Friday, September 18, 2009

Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: A PROSPECTIVE, RANDOMISED TRIAL.

Authors: Ullah AS, Dias JJ, Bhowal B We randomised 79 patients (84 hands, 90 fingers) with Dupuytren's contracture of the proximal interphalangeal joint to have either a 'firebreak' skin graft (39 patients, 41 hands, 44 fingers) or a fasciectomy (40 patients, 43 hands, 46 fingers) if, after full correction, the skin over the proximal phalanx could be easily closed by a Z-plasty. Patients were reviewed after three, six, 12, 24 and 36 months to note any complications, the range of movement and recurrence. Both groups were similar in regard to age, gender and factors considered to influence the outcome such as bilateral disease, family history, the presence of diabetes, smoking and alcohol intake. The degree of contracture of the metacarpophalangeal and interphalangeal joints of the opera...
Read More... [Source: MedWorm: Dupuytren's Contracture - Posted by FreeAutoBlogger]

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