Percutaneous Fasciotomy in the Management of Dupuytren’s Contracture
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Dupuytren’s disease is a proliferative fibroplasia of the palmar fascia of the hand and fingers, resulting in progressive thickening and shortening of the palmar fascia. This results in the formation of cords, flexion deformities of the digits, and ultimately loss of range of motion, especially loss of finger extension. In 1777 Henry Cline was first to introduce operative management of DC in the form of percutaneous fasciotomy. The pathological cords were released by him using bistoury knife after making stab incisions. However this technique had high recurrence rates which led to the introduction of radical fasciectomies, and later to more limited fasciectomies. Material and methods: 10 patients with dupuytren’s contracture of more than 6 months duration with functional impairment were included in the study. After taking written consent patients were operated under local anaesthesia. Percutaneous Fasciotomy was performed using pointed scalpel. Post-operatively a pressure dressing was applied for 24 hours, then a small dressing was applied. Immediate range of motion exercises of hand and fingers were started. Results: At 6 months follow-up only 1 patient had recurrence of contractures involving little and ring fingers, two patients had development of mild degrees of contracture but functionally there was significant improvement. In 7 patients results were excellent with complete regression of the lesions and complete functional improvement. Conclusion: Although PCF is associated with chances of recurrence but when done properly it gives excellent results with less number of complications.
Authors and Affiliations
Imtiyaz Hussain Dar, Ansarul Haq Lone, Asif Nazir Baba, Irshad Ahmad Ganie
Keywords
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