Wound complications in the surgical management of Dupuytren's contracture: a comparison of operative incisions.
A prospective study was carried out comparing the z-plasty, volar zig-zag and open-palm incisions in eighty-two patients undergoing partial selective fasciectomy for Dupuytren's disease. Flap necrosis, haematoma, and postoperative pain were greatest following the z-plasty and zig-zag incisions. While healing was somewhat delayed and a digital nerve was lacerated in the transverse open-palm group, the complication rate was lower overall and we now prefer this technique for partial selective fasciectomy for Dupuytren's disease.
D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D006225:Hand / Q000601:surgery*; D006406:Hematoma / Q000150:complications; D006801:Humans; D009336:Necrosis; D010149:Postoperative Pain / Q000150:complications; D011183:Postoperative Complications; D011446:Prospective Studies; D013524:Surgical Flaps; D014945:Wound Healing