Dupuytren contracture: occurs due to cramping and then scarring of the palmar aponeurosis, which leads to a contracture of the fingers.
Causes: genetic factors; trauma; neuropathies, including those caused by diabetes mellitus, epilepsy, or alcoholism. There may be a small nodule or thickening of the fourth and fifth digits of the hand.
anesthesia : local, best results with decreased blood flow through the hand
procedure:fasciotomy (incision of the scarred aponeurosis); fasciectomy (complete resection of the aponeurosis); partial resection of the aponeurosis; multiple Z surgery; V-Y surgery
Layered stitches, drainage, splint
POST OPERATIVE CARE :
The drain is removed 1 day after surgery, the stitches in 7-10 days, and the splint in 7-14 days. After removal of the splint, the patient may bend the fingers. The fingers should not be stretched, and therefore the hand may not be straigthened, until 3 weeks after the procedure.
POSSIBLE SLIDE EFFECTS:
hematomas, infections, edema, recurrence
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