Gelberman R H, Panagis J S, Hergenroeder P T, Zakaib G S
Hand. 1982 Oct;14(3):248-54. doi: 10.1016/s0072-968x(82)80057-0.
A prospective study was carried out comparing the z-plasty, volar zig-zag and open-palm incisions in eighty-two patients undergoing partial selective fasciectomy for Dupuytren's disease. Flap necrosis, haematoma, and postoperative pain were greatest following the z-plasty and zig-zag incisions. While healing was somewhat delayed and a digital nerve was lacerated in the transverse open-palm group, the complication rate was lower overall and we now prefer this technique for partial selective fasciectomy for Dupuytren's disease.
对82例因掌腱膜挛缩症接受部分选择性筋膜切除术的患者进行了一项前瞻性研究，比较了Z成形术、掌侧锯齿状切口和开放式掌部切口。Z成形术和锯齿状切口后的皮瓣坏死、血肿和术后疼痛最为严重。虽然横向开放式掌部切口组的愈合有所延迟且一条指神经被撕裂，但总体并发症发生率较低，我们现在更倾向于使用这种技术进行掌腱膜挛缩症的部分选择性筋膜切除术。
