Abstract:
Objective To investigate the effect of fasciectomy with minimal incisions on the treatment of Dupuytren's contracture.
Methods A total of 12 patients (15 hands) with Dupuytren's contracture admitted to No.1 Central Hospital of Baoding City from July 2011 to August 2019 were included in our study.There were 8 males and 4 females with age ranged from 17 to 72 (median age of 39) years.A median longitudinal incision was made at the palmar side of the wrist,from which the tendon probe was inserted to separate the palmar aponeurosis along the longitudinal bundle of the diseased palmar aponeurosis to the distance.After the palmar aponeurosis was completely separated from the surrounding tissue,it was resected so as to relieve the contracture of the affected finger.
Results Primaryhealing was achieved in all incisions,and there was no early complication,such as subcutaneous hematoma,necrosis of skin margin and infection of incision.The average follow-up time was 12.5 months,and no recurrence was found.According to the evaluation standard of upper limb function developed by Hand Surgery branch of Chinese Medical Association,13 cases were assessed as excellent,2 cases were good,and the excellent and good rate was 100%.
Conclusion Fasciectomy with minimal incisions has good effect with quick recovery and less early postoperative complications.