Live Surgery: Z-Plasty of Scar Contracture (Finger)



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Z-plasty is a versatile plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. It can elongate a contracted scar or rotate the scar tension line. The middle line of the Z-shaped incision (the central element) is made along the line of greatest tension or contraction, and triangular flaps are raised on opposite sides of the two ends and then transposed. The length and angle of each flap are usually the same to avoid mismatched flaps that may be difficult to close.

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14 Comments on “Live Surgery: Z-Plasty of Scar Contracture (Finger)”

  1. I have scar contracture as the result of multiple surguries on my finger. I was told that because of the number of surgeries I have had further incisions are not a good idea. Does this sound correct to you? I recently jammed my finger in a door and the contracture seems to have become more prevalent since somehow.

  2. Sir I myself have a similar condition here in India.. i have it on my left pinky. but it is a bit more contracted than the one in the video.. what would help me..?? can u suggest..?? do i have to go through multiple z plasty..

  3. Dr. McClellan, I'd like to thank you kindly for putting up your videos and going through all the trouble to produce them to such a high level despite a very small audience. I'm a medical student and your videos help a LOT to give an "in-the-flesh" perspective to procedures I would normally only see on slides.

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