[Avoiding circular scars on the extremities].

Abstract

Circular scarring on extremities during replantation, pollicization, and "on-top"-plasty could strangulate nerves, vessels and tendons beneath the scar. Decompression could be achieved by single or multiple Z-plasty. During replantations we use the incisions for the Z-plasty to dissect the ends of the nerves and vessels for suturing. The scar created has a zig-zag form which with time becomes more flat but does not cause constriction of neuro-vascular bundles and tendons. The method is simple and does not take too much time. It may produce a better functional result.