The open palm technique in dupuytren's contracture

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Some degree of skin contracture in the palm is present in probably 90 per cent. of cases of Dupuytren's contracture. It is the flexion deformity of the metacarpal-phalangeal joints which causes the greatest disablement and the primary object of the fasciectomy should be to release them. Such release cannot be complete unless there is sufficient palm skin to permit of their full extension. This can be ensured only by the addition of either a full-thickness skin flap or by a free graft, or by natural regeneration of the skin as in the "open palm" method. The "open palm" wound has certain advantages over skin grafts. It acts as an open drain to the palm preventing h{high symbol}matoma in the early post-operative phase and œdema during the later stage when active movements begin. It affords complete relaxation of the palm skin in the "extended" position and all the patient has to do is to restore the ability to flex his fingers. This he can do at home without physiotherapy. © 1964 E. & S. Livingstone Ltd.




McCash, C. R. (1964). The open palm technique in dupuytren’s contracture. British Journal of Plastic Surgery, 17(C), 271–280.

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