The Open Palm and Digit Technique in the Treatment of Dupuytren’s Contracture

Beltran, J. E.; Jimeno-Urban, F.; Yunta, A.

doi:10.1016/0072-968x(76)90067-x

Cited by 17 publications

(2 citation statements)

References 7 publications

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“…Operative management has been the hallmark of treatment for Dupuytren's Contracture for decades. There have been evolution of operative techniques since the description of Dupuytren's disease beginning with the open fasciotomy that was practiced by Dupuytren [2], the limited fasciectomy of Goyrand [2,3], onto complete fasciectomy and returning to the modification of these techniques [4]. In literature, numerous surgical incisions have been described as modifications to the original open palm fasciectomy: open transverse incision in palm and fingers, straight incisions with Z plasties, Bruner 3 incision with V-Y advancement flaps, and transverse incision using full thickness skin graft to close wound [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Perforator Flap Based Technique for the Treatment of Dupuytren's Contracture

Cooper¹,

Zhao²,

Chen³

et al. 2019

Preprint

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Background: Perforator flap based technique was used in treating Dupuytren’s Contracture in a cohort of 48 patients. This perforator based on the ulnar palmar digital artery originates from the superficial palmar arch and supplies the hypothenar area. Methods: A curved incision that exposes the diseased palmar fascia was made in middle to distal palm lateral to the hypothenar eminence beginning 20mm distal to the distal wrist crease up to the heel of the palm. An additional incision from the arch of the curved incision extends into the middle phalanx for exposure of the digital cord. The perforator flap was raised along the hypothenar region in 53 hands of 48 patients, nine females and 39 males and their ages at the time of surgery averaged 56 years. The Tubiana classification illustrates the extent of the disease in our patients’ population with no distal interphalangeal joint involvement. Results: Of the 48 patients, five patients had bilateral hands involvement. Two patients complained of paresthesia in the ring and little fingers after surgery, the symptom had disappeared without further intervention before the latest follow-up. There was no incidence of skin necrosis and delayed healing. Up to date, there has been no reported recurrence. Conclusion: This perforator flap based technique is technically simple and reliable with better exposure and easier removal of all the diseased fascia, making it possible for primary healing without skin necrosis and acceptable for treatment of patients at all stages of the disease.

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Section: Introductionmentioning

confidence: 99%

“…Nonetheless, postoperative skin necrosis due to poor quality of affected skin tissue and extensive dissection is often encountered in these procedures [3,10,11]. Open palm fasciectomy has been the traditional treatment of choice for Dupuytren's Contracture for decades from the mildest to the most severe forms [5,12].…”

Section: Introductionmentioning

confidence: 99%