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Wheeless' Textbook of Orthopaedics
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Wound complications in the surgical management of Dupuytren's contracture


a comparison of operative incisions. Gelberman RH. Panagis JS. Hergenroeder PT. Zakaib GS. Hand. 14(3):248-54, 1982 Oct. 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.



Original Text by Clifford R. Wheeless, III, MD.