 |
| Research article summary (published 5 Jan 2009): |
The lateral digital flap for Dupuytren's fasciectomy at the proximal interphalangeal joint--a study of 84 consecutive patients.
Full Abstract
Fasciectomy is the most common operation performed for Dupuytren's disease. However, as the joint contracture increases, issues of skin deficiency following release become significant. For severe or recurrent disease dermafasciectomy is advised, but a digital transposition flap provides a viable alternative without the need for a skin graft for less-severe disease with moderate skin deficiency. A retrospective review identified 84 patients who had undergone this operation. The flap used was proximally based on the midlateral aspect of the finger allowing direct closure of the donor site. Ninety hands with 134 digits were operated on and 83% of the patients had a full correction. About 70% remained fully corrected at 1 year. All flaps were performed for proximal interphalangeal joint involvement. The mean pre-operative contracture was 34 degrees, corrected postoperatively to 5 degrees. The recurrence rate was 9%. Two percent of the patients had local infection but no flap necrosis was seen. A lateral digital transposition flap is a very stable operation for Dupuytren's disease with moderate skin deficiency and our patients achieved favourable results when compared to other studies that used local flaps combined with skin graft.
Author information
Author/s: Anwar, M U (MU); Al Ghazal, S K (SK); Boome, R S (RS);
Affiliation: Department of Plastic Surgery, Bradford Teaching Hospitals Foundation Trust, Bradford, West Yorkshire, UK. umairanwar(-atsign-)tiscali.co.uk
Journal and publication information
Publication Type: Journal Article
Journal: The Journal of hand surgery, European volume (J Hand Surg Eur Vol), published in England. (Language: eng)
Reference: 2009-Feb; vol 34 (issue 1) : pp 90-3
Dates: Created 2009/03/09; Completed 2009/06/25;
PMID: 19129356, status: MEDLINE (last retrieval date: 6/25/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
External Links for this article
(including full text providers, if available):
Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.
This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.
MeSH headings (categories)
This article was linked to the MESH Headings shown below.
Related articles
This article has not been indexed for related articles as yet, however you can still use the live related article search links below.
See a large map of 100+ related articles.