title: Minimally invasive partial fasciectomy for Dupuytren contractures.
abstract: Treatment options for the Dupuytren contractures vary from percutaneous needle aponeurotomy, open fasciotomy or fasciectomy, dermofasciectomy, and more recently, injectable collagenase. Although utilization of injectable collagenase avoids a formal surgical procedure, not all patients are eligible and some patients do not feel comfortable with an enzyme injection or the associated risks, which may include hematoma, wound dehiscence, or tendon rupture. This study describes the technique and early results of partial fasciectomy through a mini-incision approach as an additional treatment option for Dupuytren contractures. We found that this procedure results in contracture correction with a low rate of complications and thus provides the surgeon with an alternative treatment option to offer patients.
authors.affiliation: Department of Orthopaedic Surgery, Division of Hand Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Gelman
authors.forename: Robert
authors.initials: R
authors.lastname: Schlenker
authors.forename: Sidney M
authors.initials: SM
authors.lastname: Jacoby
authors.forename: Eon K
authors.initials: EK
authors.lastname: Shin
authors.forename: Randall W
authors.initials: RW
authors.lastname: Culp
mesh_terms: D004387:Dupuytren Contracture / Q000601:surgery*; D000071938:Fasciotomy; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D010292:Paresthesia / Q000209:etiology; D016896:Treatment Outcome