Surgical Correction of Dupuytrenπs Contracture of the Hand

By Limited Fasciectomy Through Longitudinal Incision

H.T.Sakellarides, MD

Introduction: The purpose of this study is to describe another direct approach to the problem of the treatment of Dupuytrenπs contracture.

Method and Materials: This method consists of a zig-zag incision along the volar aspect of the involved finger and hand, but not crossing the skin creases in a harmful way.

This incision does not cause a linear skin contracture. The advantages of this method are multiple: 1) Easier removal of involved fascia. 2) Mobilization of the fingers and hand starts the day after surgery. 3) No definite complication from skin necrosis. 4) Prevention of joint stiffness. 5) Early return to work.. The ages of the 295 patients treated with this method ranged from 30 to 70 years old, and follow-up from 2 to 20 years.

Results: Excellent 40%; good 30%; 30% Fair. The majority of patients resumed their previous occupation in two and a half to six weeks from the operation, and 98% stated their condition improved compared to preoperative status.

Conclusion: The limited fasciectomy through this direct approach has given us excellent results.

Published by the New England Hand Society 2005.