Individual topographic circumstances need to be considered when planning skin incisions. Dissected flap require an adequate vascular supply. Surgical access has to meet several technical requirements: (1) sufficient exposure of the neurovascular bundles to trace visualized digitopalmar cords and Dupuytren nodules if needed; (2) minimal subcutaneous undermining of flaps; (3) minimal risk of wound complications; (4) optimal conditions for early postoperative mobilization; (5) prevention of scar contractures; and (6) provision for local wound margin and flap advancement or transposition.
KeywordsNeurovascular Bundle Proximal Phalanx Superficial Temporal Artery Skin Suture Full Thickness Skin Graft
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