FIRST WEBSPACE Z-PLASTY PROCEDURE

If you need a first webspace Z-plasty procedure, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A First Webspace Z-plasty procedure?

Surgeons utilize the first webspace Z-plasty procedure to release contractures or scar tissue in the first webspace of the hand. This webspace refers to the area between the thumb and the index finger, and contractures in this region can cause functional impairment and restrict hand movement. Employing the Z-plasty technique is a common approach to releasing tight tissue and enhancing hand function.

Indications:

When scar tissue or contracture develops in the first webspace of the hand, surgeons may recommend the first webspace Z-plasty. This condition can arise from burns, traumatic injuries, previous surgeries, or certain medical conditions that induce tissue scarring.

Procedure:

The Z-plasty technique comprises creating two triangular-shaped flaps of skin and underlying tissue in the affected webspace. Surgeons make incisions to form the triangular flaps, then rotate these flaps to release the tight tissue. By rearranging the skin and tissue in a Z-shaped pattern, the procedure elongates the webspace and alleviates the contracture.

Benefits:

- Lengthening the first webspace, allowing improved finger and thumb movement.
- Breaking up scar tissue and improving tissue flexibility.
- Enhancing the appearance and function of the hand.

Recovery and Rehabilitation:

Following the Z-plasty procedure, a splint or cast is commonly applied to the hand to safeguard the surgical area during the initial healing stage. Integral to the recovery process are physical therapy and hand rehabilitation. Therapists lead patients through exercises aimed at fostering hand movement and averting new contractures. Complete healing of the hand and restoration of optimal hand function may take several weeks to months.

Outcomes:

The effectiveness of the first webspace Z-plasty hinges on several factors, such as the extent of the contracture, the patient’s general health, and their dedication to rehabilitation. Often, the procedure substantially enhances hand function, reinstates thumb opposition, and improves the patient’s capacity to carry out everyday tasks.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.