Bruner Incision - Original 1967 Publication

Introduction and Hypothesis
"Good exposure and clear vision of the structures". Bruner hypothesised this basic principle had been ignored in hand surgery prior to 1967.


Why the Midlateral Incision should be replaced
The Midlateral incision was the status quo. Bruner felt it has 3 key limitations: indirect approach, damage to secondary structures, and difficulty to work between fingers.

Origins of the "Zig Zag Incision"
In 1965, Bruner started experimenting with an incision that is direct access, good exposure, and does not disturb the neurovascular bundles

Conclusion
"I believe that such a frontal attack shall replace attacks from the flank"


Powerpoint Slides
You can download these slides for your journal club.