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The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions
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 result...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Plastic and Reconstructive Surgeons
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408292/ https://www.ncbi.nlm.nih.gov/pubmed/22872850 http://dx.doi.org/10.5999/aps.2012.39.4.426 |
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author | Lee, Hyunjic Eo, Surak Cho, Sanghun Jones, Neil F. |
author_facet | Lee, Hyunjic Eo, Surak Cho, Sanghun Jones, Neil F. |
author_sort | Lee, Hyunjic |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3408292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-34082922012-08-07 The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions Lee, Hyunjic Eo, Surak Cho, Sanghun Jones, Neil F. Arch Plast Surg Idea and Innovation 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. The Korean Society of Plastic and Reconstructive Surgeons 2012-07 2012-07-13 /pmc/articles/PMC3408292/ /pubmed/22872850 http://dx.doi.org/10.5999/aps.2012.39.4.426 Text en Copyright © 2012 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Idea and Innovation Lee, Hyunjic Eo, Surak Cho, Sanghun Jones, Neil F. The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title | The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title_full | The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title_fullStr | The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title_full_unstemmed | The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title_short | The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions |
title_sort | surgical release of dupuytren's contracture using multiple transverse incisions |
topic | Idea and Innovation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408292/ https://www.ncbi.nlm.nih.gov/pubmed/22872850 http://dx.doi.org/10.5999/aps.2012.39.4.426 |
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