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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIX | Pages 133 - 133
1 Sep 2012
Chan S Nitish G Wicks L Deshmukh S
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Objective

To assess the long term functional and objective outcomes for 2 stage Dupuytrens contracture correction.

Methods

Patients with severe contracture were offered a 2 stage correction. This involved application of external fixator to distract the contracture over the course of 2 weeks and subsequent partial fasciectomy (in primary contractures) and dermofasciectomy with full thickness skin graft (in recurrent contractures). A series of 54 corrections in 47 patients were identified. Of these, 6 were lost to follow-up, 1 deceased. Pre-operative total range of active movement (TRAM), total flexion contracture and PIP flexion contracture, Tubiana grade and DASH/Michigan Hand Scores were recorded and compared to post-operative data.