Surgical alternatives in Dupuytren's contracture.
The treatment of Dupuytren's contracture is still controversial. The use of subcutaneous fasciotomy is useful in the medically unstable patient in whom long-term results may be a moot point. Limited fasciectomy is preferred over radical excision as a simpler operation and because of fewer complications. Wound closure is still a major point of contention. A prospective, randomized study of open wounds versus skin grafts versus closed procedures is needed to give more information regarding the long-term results. Currently, at our institution, we perform limited fasciectomy and leave the palm open. Early and aggressive mobilization is thought to be the key to good results.
Chick
L R
LR
University of Utah, Division of Plastic and Reconstructive Surgery, Salt Lake City.
Lister
G D
GD
D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D006225:Hand / Q000601:surgery*; D006801:Humans; D013514:Surgical Procedures, Operative / Q000379:methods