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The digital palmar oblique incision
M T Jobe1, P Caviale, L W Milford
1University of Tennessee-Campbell Clinic, Department of Orthopaedics, Memphis 38103.
The Journal of Hand Surgery
|May 1, 1993
Summary
The digital palmar oblique incision offers a direct surgical approach to finger and palm structures. This method avoids common complications like flap necrosis and flexion contractures, proving effective over 20 years.
Area of Science:
- Hand surgery
- Surgical anatomy
- Orthopedic procedures
Background:
- Various surgical incisions exist for palmar digit exposure, each with limitations.
- Effective surgical access to digital flexor tendons and neurovascular bundles is crucial.
Purpose of the Study:
- To evaluate the efficacy and safety of the digital palmar oblique incision.
- To highlight its advantages over other described palmar incisions.
Main Methods:
- The digital palmar oblique incision was utilized for exposing palmar digital structures.
- Clinical outcomes were observed over a 20-year period at a single clinic.
Main Results:
- The digital palmar oblique incision provided direct access to flexor tendons and digital neurovascular bundles.
- No instances of flap tip necrosis, central incision migration, scar hypertrophy, or flexion contractures were reported.
Conclusions:
- The digital palmar oblique incision is a reliable and safe surgical approach for palmar digital structures.
- It effectively mitigates common complications associated with other digital palmar incisions.