{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:32:44Z","timestamp":1789590764614,"version":"build-2803163510"},"reference-count":0,"publisher":"Medical Association of Zenica-Doboj","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2026,2,27]]},"abstract":"&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;&lt;strong&gt;Background&lt;\/strong&gt;&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;Distal radius fractures are among the most common orthopedic injuries, posing significant challenges due to their high prevalence and potential for long-term functional impairment. Volar locking plates have emerged as the gold standard for managing unstable and extra-articular fractures, offering superior outcomes compared to traditional methods. This study evaluates the clinical, radiographic, and functional outcomes of volar locking plate fixation in 34 patients with intra and extra-articular distal radius fractures.&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;&lt;strong&gt;Methods&lt;\/strong&gt;&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;This retrospective study analyzed 34 patients treated for intra and extra-articular distal radius fractures with volar locking plates at a single orthopedic center. Patients were followed for a mean duration of 24 months (range: 12&amp;ndash;36 months).&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;Outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score, Visual Analog Scale (VAS) for pain, range of motion (ROM), and radiographic parameters. Complications, including hardware-related issues and soft tissue irritation, were recorded. Statistical analysis compared preoperative and postoperative outcomes, with significance set at p &amp;lt; 0.05.&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;&lt;strong&gt;Results&lt;\/strong&gt;&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;The mean DASH score at the final follow-up was 4.2 &amp;plusmn; 1.8, reflecting excellent functional recovery. Pain relief was complete, with all patients reporting a VAS score of 0. ROM restoration was highly satisfactory, achieving 93&amp;ndash;98% of contralateral wrist motion. Radiographic evaluations confirmed 100% fracture consolidation with no cases of malunion or nonunion. Complications were minimal, with only two patients experiencing transient soft tissue discomfort, managed conservatively. No tendon irritation or hardware-related complications were observed.&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;&lt;strong&gt;Conclusions&lt;\/strong&gt;&lt;\/p&gt;\n&lt;p style=&quot;font-size: medium; color: #000000; font-weight: 400;&quot;&gt;Volar locking plate fixation for intra and extra-articular distal radius fractures demonstrated excellent clinical, functional, and radiographic outcomes in this cohort of 34 patients. The low-profile design and anatomical contouring of modern plates minimized complications while promoting effective pain relief and rapid functional recovery.&lt;\/p&gt;<\/jats:p>","DOI":"10.17392\/2047-23-01","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T09:59:08Z","timestamp":1772186348000},"page":"186-190","source":"Crossref","is-referenced-by-count":1,"title":["Advanced volar locking plate fixation for intra and extra articular distal radius fractures: a retrospective study"],"prefix":"10.17392","volume":"23","author":[{"given":"Giuseppe","family":"Rovere","sequence":"first","affiliation":[{"name":"Policlinico Tor Vergata, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Bosco","sequence":"additional","affiliation":[{"name":"Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Vigni","sequence":"additional","affiliation":[{"name":"Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ennio","family":"Sinno","sequence":"additional","affiliation":[{"name":"Orthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia 1, 00193, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Perna","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Fondazione Casa Sollievo Della Sofferenza IRCCS, 71013, San Giovanni Rotondo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fortunato","family":"Giustra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ospedale San Giovanni Bosco di Torino - ASL Citt\u00e0 di Torino, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Liuzza","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome \"Tor Vergata\", Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarildo","family":"Smakaj","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome \"Tor Vergata\", Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"De Maio","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome \"Tor Vergata\", Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ziranu","sequence":"additional","affiliation":[{"name":"Ospedale Isola Tiberina - Gemelli Isola, Rome, Italy; Orthopedics and Traumatology, Universit\u00e0 Cattolica Del Sacro Cuore, 00168 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tulumello","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ospedale Giovanni Paolo II, Sciacca, italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Camarda","sequence":"additional","affiliation":[{"name":"Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"49509","published-online":{"date-parts":[[2026,2,27]]},"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/2680\/pdf\/download","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/2680\/pdf\/download","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:45:43Z","timestamp":1775468743000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/622\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2,27]]},"published-print":{"date-parts":[[2026,2,27]]}},"URL":"https:\/\/doi.org\/10.17392\/2047-23-01","archive":["Internet Archive"],"relation":{},"ISSN":["1840-2445","1840-0132"],"issn-type":[{"value":"1840-2445","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}