- Discussion:
- favored for advanced disease, especially in diabetics, and is indicated for
patients w/ multiple involvement;
- use transverse incisions in the palm at the distal palmar crease, as well as
transverse incisions at the base of fingers, and at PIP crease;
- limited fasciectomy is performed;
- when contractures are corrected, a gap of 3-4 cm may be present;
- phalangeal incisions are closed, palmar incisions are left open;
- either the palmar or digital wound, or both, may be left open,
and in 4-6 weeks will heal into a fine linear scar;
- twice as many complications are seen in wounds closed primarily;
- open palmar wound does not heal simply by granulation, but
by flattening of the transverse skin wrinkles;
- advantage of this is that early motion may be started & hematoma
formation, pain, edema of hand, and joint stiffness are
avoided in most patients;
- Post Op:
- postoperative extension splinting is mandatory;
- only disadvantage in this technique is extra 2-3 weeks that
are needed for complete healing to occur;
The open technique in Dupuytren's contracture.
CR McCash.
British Journal of Plastic Surg. Vol 17. 1964. p 271.
