The digital palmar oblique incision

Although many incisions have been described for exposure of the palmar structures of the digits, all have some disadvantages. The digital palmar oblique exposure provides a direct approach to the flexor tendons in the fingers and palm and to the digital neurovascular bundles and has been used extensively at our clinic for more than 20 years. Flap tip necrosis, central migration of the incision, scar hypertrophy, and flexion contractures have not been problems with the use of this incision.