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A prospective study was carried out comparing the z-plasty, volar zig-zag and open-palm incisions in eighty-two patients undergoing partial selective fasciectomy for Dupuytren's disease. Flap necrosis, haematoma, and postoperative pain were greatest following the z-plasty and zig-zag incisions. While healing was somewhat delayed and a digital nerve was lacerated in the transverse open-palm group, the complication rate was lower overall and we now prefer this technique for partial selective fasciectomy for Dupuytren's disease.

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Subluxation of the distal radioulnar joint, degenerative arthritis, and wrist pain are recognized sequelae of radial head excision. Recently we treated a patient who developed symptoms of wrist pain 20 years after radial head resection. Thirty years after excision the symptoms were severe, and subluxation of the joint was greater (6mm) than in any case reported previously. The long asymptomatic interval associated with marked subluxation and severe symptoms suggests that long term followup is required to determine the incidence of this complication.