Phone: 817-697-4038 Fax: 877-409-3962


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?

The first webspace Z-plasty is a surgical procedure used to release contractures or scar tissue in the first webspace of the hand. The first webspace is the area between the thumb and the index finger, and contractures in this region can lead to functional impairment and limited hand movement. The Z-plasty technique is commonly employed to release tight tissue and improve hand function.


  • The first webspace Z-plasty is indicated when there is a contracture or scar tissue formation in the first webspace of the hand.
  • This condition may result from burns, traumatic injuries, previous surgical procedures, or certain medical conditions that cause tissue scarring.


  • The Z-plasty technique involves creating two triangular-shaped flaps of skin and underlying tissue in the affected webspace.
  • The surgeon makes incisions to create the triangular flaps, and then rotates these flaps to release the tight tissue.
  • By rearranging the skin and tissue in a Z-shaped pattern, the procedure helps to lengthen the webspace and release the contracture.


The Z-plasty procedure offers several benefits, including:

    • 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:

  • After the Z-plasty procedure, the hand is typically placed in a splint or cast to protect the surgical site during the initial healing phase.
  • Physical therapy and hand rehabilitation play a vital role in the recovery process. The therapist guides the patient through exercises to promote hand movement and prevent new contractures.
  • It may take several weeks to months for the hand to heal fully and for the patient to regain optimal hand function.


  • The success of the first webspace Z-plasty depends on various factors, including the severity of the contracture, the patient’s overall health, and their commitment to rehabilitation.
  • In many cases, the procedure can significantly improve hand function, restore thumb opposition, and enhance the patient’s ability to perform daily activities.

As with any surgical procedure, there are risks involved, and patients should thoroughly discuss the potential benefits and complications with their surgeon before proceeding with the first webspace Z-plasty. The surgery should be performed by a qualified hand surgeon experienced in performing Z-plasty procedures to achieve the best possible outcomes.


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.