Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4072251 | The Journal of Hand Surgery: European Volume | 2007 | 4 Pages |
Abstract
The surgical outcomes of dermofasciectomy for Dupuytren's disease were evaluated in nine hands of eight patients in a Japanese population. The patients were examined for postoperative complications, problems associated with the skin graft, evidence of recurrent disease, sensation over the graft and pre- and postoperative range of motion at the metacarpophalangeal and the proximal interphalangeal joints. The mean two-point discrimination over the skin graft was 14 mm. The mean remaining flexion contracture at the metacarpophalangeal joint was 5° and that at the proximal interphalangeal joint was 34°. Recurrence occurred in two patients: one had a minor nodule and the other a natatory cord, which did not result in the redevelopment of a contracture. This study supports the use of dermofasciectomy for the treatment of recurrent Dupuytren's disease, as well as for the treatment of primary disease in those patients with a strong Dupuytren's diathesis in this population.
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Authors
Y. Abe, T. Rokkaku, K. Kuniyoshi, T. Matsudo, T. Yamada,