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Palmar Segmental Aponeurectomy for Dupuytrens Disease with Metacarpophalangeal flexion ContractureFrom the Department of Plastic and Reconstructive Surgery, West Norwich Hospital, Norwich, UK Correspondence: Mr J. Clibbon, Dept. of Plastic & Reconstructive Surgery, West Norwich Hospital, Bowthorpe Road, Norwich NR2 3TU. E-mail: jclibbon{at}lineone.net Eighty palmar segmental aponeurectomies were performed between 1993 and 1999 for well-localized palmar cords with metacarpophalangeal flexion contracture. A retrospective patient review with a minimum follow-up of 1-year demonstrated a 6% rate of recurrent metacarpophalangeal flexion and two minor complications. Segmental aponeurectomy rather than limited fasciectomy is recommended for this type of disease.
Journal of Hand Surgery (British and European Volume), Vol. 26, No. 4,
360-361 (2001) |
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