ArticleJournal of wrist surgery2016
Dorsal or Volar Plate Fixation of the Distal Radius: Does the Complication Rate Help Us to Choose?
Article in Journal of wrist surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment options in extra-articular distal radius fractures: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Delayed Rupture of the Extensor Pollicis Longus Tendon following Dorsal Plating of a Distal Radius Fracture in a Rheumatoid Arthritis Patient with Differing Ultrasonographic Findings: A Case Report.Journal of orthopaedic case reports · 2026Article
- Biomechanical comparison of palmar plate plus headless compression screw versus radiopalmar double plating in AO/OTA 23-C2.1 distal radius fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Outcomes of Distal Radius Fractures: A Comparison Between Fellowship-Trained Trauma and Hand Orthopaedic Surgeons.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Comparison of radiographic and functional outcomes of dorsal-only versus combined volar/dorsal plating in AO type C distal radius fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Soong Classification Using Radiographs Only Moderately Correlates With Distal Radius Plate Position on Computed Tomography.Hand (New York, N.Y.) · 2025Article
- Three Column Fixation Through a Single Incision in Distal Radius Fractures.Journal of wrist surgery · 2023Article
- A Cost-Effectiveness Analysis of the Various Treatment Options for Distal Radius Fractures.Journal of hand surgery global online · 2023Article
- Can elderly patients regain their preoperative functional level after distal radius fracture type A? Results from a fracture register study using PROM.Frontiers in surgery · 2023Article
- Risk Factors for Complications following Volar Locking Plate (VLP) Fixation of Unstable Distal Radius Fracture (DRF).BioMed research international · 2022Article
- Retrospective analysis of treatment strategies and clinical outcome of isolated talar dislocations.Journal of clinical orthopaedics and trauma · 2021Article
- A Review of Surgically Treated Distal Radius Fractures in a University Hospital.Malaysian orthopaedic journal · 2021Article
- Single volar locking plating for the intra- and extra-articular distal radius fractures with dorsal metaphyseal comminution.Journal of orthopaedic surgery and research · 2021Article
- Article
- Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Contact Pressure between Digital Flexors and Plates for Distal Radius Approaches.Journal of wrist surgery · 2020Article
- Radial Plate Fixation of Distal Radius Fracture.Hand (New York, N.Y.) · 2020Article
- Incidence of complications and secondary procedure following distal radius fractures treated by volar locking plate (VLP).Journal of orthopaedic surgery and research · 2019Article
- Volar locking plate versus external fixation with optional additional K-wire for treatment of AO type C2/C3 fractures: a retrospective comparative study.Journal of orthopaedic surgery and research · 2019Article
- Titanium versus Stainless-Steel Plating in the Surgical Treatment of Distal Radius Fractures: A Randomized Trial.Journal of hand and microsurgery · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternal fixation with plates is a reliable fixation technique for the treatment of distal radius fractures. An ongoing discussion exists whether volar or dorsal plating is the appropriate technique. In clinical practice, volar plate fixation is usually preferred because of the assumed lower complication frequency. However, recent studies with the newer generation low-profile dorsal plates reported lower complication rates. PURPOSE: The aim of our study was to evaluate the differences in complication rates between volar and dorsal plate for the treatment of distal radius fractures in adult patients. PATIENTS AND
methodsA total of 214 patients with acute distal radius fractures were included in this retrospective study with a minimum 2 years of follow-up. In total, 123 patients were treated with dorsal plate fixation and 91 patients with volar plate fixation. Our primary study outcome was complication rate.
resultsThe overall risk for complications was 15.4% in the dorsal group and 14.3% in the volar group (p = 0.81). A total of 19 patients had implant removal due to complications: 11 patients in the dorsal group and 8 patients in the volar group (p = 0.97).
conclusionThere is no preferred plate fixation technique based on these study results. In our opinion, decision for type of plate fixation should be based on fracture type and surgeon's experience with the specific approach and plate types. LEVEL OF EVIDENCE: Therapeutic level III.
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