Palmar segmental aponeurectomy for Dupuytren's disease with metacarpophalangeal flexion contracture.
Eighty palmar segmental aponeurectomies were performed between 1993 and 1999 for well-localized palmar cords with metacarpophalangeal flexion contracture. A retrospective patient review with a minimum follow-up of 1-year demonstrated a 6% rate of recurrent metacarpophalangeal flexion and two minor complications. Segmental aponeurectomy rather than limited fasciectomy is recommended for this type of disease.
Clibbon
J J
JJ
Department of Plastic and Reconstructive Surgery, West Norwich Hospital, Norwich, UK. jclibbon@lineone.net
Logan
A M
AM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004387:Dupuytren Contracture / Q000150:complications / Q000601:surgery*; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D012189:Retrospective Studies