title: Surgical Treatment of a Case of Ledderhose's Disease: A Safe Plantar Approach to Subtotal Fasciectomy.
abstract: Plantar fibromatosis, Ledderhose's disease, or Morbus Ledderhose is an uncommon benign nodular hyperplasia of the plantar aponeurosis. The aim of this paper was to report the case of a 47-year-old male patient who had concomitant Dupuytren's disease and failed all conservative measures. He was treated surgically with prompt and complete relief of symptoms postoperatively, and he has had no recurrence at the 2-year follow-up. In this richly documented case, we discuss details of the surgical technique and anatomy, which was important for a successful outcome and preventing complications. The technique for subtotal fasciectomy is reviewed and the relevance of the adequate choice of skin incision to prevent painful scarring, skin necrosis, and difficulties with shoe wearing is highlighted.
authors.affiliation: Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil; Hospital e Maternidade Therezinha de Jesus, Rua Doutor Dirceu de Andrade 33, São Mateus, 36025-140 Juiz de Fora, MG, Brazil.
authors.forename: Bruno Gonçalves Schröder E
authors.initials: BG
authors.lastname: Souza
authors.affiliation: Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil.
authors.forename: Gilberto Zaquine
authors.initials: GZ
authors.lastname: de Souza Júnior
authors.affiliation: Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil.
authors.forename: Raíssa Mansilla Cabrera
authors.initials: RM
authors.lastname: Rodrigues
authors.affiliation: Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil.
authors.forename: Diogo Stelito Rezende
authors.initials: DS
authors.lastname: Dias
authors.affiliation: Faculty of Medical Sciences and Health of Juiz de Fora (FCMS/JF - SUPREMA), BR 040, km 796, Salvaterra, 36045-410 Juiz de Fora, MG, Brazil; Hospital e Maternidade Therezinha de Jesus, Rua Doutor Dirceu de Andrade 33, São Mateus, 36025-140 Juiz de Fora, MG, Brazil.
authors.forename: Valdeci Manoel
authors.initials: VM
authors.lastname: de Oliveira