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Anatomical orientation by palpation and marking of anatomical landmarks:
Brunner's incision in the area of the proximal and middle phalanx, integrating the scar. The planning also includes an access over the distal palmar crease, which does not need to be used in the further course.
Sharp transection of the skin.
Guiding structures
The skin and the subcutaneous tissue are detached in a flap-like manner from the flexor structures. Identification of the vascular/nerve bundle and the flexor tendon sheath.
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