A modified midlateral incision for volar approach to the digit

This article describes an incision which incorporates principles of both the Bunnell midlateral incision and the Bruner zig-zag. It allows rapid access to the volar aspect of the digit without sacrificing exposure or risking flexion contractures while maintaining an unviolated volar skin flap. In this study of 125 patients, 189 digital problems were treated, using the modified midlateral incision. Ages ranged from eleven months to seventy-one years. Complications following surgery were unrelated to the incision.