{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:56:52Z","timestamp":1790740612118,"version":"4.1.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Placement and spacing of skin incisions are important for maintaining soft tissue perfusion and viability, particularly in the setting of local trauma.<\/jats:p><jats:p>\n          Question\/Purpose\u2003The aim of this article is to determine if multiple skin incisions in the surgical management of distal radius fractures result in an increased risk of postoperative wound complications, particularly in the setting of high-energy mechanisms of injury with substantial initial displacement and associated soft-tissue insult that require multiple incisions for distal radius reconstruction.<\/jats:p><jats:p>\n          Patients and Methods\u2003A multicenter, retrospective chart review was performed for all adult patients who underwent open reduction, internal fixation of a closed distal radius fracture with multiple (\u22652) hand, and wrist incisions with minimum follow-up of 6 weeks. Primary outcome measures included wound healing complications such as partial or complete skin necrosis, dehiscence, delayed healing, and superficial or deep infections.<\/jats:p><jats:p>\n          Results\u2003For 118 wrists, a total of 305 incisions were utilized, averaging 2.6 incisions per patient (range: 2\u20136) with the flexor carpi radialis and dorsal distal radius approaches occurring in 86 and 78% of cases, respectively. One patient was identified as having a pyogenic granuloma along an incision. However, two patients were identified as having wound concerns, including fracture blisters (n\u2009=\u20091) and wound margin epidermolysis (n\u2009=\u20091) along the incision. There were no cases of skin bridge necrosis, delayed healing, wound dehiscence, or infection.<\/jats:p><jats:p>\n          Conclusions\u2003There is no increased risk of wound healing complications with the use of multiple skin incisions (\u22652) in the surgical management of distal radius fractures, afforded by the abundant and robust angiosomes around the wrist. Surgeons should have the confidence to utilize the necessary number of skin incisions to effectively reconstruct distal radius fractures.<\/jats:p>","DOI":"10.1055\/s-0041-1736605","type":"journal-article","created":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T23:50:35Z","timestamp":1635724235000},"page":"316-321","source":"Crossref","is-referenced-by-count":2,"title":["Wound Complications with Multiple Wrist Incisions in Distal Radius Reconstruction"],"prefix":"10.1055","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7986-4255","authenticated-orcid":false,"given":"Joshua J.","family":"Meaike","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5224-7695","authenticated-orcid":false,"given":"Christian","family":"Athens","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Sgromolo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9658-8192","authenticated-orcid":false,"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0530-4225","authenticated-orcid":false,"given":"Peter C.","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"},{"name":"Clinical Investigation Facility, Travis Air Force Base, 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Hozack","year":"2019","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"S 04","key":"ref8","first-page":"S-D14","article-title":"Fracture of the distal radius: classification of treatment and indications for external fixation","volume":"25","author":"S Graff","year":"1994","journal-title":"Injury"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s11751-012-0127-6","article-title":"Union of an intra-articular distal radius fracture after successive failures of three locking plates: a case report","volume":"7","author":"S K Khan","year":"2012","journal-title":"Strateg Trauma Limb Reconstr"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jhsa.2005.10.010","article-title":"Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius","volume":"31","author":"T D Rozental","year":"2006","journal-title":"J Hand Surg Am"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jhsg.2018.12.001","article-title":"Matched cohort study of wound-healing complications in patients with and without diabetes mellitus after primary open carpal tunnel release","volume":"1","author":"D J Cunningham","year":"2019","journal-title":"J Hand Surg Glob Online"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/BOT.0b013e318172c811","article-title":"A prospective study evaluating incision placement and wound healing for tibial plafond fractures","volume":"22","author":"J L Howard","year":"2008","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1152\/physrev.2003.83.3.835","article-title":"Regulation of wound healing by growth factors and cytokines","volume":"83","author":"S Werner","year":"2003","journal-title":"Physiol 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