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Minimally Invasive Partial Fasciectomy for Dupuytren Contractures

Gelman, Scott E. BA*,†; Schlenker, Robert MD*; Jacoby, Sidney M. MD*; Shin, Eon K. MD*; Culp, Randall W. MD*

Techniques in Hand & Upper Extremity Surgery: December 2012 - Volume 16 - Issue 4 - p 184–186
doi: 10.1097/BTH.0b013e31826246f2

Treatment options for the Dupuytren contractures vary from percutaneous needle aponeurotomy, open fasciotomy or fasciectomy, dermofasciectomy, and more recently, injectable collagenase. Although utilization of injectable collagenase avoids a formal surgical procedure, not all patients are eligible and some patients do not feel comfortable with an enzyme injection or the associated risks, which may include hematoma, wound dehiscence, or tendon rupture. This study describes the technique and early results of partial fasciectomy through a mini-incision approach as an additional treatment option for Dupuytren contractures. We found that this procedure results in contracture correction with a low rate of complications and thus provides the surgeon with an alternative treatment option to offer patients.

*Department of Orthopaedic Surgery, Division of Hand Surgery, Thomas Jefferson University Hospital, Philadelphia

The Commonwealth Medical College, Scranton, PA

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Sidney M. Jacoby, MD, The Philadelphia Hand Center, Thomas Jefferson University, 700 South Henderson Road, Suite 200, King of Prussia, PA 19406. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.