I did a z-plasty on a patient with contracture deformity on the right middle finger yesterday. He sustained an injury in 2010 lacerating the base of his middle finger. He was brought to a local surgeon and suturing was done.A year later, his finger cannot be extended anymore because of a large contracture pulling the finger down. I did a usual z-plasty release of the contracture for easy repair. And guess what, the finger was not release. It took another incision on the side of the finger to release it.
We can find a lot of procedures in the medical books as well as in lectures and medical education proper. Nothing could surpass experience. Thus, if you are facing an old surgeon on his twilight years, think EXPERIENCE.
We can find a lot of procedures in the medical books as well as in lectures and medical education proper. Nothing could surpass experience. Thus, if you are facing an old surgeon on his twilight years, think EXPERIENCE.
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