J Korean Soc Surg Hand.
2011 Mar;16(1):35-41.
Dupuytren's Contracture Release with Straight Line Incision and Multiple Z-plasty
- Affiliations
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- 1Kim & Woo's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea. handwoo@hotmail.com
Abstract
- PURPOSE
To report the results of patients with a Dupuytren's contracture treated with fasciectomy combined with straight line incision and multiple Z-plasty.
MATERIALS AND METHODS
We performed retrospective study on 33 hands in 28 patients who had a Dupuytren's contracture between March 2006 to July 2009. Patients were males and the average age was 62-year-old ranging from 50 to 75. There were 15 single and 18 multiple digits involvement. Operation involved fasciectomy using straight skin incision combined with multiple Z-plasty. Postoperative assessment was based on the Honner's classification and range of motion of the involved fingers.
RESULTS
According to Honner's classification, the clinical results were excellent in 19 cases, good in 11 and fair in 3. No complication was found except three patients who complained of pain for 6 months after the surgery. The mean range of motion of the involved fingers was 120degrees preoperatively and it increased to 205degrees postoperatively. Cold intolerance lasted for about 6 months in 5 patients but improved spontaneously.
CONCLUSION
In patients with a Dupuytren's contracture, fasciectomy with a straight midline incision and multiple Z-plasty provides satisfactory recovery of finger motions.
