Dupuytren's disease treated by palmar fasciectomy and an open palm technique

• Published in: Journal of hand surgery, British volume Vol. 21; no. 4; pp. 484 - 485
• Main Authors: Shaw, D.L., Wise, D.I., Holms, W.
• Format: Journal Article
• Language: English
• Published: London, England Elsevier Ltd 01.08.1996; SAGE Publications; Churchill Livingstone
• Subjects: Biological and medical sciences; Diseases of the osteoarticular system; Dupuytren Contracture - surgery; Fasciotomy; Female; Follow-Up Studies; Hand - surgery; Hand Strength - physiology; Humans; Juxtaarticular diseases. Extraarticular rhumatism; Male; Medical sciences; Middle Aged; Postoperative Complications - physiopathology; Range of Motion, Articular - physiology; Survival Analysis; Treatment Outcome; Juxtaarticular disease; Human; Fasciectomy; Disease of the hand; Surgery; Treatment efficiency; Diseases of the osteoarticular system; Dupuytren contracture; Surgical approach; Upper limb
• ISSN: 0266-7681; 1532-2211
• DOI: 10.1016/S0266-7681(96)80051-9

The results of long-term follow-up (range 9–19 years) are presented in a continuous series of patients treated for Dupuytren's contracture by one surgeon using the open palm technique. Mean preoperative total range of movement was 48% rising to 96% postoperatively. Mean total range of movement was 92% at follow-up. Survivorship analysis revealed 86% survival at 10 years and 77% survival at 19 years. There was one digital nerve injury and one case of algodystrophy. This technique gives good long-term results without the use of night splintage or physiotherapy.