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

2008 ◽  
Vol 33 (6) ◽  
pp. 779-782 ◽  
Author(s):  
M. TRIPOLI ◽  
M. MERLE
Keyword(s):  
Postoperative Complications ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Flap Procedure ◽  
Significant Correction ◽  
Low Rate ◽  
Little Finger

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.

Amputations in the Treatment of Dupuytren’s Disease

1993 ◽  
Vol 18 (6) ◽  
pp. 781-782 ◽  
Author(s):  
C. M. JENSEN ◽  
M. HAUGEGAARD ◽  
S. W. RASMUSSEN
Keyword(s):  
Phantom Limb Pain ◽  
Dupuytren’S Disease ◽  
Phantom Limb ◽  
Limb Pain ◽  
Dupuytren's Disease ◽  
Finger Amputation ◽  
Difficult Cases ◽  
Little Finger

23 finger amputations in 19 patients operated on for Dupuytren’s disease were reviewed 6 months to 8.5 years after operation (mean 4 years). The distribution of amputations were 17 little fingers and six ring fingers. We found a recurrent lack of extension in nine out of 16 finger amputations distal to the MP joint and painful neuroma or phantom limb pain in five out of seven little finger amputations through or proximal to the MP joint. When amputation in the little finger is necessary, disarticulation of the MP joint may be preferable to amputation at a more distal level. Alternatives to finger amputation should be sought in difficult cases of Dupuytren’s disease.

scholarly journals Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 11
Author(s):  
Yoko Ito ◽  
Kiyohito Naito ◽  
Nana Nagura ◽  
Yoichi Sugiyama ◽  
Hiroyuki Obata ◽  
...  
Keyword(s):  
Daily Living ◽  
Treatment Method ◽  
Flexion Contracture ◽  
Dupuytren’S Disease ◽  
High Patient Satisfaction ◽  
Dupuytren's Disease ◽  
Extended Position ◽  
Pip Joint ◽  
Joint Flexion ◽  
Little Finger

When severe proximal interphalangeal (PIP) joint flexion contracture is induced in the little finger by Dupuytren’s disease, it interferes with activities of daily living. To extend the little finger, open fasciectomy is selected as a general treatment method. However, postoperative complications have been frequently reported. To solve these problems, finger shortening was undertaken. In this study, we treated two cases of Dupuytren’s disease manifesting severe PIP joint flexion contracture of the little finger with finger shortening by proximodistal interphalangeal (PDIP) fusion in which the middle phalanx is resected and the residual distal and proximal phalanges are fused. For flexion contracture of the MP joint, a percutaneous aponeurotomy using an 18G needle was performed to obtain the extended position of the MP joint. Favorable outcomes with high patient satisfaction, including esthetic aspects of retaining the finger with the nail without complication, were achieved. We report this challenging treatment and its discussion.

Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture)

2019 ◽  
Vol 12 (3) ◽  
pp. 1055
Author(s):  
Gleb I. Mikusev ◽  
Rustem F. Baikeev ◽  
Ruslan O. Magomedov ◽  
Ivan E. Mikusev ◽  
Timur S. Mishakin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

DUPUYTREN'S DISEASE CONFINED TO THE INTERPHALANGEAL JOINTS: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 69-71
Author(s):  
Waleed Riad Saleh ◽  
Emiko Horii ◽  
Hitoshi Hirata
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Past History ◽  
Typical Case ◽  
Dupuytren’S Disease ◽  
Good Clinical Outcome ◽  
Dupuytren's Disease ◽  
History Of ◽  
The Right ◽  
Little Finger

A typical case of Dupuytren's contracture confined to the interphalangeal joints of the right little finger, occurred in a 79-year-old man. No past history of risk factors or family history of Dupuytren's disease could be detected. Excisions of the abnormal cords lead to good clinical outcome.

Simultaneous Regional Fasciectomy, Skin Grafting, and Distraction Arthrolysis of the Proximal Interphalangeal Joint for Dupuytren’s Contracture of the Little Finger

Hand Surgery ◽  
2015 ◽  
Vol 20 (02) ◽  
pp. 298-301
Author(s):  
Motohisa Kawakatsu ◽  
Susumu Saito
Keyword(s):  
Skin Grafting ◽  
Proximal Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Dupuytren’S Contracture ◽  
Skeletal Traction ◽  
Dupuytren's Disease ◽  
Dupuytren's Contracture ◽  
Pip Joint ◽  
History Of ◽  
Little Finger

We present a 58-year-old right-handed man, who consulted us with an 11-year history of Dupuytren’s disease. To correct contracture of the little finger, we performed regional fasciectomy, skin grafting, and distraction arthrolysis of the proximal interphalangeal (PIP) joint using an external fixator. Preoperative or postoperative skeletal traction has been advocated to treat potential or residual stiffness of the PIP joint in Dupuytren’s contracture, but its intraoperative use has not been reported before. Our method has the advantage of treating each problem caused by Dupuytren’s disease. A good range of painless PIP joint motion is achieved by our intraoperative distraction technique without interfering with the skin graft and without reducing extensor tone, while the healing period is shortened by performing all procedures simultaneously.

THE PROGNOSIS OF FASCIECTOMY FOR ABDUCTOR DIGITI MINIMI AND PRETENDINOUS CORDS IN DUPUYTREN'S DISEASE OF THE LITTLE FINGER

Hand Surgery ◽  
2009 ◽  
Vol 14 (02n03) ◽  
pp. 89-92 ◽  
Author(s):  
M. J. Walton ◽  
D. Pearson ◽  
D. A. Clark ◽  
R. K. Bhatia
Keyword(s):  
Dupuytren’S Disease ◽  
Dupuytren’S Contracture ◽  
Residual Deformity ◽  
Dupuytren's Disease ◽  
Dupuytren's Contracture ◽  
Significant Difference ◽  
Abductor Digiti Minimi ◽  
The Mean ◽  
Recurrent Deformity ◽  
Little Finger

Thirty-nine consecutive patients with little finger Dupuytren's contracture underwent open fasciectomy. Diseased abductor digiti minimi (ADM) pretendinous (PT) cords were identified. The mean pre-operative PIPJ contracture was 77° in the PT group and 66° in the ADM group. Mean residual deformity was 12° in the PT group and 9° in the ADM group. At six months, ten out of 27 patients had developed a recurrent deformity in the PT group (mean 24°) and seven out of 11 in the ADM group (mean 18°). There was no statistically significant difference between the two groups at any stage. Dupuytren's contracture of the little finger is as a result of an ADM cord in 29% of cases. In this series it led to an isolated contracture of the PIPJ in the majority of cases and rarely affected the MCPJ. Disease of the ADM cord was not associated with a difference in contracture or prognosis compared to a PT cord.

Proximal Interphalangeal Joint Release in Dupuytren’s Disease of the Little Finger

2004 ◽  
Vol 29 (1) ◽  
pp. 15-17 ◽  
Author(s):  
J. F. S. RITCHIE ◽  
K. M. VENU ◽  
K. PILLAI ◽  
D. H. YANNI
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Flexion Deformity ◽  
Dupuytren's Disease ◽  
Sequential Release ◽  
Full Correction ◽  
A Prospective Study ◽  
Fixed Flexion Deformity ◽  
Little Finger

We present a prospective study, with 3-year follow-up, of the role and outcome of fasciectomy plus sequential surgical release of structures of the proximal interphalangeal joint in Dupuytren’s contracture of the little finger. Our treatment programme involves fasciectomy for all patients followed by sequential release of the accessory collateral ligament and volar plate as necessary. Of the 19 fingers in the study, eight achieved a full correction by fasciectomy alone, and in these cases there was a fixed flexion deformity of 6° at 3 months and 8° at 3 years. The remaining 11 fingers (initial mean deformity 70° flexion) were left with a fixed flexion deformity of 42° after fasciectomy which reduced to 7° with capsuloligamentous release. This increased to 26° at 3 months but then remained relatively stable, increasing only to 29° at 3 years. In our experience sequential proximal interphalangeal joint release has led to consistently good results with few complications in the correction of severe Dupuytren’s disease of the little finger.

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