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Orthopaedic Clinic

Surgical technique Basics : Incision

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An adequate incicion is  manadatory for thorough exposure and a safe procedure.
It should be placed in manner so as not to injure any adjacent neurovascular structure.
Extremity incisions are placed in a longitudinal plane parallel to the directions of long bones. This helps preventing the chances of injury to cutaneous nerve that travel in linear fashion. It also helps in tension free approximation of the wound edges.
The incsion should not cross the flexor creases at right angle, as they may result in webbing and consequent reduction of the extension at joint. It is preferrable to curve the incision and follow the flexor crease for few centimeters before proceeding distally.
A paramedian incision is preferrable at the extensor surfaces.
In Hand, The incisons should be so placed so as to preserve the interdigital space and skin over the interphalangeal and matecarpophalangeal joint. Some of the commoner pattern of the incision in hand are zig zag incision and Bruner incision. A straight axial incision is often a good choice while exposing from the extensor aspect of the hand.

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