{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T05:05:28Z","timestamp":1781586328159,"version":"3.54.5"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\n \n\nObjective: The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, and investigated the radiological outcomes of this technique.\n\n \n\nMethods: A total of 42 patients (30 female and 12 male; mean age: 58 years, range, 25 to 84 years) with unstable distal radius fractures were treated with this technique. All were patients with insufficient volar tilt in spite of primary fracture reduction through classic reduction techniques such as traction, manipulation, and direct fragment manipulation. Postoperatively, the patients were instructed to perform wrist active and passive motion exercises at home for minimum 30 minutes a day, and were allowed to perform activities of daily living after removal of splint. The patients were evaluated radiographically at minimum twelve months after surgery.\n\n \n\nResults: Mean follow-up period was 15.1 months (range: 12 to 24 months). Volar tilt of the distal radius before surgery was \u201311.9\u00b110.4 (minus value means dorsal angulation), and after screw leverage was 11.5\u00b14.3\u00b0 (uninjured side: 11.7\u00b12.3\u00b0). Mean radiological outcomes at final visit were as follows: volar tilt; 10.8\u00b14.5\u00b0, radial inclination; 24\u00b13.2\u00b0, radial height; 12.2\u00b11.7 mm, and ulnar variance;0.2\u00b11.7 mm.\n\n \n\nConclusion: We describe a simple, reliable technique to fine-tune volar tilt in dorsally displaced distal radius fractures fixed with variable-angle volar locking plates. This technique is especially useful when volar tilt remains insufficient in spite of primary fracture reduction through classic techniques.\n\n \n\n \n\n\u00d6zet\n\n \n\n \u00c7al\u0131\u015fma plan\u0131: \u0130nstabil distal radius k\u0131r\u0131klar\u0131 olan toplam 42 hasta (30 kad\u0131n ve 12 erkek; ort. ya\u015f: 58, da\u011f\u0131l\u0131m: 25\u201384) bu y\u00f6ntem ile tespit edildi. Traksiyon, manip\u00fclasyon ve direkt par\u00e7a manip\u00fclasyonu gibi klasik red\u00fcksiyon y\u00f6ntemleri ile birincil k\u0131r\u0131k red\u00fcksiyonuna ra\u011fmen hastalar\u0131n hepsinde yetersiz volar a\u00e7\u0131lanma vard\u0131. Ameliyat sonras\u0131 olarak, hastalara g\u00fcnde minimum 30 dakika evde uygulayacaklar\u0131 aktif ve pasif bilek hareketleri verildi ve atel \u00e7\u0131kt\u0131ktan sonra g\u00fcnl\u00fck aktivitelerini ger\u00e7ekle\u015ftirme izni verildi. Hastalar, operasyon sonras\u0131 minimum 12 ay sonra radyografik olarak de\u011ferlendirildi.\n\n\u00c7\u0131kar\u0131mlar: De\u011fi\u015fken-a\u00e7\u0131l\u0131 volar kilitli plakla tespit edilen dorsale do\u011fru deplase distal radius k\u0131r\u0131klar\u0131nda volar a\u00e7\u0131lanmay\u0131 ince ayar d\u00fczeltmek i\u00e7in basit ve g\u00fcvenilir bir tekni\u011fi a\u00e7\u0131klad\u0131k. \u00d6zellikle bu y\u00f6ntem, klasik y\u00f6ntemler ile birincil k\u0131r\u0131k red\u00fcksiyonuna ra\u011fmen volar a\u00e7\u0131lanman\u0131n yetersiz kald\u0131\u011f\u0131 durumlarda yararl\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0247","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T09:50:45Z","timestamp":1425635445000},"page":"115-119","source":"Crossref","is-referenced-by-count":1,"title":["A novel technique for full anatomic restoration of volar tilt in distal radius fracture"],"prefix":"10.5152","volume":"49","author":[{"given":"Jong","family":"Woong Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young","family":"Hwan Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki","family":"Chul Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung","family":"Il Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2952\/2905","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:57Z","timestamp":1763464197000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0247","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}