{"id":"https://openalex.org/W7224083304","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","title":"Comparative functional outcomes of distal radius fractures treated with Joshi\u2019s external stabilization system versus volar locking plate fixation: a prospective cohort study","display_name":"Comparative functional outcomes of distal radius fractures treated with Joshi\u2019s external stabilization system versus volar locking plate fixation: a prospective cohort study","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224083304","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907"},"language":"en","primary_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263907","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4309/2530","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijoro.org/index.php/ijoro/article/download/4309/2530","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160063467","display_name":"Sagar V. Bhanushali","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sagar V. Bhanushali","raw_affiliation_strings":["Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084352260","display_name":"Padmakar Shinde","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Padmakar Shinde","raw_affiliation_strings":["Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160064883","display_name":"Rajesh Patil","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rajesh Patil","raw_affiliation_strings":["Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058229876","display_name":"Saurabh Vilas Ponde","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Saurabh Ponde","raw_affiliation_strings":["Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007996475","display_name":"Abhilash Pohokar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abhilash Pohokar","raw_affiliation_strings":["Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85770531,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"6","first_page":"1759","last_page":"1761"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/distal-radius-fracture","display_name":"distal radius fracture","score":0.9950000047683716},{"id":"https://openalex.org/keywords/volar-locking-plate-fixation","display_name":"volar locking plate fixation","score":0.9490000009536743},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.8650000095367432},{"id":"https://openalex.org/keywords/dash-score","display_name":"DASH score","score":0.9210000038146973},{"id":"https://openalex.org/keywords/modified-mayo-wrist-score","display_name":"modified Mayo wrist score","score":0.9879999756813049},{"id":"https://openalex.org/keywords/pin-site-infection","display_name":"pin tract infection","score":0.8799999952316284},{"id":"https://openalex.org/keywords/hardware-related-complications","display_name":"hardware-related complications","score":0.8119999766349792},{"id":"https://openalex.org/keywords/wrist-range-of-motion","display_name":"wrist range of motion","score":0.8349999785423279},{"id":"https://openalex.org/keywords/handgrip-strength","display_name":"grip strength","score":0.8080000281333923},{"id":"https://openalex.org/keywords/external-fixation","display_name":"external fixation","score":0.5130000114440918}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9491999745368958},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.6531000137329102},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6420000195503235},{"id":"https://openalex.org/C2778216619","wikidata":"https://www.wikidata.org/wiki/Q185706","display_name":"Wrist","level":2,"score":0.6233000159263611},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5329999923706055},{"id":"https://openalex.org/C2777433710","wikidata":"https://www.wikidata.org/wiki/Q5609571","display_name":"Grip strength","level":2,"score":0.475600004196167},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.46070000529289246},{"id":"https://openalex.org/C2776985018","wikidata":"https://www.wikidata.org/wiki/Q7202314","display_name":"Plating (geology)","level":2,"score":0.4542999863624573},{"id":"https://openalex.org/C2776090536","wikidata":"https://www.wikidata.org/wiki/Q187819","display_name":"Dash","level":2,"score":0.4474000036716461},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.42640000581741333},{"id":"https://openalex.org/C2776813713","wikidata":"https://www.wikidata.org/wiki/Q920565","display_name":"External fixation","level":3,"score":0.3625999987125397},{"id":"https://openalex.org/C107551265","wikidata":"https://www.wikidata.org/wiki/Q1458245","display_name":"Displacement (psychology)","level":2,"score":0.3522999882698059},{"id":"https://openalex.org/C178635117","wikidata":"https://www.wikidata.org/wiki/Q747499","display_name":"RADIUS","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3084000051021576},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.3021000027656555},{"id":"https://openalex.org/C2909523310","wikidata":"https://www.wikidata.org/wiki/Q7280268","display_name":"Radial fractures","level":3,"score":0.2994000017642975},{"id":"https://openalex.org/C2776255841","wikidata":"https://www.wikidata.org/wiki/Q5647202","display_name":"Hand strength","level":3,"score":0.2989000082015991},{"id":"https://openalex.org/C2777304102","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Osteosynthesis","level":2,"score":0.2775000035762787},{"id":"https://openalex.org/C2991898622","wikidata":"https://www.wikidata.org/wiki/Q1229353","display_name":"Distal radius fracture","level":3,"score":0.274399995803833},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.2535000145435333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263907","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4309/2530","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263907","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263907","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4309/2530","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224083304.pdf","grobid_xml":"https://content.openalex.org/works/W7224083304.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W1971344203","https://openalex.org/W1996189224","https://openalex.org/W2122025540","https://openalex.org/W4281853966","https://openalex.org/W4381929929","https://openalex.org/W4393905229"],"related_works":["https://openalex.org/W7168248696","https://openalex.org/W7143363241","https://openalex.org/W2916025806","https://openalex.org/W6892651351","https://openalex.org/W3033534371","https://openalex.org/W4312361560","https://openalex.org/W4407285041","https://openalex.org/W2386150236","https://openalex.org/W2140433491","https://openalex.org/W4412758388"],"abstract_inverted_index":{"Background:":[0],"Distal":[1],"radius":[2,40,156],"fractures":[3,41],"are":[4,21],"among":[5],"the":[6,118,123,133,142],"most":[7],"common":[8,131],"orthopedic":[9],"injuries.":[10],"Joshi\u2019s":[11],"external":[12],"stabilization":[13],"system":[14],"(JESS)":[15],"and":[16,62,65,86,103,162],"volar":[17,49,96,175],"locking":[18,50,147],"plate":[19,51,148],"fixation":[20,149],"widely":[22],"used":[23],"surgical":[24],"options":[25],"with":[26,38,81,95],"differing":[27],"biomechanical":[28],"principles.":[29],"Methods:":[30],"A":[31],"prospective":[32],"cohort":[33],"study":[34],"of":[35,101,122],"94":[36],"patients":[37],"distal":[39,155],"was":[42],"conducted.":[43],"Patients":[44,93],"underwent":[45],"either":[46],"JESS":[47,107,134,167],"or":[48],"fixation.":[52],"Functional":[53],"outcomes":[54,121,153],"were":[55,129,139],"assessed":[56],"using":[57],"DASH":[58],"scores":[59,89],"at":[60,71,90,163],"6":[61],"12":[63,72],"months":[64],"modified":[66],"Mayo":[67],"wrist":[68],"score":[69],"(MMWS)":[70],"months.":[73],"Results:":[74],"Volar":[75,146],"plating":[76,97,124,143,176],"demonstrated":[77],"superior":[78,151],"functional":[79,120,152],"outcomes,":[80],"significantly":[82],"better":[83,99],"early":[84,160],"recovery":[85,161],"consistently":[87],"improved":[88],"final":[91,164],"follow-up.":[92,165],"treated":[94],"achieved":[98],"range":[100],"motion":[102],"grip":[104],"strength.":[105],"The":[106],"group":[108],"showed":[109],"gradual":[110],"improvement":[111],"over":[112],"time":[113],"but":[114],"did":[115],"not":[116],"match":[117],"overall":[119],"group.":[125,144],"Pin":[126],"tract":[127],"infections":[128],"more":[130],"in":[132,141,154,159,172],"group,":[135],"whereas":[136],"hardware-related":[137],"complications":[138],"observed":[140],"Conclusions:":[145],"provides":[150],"fractures,":[157],"both":[158],"While":[166],"remains":[168],"a":[169],"viable":[170],"option":[171],"selected":[173],"cases,":[174],"should":[177],"be":[178],"preferred":[179],"where":[180],"feasible.":[181]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-29T00:00:00"}