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CC BY-NC 4.0 · Arch Plast Surg 2012; 39(04): 426-430
DOI: 10.5999/aps.2012.39.4.426
Idea and Innovation

The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions

Hyunjic Lee
Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk Graduate School of Medicine, Goyang, Korea
,
Surak Eo
Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk Graduate School of Medicine, Goyang, Korea
,
Sanghun Cho
Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk Graduate School of Medicine, Goyang, Korea
,
Neil F. Jones
Hand and Upper Extremity Surgery Center, University of California Irvine, Irvine, CA, USA
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Dupuytren's contracture is a condition commonly encountered by hand surgeons, although it is rare in the Asian population. Various surgical procedures for Dupuytren's contracture have been reported, and the outcomes vary according to the treatment modalities. We report the treatment results of segmental fasciectomies with multiple transverse incisions for patients with Dupuytren's contracture. The cases of seven patients who underwent multiple segmental fasciectomies with multiple transverse incisions for Dupuytren's contracture from 2006 to 2011 were reviewed retrospectively. Multiple transverse incisions to the severe contracture sites were performed initially, and additional incisions to the metacarpophalangeal (MCP) joints, and the proximal interphalangeal (PIP) joints were performed if necessary. Segmental fasciectomies by removing the fibromatous nodules or cords between the incision lines were performed and the wound margins were approximated. The mean range of motion of the involved MCP joints and PIP joints was fully recovered. During the follow-up periods, there was no evidence of recurrence or progression of disease. Multiple transverse incisions for Dupuytren's contracture are technically challenging, and require a high skill level of hand surgeons. However, we achieved excellent correction of contractures with no associated complications. Therefore, segmental fasciectomies with multiple transverse incisions can be a good treatment option for Dupuytren's contracture.

Keywords

Dupuytren contracture - Hand - Surgical procedures, operative


Publication History

Received: 24 April 2012

Accepted: 19 June 2012

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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