Document Detail


Surgical alternatives in Dupuytren's contracture.
MedLine Citation:
PMID:  1769993     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The treatment of Dupuytren's contracture is still controversial. The use of subcutaneous fasciotomy is useful in the medically unstable patient in whom long-term results may be a moot point. Limited fasciectomy is preferred over radical excision as a simpler operation and because of fewer complications. Wound closure is still a major point of contention. A prospective, randomized study of open wounds versus skin grafts versus closed procedures is needed to give more information regarding the long-term results. Currently, at our institution, we perform limited fasciectomy and leave the palm open. Early and aggressive mobilization is thought to be the key to good results.
Authors:
L R Chick; G D Lister
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Hand clinics     Volume:  7     ISSN:  0749-0712     ISO Abbreviation:  Hand Clin     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-02-26     Completed Date:  1992-02-26     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8510415     Medline TA:  Hand Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  715-9; discussion 721-2     Citation Subset:  IM    
Affiliation:
University of Utah, Division of Plastic and Reconstructive Surgery, Salt Lake City.
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MeSH Terms
Descriptor/Qualifier:
Dupuytren Contracture / surgery*
Fascia / surgery*
Hand / surgery*
Humans
Surgical Procedures, Operative / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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