title: Evaluation of surgical treatment of Dupuytren's disease by modified open palm technique.
abstract: OBJECTIVE
  to assess the surgical technique using the modified palm open technique for the treatment of severe contractions of Dupuytren's disease.
  
  
  METHODS
  over a period of four years, 16 patients underwent surgical treatment, and in its entirety belonged to stages III and IV of the classification proposed by Tubiana et al. We performed measurements of the extension deficit of the metacarpophalangeal joints, proximal and distal interphalangeal in preoperative, postoperative (3 months) and late postoperative period (5-8 years). Angles greater than 30° metacarpophalangeal joints and 15° proximal interphalangeal the results were considered surgical recurrence.
  
  
  RESULTS
  there was obtained an average of 6.3° at the metacarpophalangeal joint, 13.8° in the proximal interphalangeal and distal interphalangeal at 1.9°.
  
  
  CONCLUSIONS
  the modified open palm technique is an effective method in the surgical treatment of severe contractures in Dupuytren's disease.
authors.affiliation: Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.
authors.forename: Thiago Almeida
authors.initials: TA
authors.lastname: Guilhen
authors.affiliation: Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.
authors.forename: Ana Beatriz Macedo
authors.initials: AB
authors.lastname: Vieira
authors.affiliation: Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.
authors.forename: Marcelo Claudiano
authors.initials: MC
authors.lastname: de Castro
authors.affiliation: Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.
authors.forename: Helton Hiroshi
authors.initials: HH
authors.lastname: Hirata
authors.affiliation: Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiaí, SP, Brazil.
authors.forename: Itibagi Rocha
authors.initials: IR
authors.lastname: Machado
keywords: Dupuytren contracture; Hand; Surgical procedures operative