Effectiveness of 60 Degree Z-Plasty Incision in Treating Flexion Contracture of Fingers
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Abstract
Objective: To determine the effectiveness of 60 degree z-plasty incision in treating flexion contracture of fingers.
Methods: With approval from the institution's research committee and ethical board, this series study was carried out at the Burn and Plastic surgery centre Hayatabad in Peshawar, Pakistan, in October 2023 till March 2025. Through non-probability sequential sampling, information on 289 patients with mean age 37.96±12.32 years, ranging from 18 to 60 years including both gender were obtained. Variables were gathered in a Microsoft Excel sheet along with the pertinent patient data that was retrieved from the patient after informed consent. Statistics were examined using SPSS 26.
Results: The participants were categorized into age groups, with 46.0% of participants falling within the 18 to 35 age range, 33.6% between 36 and 50 years, and 20.4% between 51 and 60 years. The gender distribution showed that there were 52.2% male and 47.8% female participants. The pre-operative extension lag at the PIP joint was recorded for each patient, with values ranging from 30 degrees to 60 degrees. The mean preoperative angle was 44.80±8.92 degrees.
Regarding the post-operative angle at the PIP joint, the data showed that a significant portion of the patients (72.3%) had mild contractures with an angle of < 10 degrees, indicating a successful reduction in flexion contracture following the surgery. The remaining 27.7% of patients presented with a moderate contracture (angle > 10 degrees).
Conclusion: 60-degree Z-plasty was shown to be quite successful in treating mild flexion contractures of the fingers, with 72.3% of patients reporting positive results.
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