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

Abstract

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.