Fig. 49From: Diagnosis and Treatment of Keloids and Hypertrophic Scars—Japan Scar Workshop Consensus Document 2018Z-plasties for joint areas (the hand, elbow, knee, and foot). If the pathological scar on a joint is thin and runs in the direction in which the joint is extended, it is recommended to completely excise the scar and perform z-plasties to disperse the tension on the woundBack to article page