Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection

Fasciectomy remains the mainstay of surgical treatment for Dupuytren’s disease at many units worldwide, particularly in cases of recurrence after aponeurotomy or enzymatic fasciotomy. In some series, this has been reported as high as 48% in 3 years. The lead author has since abandoned the use of col...

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Detalles Bibliográficos
Autores principales: Hever, Pennylouise, Smith, Oliver J., Nikkhah, Dariush
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Hand/Peripheral Nerve
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413789/
https://www.ncbi.nlm.nih.gov/pubmed/32802632
http://dx.doi.org/10.1097/GOX.0000000000002832
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author Hever, Pennylouise
Smith, Oliver J.
Nikkhah, Dariush
author_facet Hever, Pennylouise
Smith, Oliver J.
Nikkhah, Dariush
author_sort Hever, Pennylouise
collection PubMed
description Fasciectomy remains the mainstay of surgical treatment for Dupuytren’s disease at many units worldwide, particularly in cases of recurrence after aponeurotomy or enzymatic fasciotomy. In some series, this has been reported as high as 48% in 3 years. The lead author has since abandoned the use of collagenase altogether. In this innovation article, we describe simple maneuvers to aid the planning and dissection of a Dupuytren’s fasciectomy. We describe techniques to enable efficient dissection of the cord and minimize problems when designing skin flaps. We also highlight technical points in revision cases.
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spelling pubmed-74137892020-08-14 Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection Hever, Pennylouise Smith, Oliver J. Nikkhah, Dariush Plast Reconstr Surg Glob Open Hand/Peripheral Nerve Fasciectomy remains the mainstay of surgical treatment for Dupuytren’s disease at many units worldwide, particularly in cases of recurrence after aponeurotomy or enzymatic fasciotomy. In some series, this has been reported as high as 48% in 3 years. The lead author has since abandoned the use of collagenase altogether. In this innovation article, we describe simple maneuvers to aid the planning and dissection of a Dupuytren’s fasciectomy. We describe techniques to enable efficient dissection of the cord and minimize problems when designing skin flaps. We also highlight technical points in revision cases. Lippincott Williams & Wilkins 2020-07-21 /pmc/articles/PMC7413789/ /pubmed/32802632 http://dx.doi.org/10.1097/GOX.0000000000002832 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Hand/Peripheral Nerve
Hever, Pennylouise
Smith, Oliver J.
Nikkhah, Dariush
Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title_full Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title_fullStr Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title_full_unstemmed Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title_short Dupuytren’s Fasciectomy: Surgical Pearls in Planning and Dissection
title_sort dupuytren’s fasciectomy: surgical pearls in planning and dissection
topic Hand/Peripheral Nerve
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413789/
https://www.ncbi.nlm.nih.gov/pubmed/32802632
http://dx.doi.org/10.1097/GOX.0000000000002832
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