Summary
Fifty-four patients with Dupuytren's disease were operated on using transverse and Bruner incisions, leaving the transverse palmar and digital wounds open. The mean follow up was 6.6 years (minimum 5 years). The mean percentage correction of the overall fixed flexion deformity was 71%. The incidence of recurrence and extension of the disease were similar to other series of limited aponeurectomy. However, the postoperative complications were very much lower and the method is particularly suitable for patients over 50 years of age.
Résumé
Cinquante-quatre patients, présentant 67 rayons intéressés par une maladie de Dupuytren, ont été opérés par un chirurgien utilisant les avantages de l'excellente visibilité de l'incision de Bruner combinés à ceux classiques de la paume ouverte. Avec un recul moyen de 6.6 ans (minimum 5 ans), le pourcentage moyen de correction de la flexion était de 71.3%. Le taux de récidive et d'extension a été identique à celui publié dans la littérature après aponévrectomie limitée. L'avantage principal de la méthode reste le peu de complications per- et post-opératoires.
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Foucher, G., Cornil, C., Lenoble, E. et al. A modified open palm technique for Dupuytren's disease. International Orthopaedics 19, 285–288 (1995). https://doi.org/10.1007/BF00181110
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DOI: https://doi.org/10.1007/BF00181110