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The Hand
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Articles

Wound Complications in the Surgical Management of Dupuytren’s Contracture: A Comparison of Operative Incisions

R. H. GELBERMAN
J. S. PANAGIS
PATRICK T. HERGENROEDER
G. S. ZAKAIB

San Diego, California

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.

The Hand, Original Series, Volume 14, No. 3, 248-254 (1982)
DOI: 10.1016/S0072-968X(82)80057-0
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