Abstract
Dupuytren's contracture can be classified in simple and difficult cases. More complex cases should be treated in a dedicated Hand Unit, while simple contractures should be treated by rural surgeons. The procedure is best done with a tourniquet in place and involves reflection of the skin flaps on top of the contracture as well as resection of the Dupuytren's tissue working from proximal to distal. After primary closure of the wound it may be helpful to immobilise the hand in a volar backslab for a few days after surgery. Sutures should be removed at 11-12 days after surgery.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended Reading
Amadio, P.C.: What’s new in hand surgery. J. Bone Joint Surg. Am. 91, 496–502 (2009)
Larson, D., Jerosch-Herold, C.: Clinical effectiveness of post-operative splinting after surgical release of Duputren’s contracture: a systemic review. BMC Musculoskelet. Disord. 9, 104 (2008)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
McCusker, B. (2011). Dupuytren’s Contracture. In: Wichmann, M., Borgstrom, D., Caron, N., Maddern, G. (eds) Rural Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78680-1_52
Download citation
DOI: https://doi.org/10.1007/978-3-540-78680-1_52
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78679-5
Online ISBN: 978-3-540-78680-1
eBook Packages: MedicineMedicine (R0)