{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T06:03:57Z","timestamp":1789365837548,"version":"build-2803163510"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Volar locking plate fixation is widely used for distal radius fractures (DRFs), but visible scarring and incision-related morbidity remain important patient-centred concerns. This exploratory retrospective study compared scar outcomes and selected short-term clinical outcomes between a single palmar lateral transverse incision and the modified Henry approach in surgically treated DRFs selected for limited volar exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective comparative study included 77 of 86 potentially eligible patients with DRFs who underwent volar locking plate fixation between January 2016 and December 2024; nine patients were excluded because of loss to follow-up and\/or incomplete outcome data. Thirty-two patients were treated through a single transverse incision, and 45 through the modified Henry approach. Outcomes included tourniquet time, incision length, Lidstr\u00f6m radiographic grade, DASH score, POSAS at final follow-up, and complications. Analyses were unadjusted, and Holm correction was applied across seven outcome comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No transverse-incision procedure required incision extension or conversion to the modified Henry approach, and no major complication occurred. No statistically significant between-group differences were observed in follow-up duration, tourniquet time, dichotomised Lidstr\u00f6m grade, or DASH score (all unadjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). The transverse-incision group had shorter incisions (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001; Holm-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.007) and lower PSAS scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002; Holm-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.012). The OSAS difference was significant before, but not after, multiplicity correction (unadjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.032; Holm-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.160).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this selected cohort, the transverse incision was associated with shorter incisions and lower patient-reported scar scores. The observer-reported scar difference did not remain significant after multiplicity correction. These findings suggest that the transverse incision may offer a scar-related advantage in appropriately selected fractures. The retrospective design and differences in fracture complexity warrant cautious interpretation and prospective confirmation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1898797","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:38:49Z","timestamp":1789364329000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Scar and short-term outcomes after transverse versus modified Henry incisions for volar plating of selected distal radius fractures: a retrospective comparative study"],"prefix":"10.3389","volume":"13","author":[{"given":"Xing","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]},{"name":"Department of Orthopaedics and Trauma, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boxiong","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Nursing, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]},{"name":"Department of Orthopaedics and Trauma, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Shang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaorui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of Medicine","place":["Shiyan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengkang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma, Taihe Hospital, Hubei University of 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