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A modified midlateral incision for volar approach to the digit
Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1986
Summary
A new modified midlateral incision offers rapid volar digit access without compromising exposure or risking flexion contractures. This surgical approach proved safe and effective in 125 patients undergoing digital problem treatment.
Area of Science:
- Hand surgery
- Orthopedic surgery
- Plastic surgery
Background:
- Traditional surgical incisions for volar digital access can risk flexion contractures.
- Maintaining an unviolated volar skin flap is crucial for optimal healing.
Purpose of the Study:
- To describe a modified midlateral incision combining Bunnell and Bruner zig-zag principles.
- To evaluate the safety and efficacy of this modified incision for volar digital access.
Main Methods:
- A retrospective review of 125 patients treated with the modified midlateral incision.
- 189 digital problems were addressed, with patient ages ranging from 11 months to 71 years.
Main Results:
- The modified incision provided rapid access to the volar aspect of the digit.
- No flexion contractures or other complications related to the incision were reported.
Conclusions:
- The modified midlateral incision is a safe and effective technique for volar digital access.
- It allows for rapid surgical exposure without compromising digital function or flap viability.