title: Ulnar-based skin flap for Dupuytren's fasciectomy.
abstract: The mainstay of treatment for symptomatic Dupuytren's disease is operation. Various skin incisions have been described, showing that there is no single best incision. We describe an ulnar-based skin flap for excision of palmar disease. This flap allows excellent exposure of the diseased area, and provides good access to the palmar aponeurosis including the difficult area on the ulnar side of the little finger. Healing is reliable and digital disease can be approached with a skin extension as required. Recurrent disease can be treated by raising the same flap again.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University Hospitals of North Staffordshire, City General Hospital, Stoke on Trent, Staffordshire, United Kingdom. mrnadir@hotmail.com
authors.forename: Syed N
authors.initials: SN
authors.lastname: Ali
authors.forename: Andrew
authors.initials: A
authors.lastname: McMurtrie
authors.forename: Sukh
authors.initials: S
authors.lastname: Rayatt
authors.forename: Jeremy O
authors.initials: JO
authors.lastname: Roberts
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D016896:Treatment Outcome