{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:12Z","timestamp":1787755152158,"version":"build-2784847793"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2017,2,14]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Dorsal spanning bridge plate fixation offers an option for the surgical treatment of distal radial fractures in the setting of metaphyseal bone loss or diaphyseal extension, complex injuries requiring extensive soft-tissue and osseous reconstruction, or severe osteoporosis. It is also a salvage option after distal radial nonunion.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Reduction is performed with use of ligamentotaxis. The plate is fixed from the radial shaft to either the second or third metacarpal, spanning the wrist joint for the duration of fracture-healing, and is removed after fracture consolidation (at approximately 3 months).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Surgical fixation to the second metacarpal may increase the risk of damage to the radial sensory nerve, whereas fixation to the third metacarpal may increase digital extensor tendon friction with the plate.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 There is currently no evidence-based recommendation whether to preferentially affix the plate to the second or third metacarpal. Both options may offer advantages based on the fracture pattern.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The functional outcomes and complications associated with this technique are similar to those associated with other methods of fixation of distal radial fractures.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.16.00044","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T08:01:09Z","timestamp":1488355269000},"source":"Crossref","is-referenced-by-count":22,"title":["Spanning Bridge Plate Fixation of Distal Radial Fractures"],"prefix":"10.2106","volume":"5","author":[{"given":"Alexander","family":"Lauder","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas P.","family":"Hanel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"8","key":"r1-20230812","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"issue":"Suppl 4","key":"r2-20230812","first-page":"S-D14","article-title":"Fracture of the distal radius: classification of treatment and indications for external fixation","volume":"25","author":"Graff","year":"1994","journal-title":"Injury"},{"issue":"9","key":"r3-20230812","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.2106\/00004623-200709000-00025","article-title":"Management of distal radial fractures","volume":"89","author":"Chen","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"r4-20230812","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/0020-1383(89)90113-7","article-title":"Stability assessment of distal radius fractures","volume":"20","author":"Lafontaine","year":"1989","journal-title":"Injury"},{"issue":"5","key":"r5-20230812","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/0363-5023(90)90143-F","article-title":"Effects of distal radius fracture malunion on wrist joint mechanics","volume":"15","author":"Pogue","year":"1990","journal-title":"J Hand Surg Am"},{"key":"r6-20230812","first-page":"CD003209","article-title":"Surgical interventions for treating distal radial fractures in adults","volume":"3","author":"Handoll","year":"2003","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"r7-20230812","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1016\/j.jhsa.2004.06.008","article-title":"Assessment of instability factors in adult distal radius fractures","volume":"29","author":"Nesbitt","year":"2004","journal-title":"J Hand Surg Am"},{"issue":"2","key":"r8-20230812","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.otsr.2012.03.023","article-title":"Fixation of distal radius fractures in adults: a review","volume":"99","author":"Obert","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"r9-20230812","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00130911-199812000-00004","article-title":"Treatment of comminuted distal radius with the use of an internal distraction plate","volume":"2","author":"Burke","year":"1998","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"5","key":"r10-20230812","doi-asserted-by":"crossref","first-page":"945","DOI":"10.2106\/JBJS.D.02164","article-title":"Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution","volume":"87","author":"Ruch","year":"2005","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"r11-20230812","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1097\/00005131-200209000-00007","article-title":"Open reduction and internal fixation of unstable distal radius fractures: results using the Trimed fixation system","volume":"16","author":"Konrath","year":"2002","journal-title":"J Orthop Trauma"},{"issue":"2","key":"r12-20230812","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1053\/jhsu.2002.32081","article-title":"Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report","volume":"27","author":"Orbay","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"4","key":"r13-20230812","first-page":"577","article-title":"Distal radius fractures. Multiplanar ligamentotaxis","volume":"9","author":"Agee","year":"1993","journal-title":"Hand Clin"},{"key":"r14-20230812","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/01.blo.0000205885.58458.f9","article-title":"Bridge plating of distal radius fractures: the Harborview method","volume":"445","author":"Hanel","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"r15-20230812","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.hcl.2010.01.001","article-title":"Complications associated with distraction plate fixation of wrist fractures","volume":"26","author":"Hanel","year":"2010","journal-title":"Hand Clin"},{"issue":"10","key":"r16-20230812","doi-asserted-by":"crossref","first-page":"1578","DOI":"10.1016\/j.jhsa.2006.09.014","article-title":"A biomechanic comparison of an internal radiocarpal-spanning 2.4-mm locking plate and external fixation in a model of distal radius fractures","volume":"31","author":"Wolf","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"5","key":"r17-20230812","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/j.jhsa.2012.02.034","article-title":"Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients","volume":"37","author":"Richard","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"Suppl 1 Pt 1","key":"r18-20230812","first-page":"29","article-title":"Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution. Surgical technique","volume":"88","author":"Ginn","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r19-20230812","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.jhsa.2014.02.006","article-title":"Salvage of distal radius nonunion with a dorsal spanning distraction plate","volume":"39","author":"Mithani","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"1","key":"r20-20230812","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0363-5023(09)91097-8","article-title":"Open reduction and internal fixation of comminuted, intraarticular fractures of the distal radius","volume":"15","author":"Axelrod","year":"1990","journal-title":"J Hand Surg Am"},{"issue":"6","key":"r21-20230812","doi-asserted-by":"crossref","first-page":"839","DOI":"10.2106\/00004623-198971060-00007","article-title":"Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius","volume":"71","author":"Bradway","year":"1989","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"r22-20230812","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S0749-0712(21)01039-8","article-title":"Complications and problems in the management of distal radius fractures","volume":"10","author":"Seitz","year":"1994","journal-title":"Hand Clin"},{"issue":"8","key":"r23-20230812","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.jhsa.2015.05.008","article-title":"Functional outcomes following bridge plate fixation for distal radius fractures","volume":"40","author":"Lauder","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"4","key":"r24-20230812","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/BTH.0b013e3182a5cbf8","article-title":"Dorsal spanning plate fixation for distal radius fractures","volume":"17","author":"Dodds","year":"2013","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"6","key":"r25-20230812","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/0021-9290(80)90343-7","article-title":"The wrist position between neutral and ulnar deviation that facilitates the maximum power grip strength","volume":"13","author":"Pryce","year":"1980","journal-title":"J Biomech"},{"issue":"1","key":"r26-20230812","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/01.bth.0000154445.61178.d3","article-title":"Internal distraction plating of distal radius fractures","volume":"9","author":"Papadonikolakis","year":"2005","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"1","key":"r27-20230812","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jhsa.2005.09.011","article-title":"Volar versus dorsal plating in the management of intra-articular distal radius fractures","volume":"31","author":"Ruch","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"3","key":"r28-20230812","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/0266-7681(94)90094-9","article-title":"The results of external fixation of the radius in the treatment of comminuted intraarticular fractures of the distal end","volume":"19","author":"Bishay","year":"1994","journal-title":"J Hand Surg Br"},{"key":"r29-20230812","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/00003086-199102000-00017","article-title":"The surgical treatment of severe comminuted intraarticular fractures of the distal radius with the small AO external fixation device. A prospective three-and-one-half-year follow-up study","volume":"263","author":"Horesh","year":"1991","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"r30-20230812","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1749-799X-7-8","article-title":"Palmar and dorsal fixed-angle plates in AO C-type fractures of the distal radius: is there an advantage of palmar plates in the long term?","volume":"7","author":"Jakubietz","year":"2012","journal-title":"J Orthop Surg Res"},{"issue":"5","key":"r31-20230812","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/1753193408094706","article-title":"A randomised clinical study comparing palmar and dorsal fixed-angle plates for the internal fixation of AO C-type fractures of the distal radius in the elderly","volume":"33","author":"Jakubietz","year":"2008","journal-title":"J Hand Surg Eur Vol"},{"issue":"7","key":"r32-20230812","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1016\/j.jhsa.2007.05.008","article-title":"Results of dorsal or volar plate fixation of AO type C3 distal radius fractures: a retrospective study","volume":"32","author":"Rein","year":"2007","journal-title":"J Hand Surg Am"},{"issue":"3","key":"r33-20230812","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.jhsa.2014.11.020","article-title":"Risk of tendon entrapment under a dorsal bridge plate in a distal radius fracture model","volume":"40","author":"Lewis","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"4","key":"r34-20230812","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s11552-015-9762-y","article-title":"Anatomic relationships in distal radius bridge plating: a cadaveric study","volume":"10","author":"Dahl","year":"2015","journal-title":"Hand (N Y)"},{"issue":"3-4","key":"r35-20230812","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s004020050384","article-title":"Combined Kirschner wire fixation in the treatment of Colles fracture. A prospective, controlled trial","volume":"119","author":"Fritz","year":"1999","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"r36-20230812","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S0020-1383(99)00075-3","article-title":"The unstable distal radial fracture one year post Kapandji intrafocal pinning","volume":"30","author":"Brady","year":"1999","journal-title":"Injury"},{"key":"r37-20230812","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00003086-199708000-00007","article-title":"Outcome of distal radius fractures using the short form 36 health survey","volume":"341","author":"Fernandez","year":"1997","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"r38-20230812","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/BOT.0b013e318059b993","article-title":"Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate","volume":"21","author":"Arora","year":"2007","journal-title":"J Orthop Trauma"},{"key":"r39-20230812","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/01.blo.0000205891.96575.0f","article-title":"Current concepts in volar fixed-angle fixation of unstable distal radius fractures","volume":"445","author":"Orbay","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"r40-20230812","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1016\/j.jhsa.2005.08.009","article-title":"A meta-analysis of outcomes of external fixation versus plate osteosynthesis for unstable distal radius fractures","volume":"30","author":"Margaliot","year":"2005","journal-title":"J Hand Surg Am"},{"issue":"6","key":"r41-20230812","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1302\/0301-620X.87B6.15539","article-title":"Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial","volume":"87","author":"Kreder","year":"2005","journal-title":"J Bone Joint Surg Br"},{"issue":"9","key":"r42-20230812","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.2106\/00004623-199709000-00004","article-title":"Treatment of displaced intra-articular fractures of the distal end of the radius with plates","volume":"79","author":"Fitoussi","year":"1997","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"r43-20230812","first-page":"126","article-title":"[Short-term results of external fixation of unstable distal radial fractures]","volume":"37","author":"Akmaz","year":"2003","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"2","key":"r44-20230812","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.injury.2004.08.004","article-title":"External fixation for unstable intra-articular distal radial fractures in women older than 55 years. Acceptable functional end results in the majority of the patients despite significant secondary displacement","volume":"36","author":"Hegeman","year":"2005","journal-title":"Injury"},{"key":"r45-20230812","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00003086-200011000-00030","article-title":"External fixation for distal radius fractures: effect of distraction on outcome","volume":"380","author":"Kaempffe","year":"2000","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"r46-20230812","first-page":"205","article-title":"External fixation for distal radius fractures: adverse effects of excess distraction","volume":"25","author":"Kaempffe","year":"1996","journal-title":"Am J Orthop (Belle Mead NJ)"},{"issue":"3","key":"r47-20230812","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/0363-5023(91)90002-S","article-title":"External fixation of distal radial fractures: results and complications","volume":"16","author":"Sanders","year":"1991","journal-title":"J Hand Surg Am"},{"issue":"2","key":"r48-20230812","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0363-5023(86)80045-4","article-title":"Severely comminuted distal radial fracture as an unsolved problem: complications associated with external fixation and pins and plaster techniques","volume":"11","author":"Weber","year":"1986","journal-title":"J Hand Surg Am"},{"issue":"5","key":"r49-20230812","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1053\/jhsu.2001.26322","article-title":"The frequency and epidemiology of hand and forearm fractures in the United States","volume":"26","author":"Chung","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"2","key":"r50-20230812","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"Nellans","year":"2012","journal-title":"Hand Clin"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01874474-201702000-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:26Z","timestamp":1787751506000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01874474-201702000-00002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,14]]},"references-count":50,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.16.00044","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,14]]}}}