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Journal of Hand Surgery (British and European Volume)
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Articles

Severe Dupuytren’s Contracture of the Proximal Interphalangeal Joint: Treatment by Two-Stage Technique

K. R. RAJESH
C. REX
H. MEHDI
C. MARTIN
N. R. M. FAHMY

From the The Hand Unit, Stepping Hill Hospital, Stockport, Cheshire, UK

Correspondence: Mr. K. Rajesh, Flat 6, Ravenswood Court, 291 Bramhall Lane, Stockport, Cheshire SK3 8TA, UK. E-mail: krajesh{at}bigfoot.com

Thirty-four patients with a Dupuytren’s contracture in excess of 70° of the proximal interphalangeal (PIP) joint were treated by preliminary palmar fasciotomy, release of the accessory collateral ligaments and PIP joint distraction using the S-Quattro for 6 weeks. A formal fasciectomy with full thickness skin graft was then performed 2 weeks after removal of the fixator.

There was a mean residual flexion deformity of the PIP joint of 22° (mean correction of 67°) at an average follow-up of 30 months. There were no infections or amputations. We recommend this technique for the management of severe Dupuytren’s contracture of the PIP joint.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 5, 442-444 (2000)
DOI: 10.1016/S0266-7681(00)80008-X
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