{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:25:31Z","timestamp":1793283931078,"version":"4.5.0"},"reference-count":41,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPHS"],"abstract":"<jats:p>Volar locking plates (VLPs) are increasingly used for distal radius fractures (DRFs), yet their efficacy compared to cast immobilization remains debated. This meta-analysis aimed to compare VLPs versus cast immobilization for DRFs across various follow-up durations. Randomized controlled trials reporting patient-reported functional scores, wrist range of motion (ROM), radiological assessments, and complications were included. Meta-analysis was performed for 6-week, 3-month, 6-month, 12-month, and &gt;12-month follow-ups. Subgroup analysis stratified studies by age group, \u2265\u200960 years and &lt;\u200960 years. VLPs showed significantly lower Disabilities of the Arm, Shoulder, and Hand (DASH) scores at 6 weeks (p\u2009&lt;\u20090.001), 3 months (p\u2009&lt;\u20090.001), 12 months (p\u00a0=\u00a00.012), and &gt;\u200912 months (p\u2009&lt;\u20090.001), and lower PRWE scores at 6 weeks (p\u2009&lt;\u20090.001), 3 months (p\u2009=\u20090.048), and &gt;12 months (p = 0.032). Wrist ROM favored VLPs at 6 weeks (p &lt; 0.05), with higher flexion and supination at 3 months (p\u2009=\u20090.027) and 12 months (p = 0.003). Radiologically, VLPs showed improved parameters at 3- and 12-month follow-up. Overall complications did not significantly differ. Subgroup analysis in patients &lt;\u200960 years generally supported these findings, while in patients \u2265\u200960 years, radiological outcomes aligned, yet only lower DASH scores were observed with VLPs at 3 months (p\u2009&lt;\u20090.001). VLPs may offer superior clinical, functional, and radiological outcomes compared to cast immobilization at 3- and 12-month follow-up for patients &lt;\u200960 years, with comparable safety profiles. For patients \u2265\u200960 years, VLPs may yield better radiological outcomes at 3- and 12-month follow-up, though clinical benefits remain uncertain.<\/jats:p>","DOI":"10.2340\/jphs.v59.41372","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T08:04:55Z","timestamp":1727078695000},"source":"Crossref","is-referenced-by-count":3,"title":["Efficacy and safety of volar locking plate versus cast immobilization for distal radius fractures: a systematic review and meta-analysis of randomized controlled 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