Clinical study of correction of finger flexion deformity in Dupuytren＇s disease

Shen Zunli，(沈尊理 Dep Plast Surg，Shanghai lst Peopl Hosp，Shanghai Jiaotong Univ，Shanghai 200080)…∥Chin J Aesth Plast Surg.-2010，21(12).-725 ～727

Clinical study of correction of finger flexion deformity in Dupuytren＇s disease

Shen Zunli，(沈尊理 Dep Plast Surg，Shanghai lst Peopl Hosp，Shanghai Jiaotong Univ，Shanghai 200080)…∥Chin J Aesth Plast Surg.-2010，21(12).-725 ～727

ObjectiveTo explore surgical technique and its result in correcting finger contracture in Dupuytren＇s disease.MethodsSeventeen cases of Dupuytren＇s disease with 58 years mean age were studied in this group(15 males and 2 females).Among them，8 sides were with flexion eontracture of little finger，8 sides with flexion contracture of little and ring fingers，1 side with flexion contracture of middle and ring fingers，2 cases with flexion contracture of middle finger.They were corrected by excising contracted aponeurosis and tissue around it in 5 mm though zigzag incision designed along longitudinal axis of pahnar aponeurosis contracture cord，then loosening contracted tissue around finger joint with slight finger joint to make fingers in straight position.Plaster slab braking was performed at the 2 weeks postoperatively.ResultsAfter 6～24 months follow-up.All zigzag flaps survived without nerves and tendon injuries except for 2 cases with circulation crisis at flap tip which was healed with dressing change.There was no recurrence of finger flexion contracture.The recovery rate of flexion and extension of finger was 100%.ConclusionThe finger contractures caused by Dupuytren＇s disease could be corrected effectively by completely removing and releasing of the diseased fascia through multiple zigzag incisions.Care should be taken to protect blood supply of the flaps and digital nerves as well as arteries to avoid complications.15 refs，3 figs

(Authors)