{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:29:24Z","timestamp":1793795364276,"version":"4.6.1"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Distal radius fractures are common injuries and displaced or unstable patterns frequently require operative stabilization. Volar locking plating remains the predominant method for many unstable distal radius fractures; however, selected radial column or radial styloid-dominant patterns may be amenable to fragment-specific fixation. We report a displaced distal radius fracture treated using a modified Kocher-style dorsolateral wrist exposure with cannulated compression screw fixation augmented by a distal radius T-plate. A 45-year-old, right-hand-dominant, male manual laborer presented after a fall on an outstretched hand with acute right wrist pain, swelling, deformity, and painful restriction of wrist motion. Radiographs and computed tomography evaluation showed a displaced extra-articular distal radius fracture with a dominant radial styloid\/lateral fragment, minimal comminution, intact ulna, and congruent distal radioulnar joint. Open reduction and internal fixation was performed through a 5-cm dorsolateral modified Kocher-style approach. The fracture was anatomically reduced, buttressed with a distal radius T-plate, and compressed using a 3.0-mm cannulated compression screw placed from the radial styloid across the fracture line under fluoroscopic guidance. The postoperative course was uneventful. At 6 weeks, radiographs showed early callus and maintained alignment, with approximately 60\u00b0 of active wrist flexion and 60\u00b0 of extension without pain. At 3 months, radiographs showed union with trabecular bridging, clinically symmetrical wrist range of motion, grip strength comparable to the contralateral side, and return to manual work. At 1-year follow-up, the patient remained asymptomatic without tendon irritation, neurovascular deficit, implant prominence, loss of reduction, or need for implant removal. This case suggests that, in carefully selected distal radius fractures with a large radial styloid\/radial column fragment and limited comminution, a modified Kocher-style dorsolateral approach with cannulated compression screw fixation and T-plate augmentation may provide stable reduction while avoiding a standard volar exposure. This technique is not proposed as a replacement for volar locking plating; rather, it may be considered as a selected alternative when fracture morphology permits direct fragment-specific compression and buttress support. The single-case design and absence of prospectively recorded patient-reported outcome scores limit generalizability.<\/jats:p>","DOI":"10.4103\/aam.aam_318_26","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:01:58Z","timestamp":1786644118000},"page":"S799-S803","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Distal Radius Fracture Treated with a Modified Kocher-style Dorsolateral Approach, Distal Radius T-plate, and Cannulated Compression Screw Fixation"],"prefix":"10.4103","volume":"25","author":[{"given":"Navendu Dilip","family":"Gadhia","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"More","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"R1-20261104","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12891-020-3097-8","article-title":"Epidemiology, classification, treatment and mortality of distal radius fractures in adults: An observational study of 23,394 fractures from the national Swedish fracture register","volume":"21","author":"Rundgren","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"R3-20261104","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1007\/s12178-019-09538-6","article-title":"Fragment-specific fixation in distal radius fractures","volume":"12","author":"Hozack","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"key":"R4-20261104","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1055\/s-0035-1571186","article-title":"Fragment-specific fixation for fractures of the distal radius","volume":"5","author":"Geissler","year":"2016","journal-title":"J Wrist Surg"},{"key":"R6-20261104","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: The DASH","volume":"29","author":"Hudak","year":"1996","journal-title":"Am J Ind Med"},{"key":"R7-20261104","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1097\/00005131-199811000-00009","article-title":"Patient rating of wrist pain and disability: A reliable and valid measurement tool","volume":"12","author":"MacDermid","year":"1998","journal-title":"J Orthop Trauma"},{"key":"R8-20261104","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1055\/s-0038-1667304","article-title":"Complications of volar plating of distal radius fractures: A systematic review","volume":"8","author":"Alter","year":"2019","journal-title":"J Wrist Surg"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_318_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:04:17Z","timestamp":1793793857000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_318_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":6,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_318_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"assertion":[{"value":"2026-03-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}