Evidence map›Paper›PMID 42524685›Full record

ArticleJournal of wrist surgery2026

Outcomes of Distal Radial Fractures in Geriatric Patients Following Volar Locked versus Dorsal Bridge Plating.

Akhil Dondapati, Thomas J Carroll, Urvi Patel, Warren C Hammert, Ronald Gonzalez, Constantinos Ketonis

Abstract read
In one paragraph

Article in Journal of wrist surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Akhil DondapatiDepartment of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York.
Thomas J CarrollDepartment of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York.
Urvi PatelDepartment of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York.
Warren C HammertDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina.
Ronald GonzalezDepartment of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York.
Constantinos KetonisDepartment of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Volar locked plating (VLP) and dorsal bridge plating (DBP) are commonly used fixation techniques for distal radial fractures (DRFs). In patients older than 65 years, DRFs account for more than 18% of all fractures; however, a comparison of outcomes of these techniques in the geriatric population is absent. Purpose: The purpose of our study was to use propensity score matching to compare both clinical and radiographic outcomes of VLP and DBP fixation of DRF in geriatric patients ≥65 years. Materials and Methods: In total, 2,181 patients at least 65 years old with closed DRFs were retrospectively analyzed. Wrist range of motion (ROM) and radiographic outcome data were calculated at 6-month follow-up. Patient Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Physical Function (PF), and Pain Interference (PI) were calculated at each follow-up visit. Injury characteristics, surgical complications, and patient demographic data were also analyzed. A combination of propensity score matching, multivariate analysis, Results: After propensity matching, a total of 1,375 patients underwent VLP, whereas 275 patients underwent DBP. Within the univariate analysis, the DBP demonstrated a higher proportion of AO Foundation/Orthopaedic Trauma Association (AO/OTA) 23-C fracture patterns, with fewer AO/OTA 23-A compared with VLP ( Conclusion: VLP was associated with greater wrist flexion, extension, radial deviation, ulnar deviation, supination, pronation, grip strength, and PROMIS PF and PI compared with DBP. There were significantly higher complication rates with DBP; however, there was a similar rate of revision surgery. While the VLP group showed significantly greater ROM and radiographic outcomes, this likely did not represent a clinically significant difference in this population. Level of Evidence: Therapeutic III.

Indexed as

distal radius fracturesdorsal bridge platinggeriatricsoutcomesvolar locked plating

Identifiers

PMID42524685
PMCPMC13412926

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.