Abstract
This chapter describes in detail the surgical steps for performing an open approach dermatofasciectomy to releasing Dupuytren’s contracture. It is considered a more radical approach to treating Dupuytren’s disease than partial fasciectomy. It is utilized by some surgeons in instances of more severe, recurrent, diffuse, aggressive and/or skin-involving disease types. Full thickness skin grafting for coverage of the wound(s) after fasciectomy are also described. Indications, surgical steps, postoperative care, an operative dictation template, and suggested readings/references are included.
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Suggested Reading
Armstrong JR, Hurren JS, Logan AM. Dermofasciectomy in the management of Dupuytren’s disease. J Bone Joint Surg (Br). 2000;82(1):90–4.
Brenner P, Rayan GM. Dupuytren’s disease, a concept of surgical treatment. New York: Springer; 2013.
Brotherston TM, Balakrishnan C, Milner RH, Brown HG. Long term follow-up of dermofasciectomy for Dupuytren’s contracture. Br J Plast Surg. 1994;47(6):440–3.
Chang J, Neligan PC. Plastic surgery volume 6: hand and upper limb. : Elsevier Health Sciences; 2012.
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Chim, J.H., Borsting, E.A., Chim, H.W. (2017). Dermatofasciectomy. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40631-2_117
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DOI: https://doi.org/10.1007/978-3-319-40631-2_117
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