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Journal of Hand Surgery (European Volume)
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Articles

The "Jacobsen Flap" for the Treatment of Stages III–IV Dupuytren’s Disease: A Review of 98 Cases

M. TRIPOLI
M. MERLE

Chirurgia Plastica e Ricostruttiva, Dipartimento di Discipline Chirurgiche ed Oncologiche, Università degli Studi di Palermo, Italy and Institut Européen de la Main, Nancy-France et Luxembourg

Correspondence: Massimiliano Tripoli, MD, Chirurgia Plastica e Ricostruttiva, Dipartimento di Discipline Chirurgiche ed Oncologiche, Universita`degli Studi di Palermo, Italy. E-mail: matripoli{at}yahoo.it.

The treatment of severe Dupuytren’s disease of the little finger is controversial: several techniques have been described with variable reported results and postoperative complications. This paper reviews 98 cases that underwent surgery between 2001 and 2006 using the Jacobsen flap procedure, a modification of the McCash technique. We found this technique relatively simple and it allowed significant correction of the contracture, with a low rate of complication. We believe this is an excellent alternative to dermofasciectomy or amputation.

Key Words: Jacobsen flap • Dupuytren’s contracture • severe flexion • little finger

This version was published on December 1, 2008

Journal of Hand Surgery (European Volume), Vol. 33, No. 6, 779-782 (2008)
DOI: 10.1177/1753193408091350
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