Surgical Treatment of Dupuytren's Contracture-A Follow-up Study.

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To determine the surgical indications for teatment of Dupuytren's contractures, forty hands of thirty-three patients with partial fasciectomy, ranging in age from 33 to 81 years (average; 60.7 years), were reviewed. Pre-operative status was evaluated as nine grade 0, five grade 1, eight grade 2 and eighteen grade 3, according to Meyerding's classification, the average follow-up period was 3.8 years.According to Tubiana's post-operative evaluating sustem, in grade 0, 1 and 2, nineteen of twenty-two cases were rated as very good, however three of eighteen cases were rated as very good, twelve good, two fair and one poor in grade 3. The flexion deformity of the MP joints was improved satisfactorily by surgical intervention, however correction of the flexion defomity of the PIP joint was very difficult due to the complexity of the ligamentous structure at the PIP joint.We concluded that surgical teratment should be carried out before the flexion deformity of the PIP joint is severe.
西日本整形・災害外科学会の論文