{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T10:39:59Z","timestamp":1755599999942},"reference-count":26,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>\n            The authors aimed to characterize surgical and functional outcomes of open fractures of the distal radius in patients younger than 65 years. At their level I trauma center, the authors conducted a retrospective review of 92 patients (age range, 16\u201364 years) who had 94 open fractures of the distal radius (average follow-up, 30 months; range, 3\u201395 months). Sixty-four fractures received definitive treatment at the time of initial d\u00e9bridement; 30 received definitive fixation and soft tissue coverage after staged d\u00e9bridement. Primary surgical outcome was development of deep surgical site infection requiring repeat surgical d\u00e9bridement; secondary surgical outcome was surgical complications requiring reoperation. Functional outcome was assessed by wrist range of motion. Overall infection rate was 15% (14 of 94 fractures). Seven (11%) of 64 fractures in the immediate definitive fixation group developed infection compared with 7 (23%) of 30 fractures in the staged treatment group (\n            <jats:italic>P<\/jats:italic>\n            =.13). Twenty-one (33%) of 64 fractures in the immediate definitive fixation group required reoperation compared with 15 (50%) of 30 in the staged treatment group (\n            <jats:italic>P<\/jats:italic>\n            =.11). Deep surgical site infections and surgical complications associated with open fractures of the distal radius are driven by soft tissue injury. 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