A Critical Assessment of the Most Cited Papers on Distal Radius Fractures
David W Grant1, Kevin C Chung2
1Fellow, Combined Hand Surgery Fellowship, University of Michigan, Ann Arbor, MI, USA; Section of Plastic Surgery, The University of Michigan Health System, University of Michigan Comprehensive Hand Center, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.
Abstract:
This article reviews the impact of the most cited works on distal radius fractures. Judged by the most cited works in this field, distal radius fracture research has followed other paradigm shifts in the history of science. Landmark papers showed that restoring premorbid anatomy led to better outcomes, and a plurality of fixation strategies emerged. A breakthrough in technology came with volar plating, and the new paradigm emerged: precise anatomic reduction is achieved typically with volar plates, unless fragment-specific approaches are needed. This paradigm is being challenged as the association among malunion, arthritis, and function continues to be understood. The best treatment of distal radius fractures in the elderly has also evolved through time.
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