Clinical results of dermofasciectomy for Dupuytren's disease in Japanese patients.
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 degrees and that at the proximal interphalangeal joint was 34 degrees . 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.
Abe
Y
Y
Chiba Hand Surgery Institute, Sakura Orthopaedic Hospital, Japan. abe-yosh@pk9.so-net.ne.jp
Rokkaku
T
T
Kuniyoshi
K
K
Matsudo
T
T
Yamada
T
T
D000368:Aged; D062109:Dermatologic Surgical Procedures; D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D005385:Fingers / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D016059:Range of Motion, Articular / Q000502:physiology; D012008:Recurrence; D012086:Reoperation; D016038:Skin Transplantation; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology