1717402566000},"page":"567-580","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":9,"title":["Complications after volar plate synthesis for distal radius fractures"],"prefix":"10.1530","volume":"9","author":[{"given":"Luca","family":"Pacchiarini","sequence":"first","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4302-6246","authenticated-orcid":true,"given":"Lorenzo","family":"Massimo Oldrini","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5357-8311","authenticated-orcid":true,"given":"Pietro","family":"Feltri","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Lucchina","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Surgical Department, Hand Surgery Unit EOC, Locarno\u2019s Regional Hospital, Locarno, Switzerland"},{"name":"Locarno Hand Center, Locarno, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Filardo","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Candrian","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Hand Clinics","first-page":"113","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"Nellans","year":"2012","unstructured":"Nellans KWKowalski E & Chung KC. 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Volar locking plate: age related outcomes and complications. Journal of Clinical Orthopaedics and Trauma202011642\u2013645. (https:\/\/doi.org\/10.1016\/j.jcot.2020.05.025)"},{"issue":"Supplement 8","key":"bib17","series-title":"Journal of the Pakistan Medical Association","first-page":"S35","article-title":"Comparative study between volar locked plates versus closed reduction with percutaneous pinning in management of unstable extra-articular distal radius fractures","volume":"71","author":"Al-Shahwanii","year":"2021","unstructured":"Al-Shahwanii ZW & Qaryaqos SH. Comparative study between volar locked plates versus closed reduction with percutaneous pinning in management of unstable extra-articular distal radius fractures. 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(https:\/\/doi.org\/10.1016\/j.injury.2015.08.040)"},{"key":"bib24","series-title":"European Journal of Trauma and Emergency Surgery","first-page":"4357","article-title":"A retrospective comparison of clinical and radiological outcomes using palmar or dorsal plating to treat complex intraarticular distal radius fractures (AO 2R3 C3)","volume":"48","author":"Child","year":"2022","unstructured":"Child CM\u00fcller AAllemann FPape HCWelter JBreiding P & Hess F. A retrospective comparison of clinical and radiological outcomes using palmar or dorsal plating to treat complex intraarticular distal radius fractures (AO 2R3 C3). European Journal of Trauma and Emergency Surgery2022484357\u20134364. (https:\/\/doi.org\/10.1007\/s00068-020-01389-y)"},{"key":"bib25","series-title":"Orthopaedics and Traumatology, Surgery and Research","first-page":"465","article-title":"Dorsally displaced distal radius fractures treated by fixed-angle volar plating: grip and pronosupination strength recovery. A prospective study","volume":"97","author":"Chirpaz-Cerbat","year":"2011","unstructured":"Chirpaz-Cerbat JMRuatti SHouillon C & Ionescu S. Dorsally displaced distal radius fractures treated by fixed-angle volar plating: grip and pronosupination strength recovery. A prospective study. Orthopaedics and Traumatology, Surgery and Research201197465\u2013470. (https:\/\/doi.org\/10.1016\/j.otsr.2011.01.016)"},{"key":"bib26","series-title":"Journal of Bone and Joint Surgery","first-page":"2687","article-title":"Treatment of unstable distal radial fractures with the volar locking plating system","volume":"88","author":"Chung","year":"2006","unstructured":"Chung KCWatt AJKotsis SVMargaliot ZHaase SC & Kim HM. Treatment of unstable distal radial fractures with the volar locking plating system. Journal of Bone and Joint Surgery2006882687\u20132694. 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