The treatment of Dupuytren's contracture with flexor tendon sheath involvement-the sliding volar flap.

When the flexor tendon sheath must be opened to release a Dupuytren's contracture of the finger, one is sometimes left with an exposed flexor tendon. If the initial incisions in the finger are made to create a proximally based flap, adequate skin is left to cover the defect in the flexor tendon sheath and a split-thickness skin graft can be placed distally where the sheath has not been violated.