Skin Grafting in the Management of Dupuytren’s Disease

  • J. Varian
Conference paper

Abstract

Skin grafts can be split skin or full thickness. Generally speaking, on the palmar surface of the hand it is better to use full thickness skin graft and, therefore, in the management of Dupuytren’s disease full thickness grafts are the better choice. They are used in the following situations:
  1. 1.

    To replace skin devitalised during surgery

     
  2. 2.

    To correct longitudinal skin shortening

     
  3. 3.

    To replace densely involved skin in recurrent contracture

     
  4. 4.

    To prevent recurrence in the patient with a strong Dupuytren’s diathesis

     

Keywords

Nylon 

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References

  1. Gonzales RI (1973) Open fasciectomy and full thickness skin graft in the correction of digital flexion deformity. In: Hueston JT, Tubiana R (eds) Dupuytren’s contracture. Churchill Livingstone, Edinburgh, pp 123–127Google Scholar
  2. Gordon S (1964) Dupuytren’s contracture, the use of free skin grafts in treatment. Transactions of the Third International Congress of Plastic Surgeons, Washington, p 963Google Scholar
  3. Hakistian RW (1966) Long term results of extensive fasciectomy. Br J Plast Surg 19: 140CrossRefGoogle Scholar
  4. Honner R, Lamb DW, James JIP (1971) Dupuytren’s contracture. J Bone Joint Surg [Br] 53: 240–246Google Scholar
  5. Hueston JT (1962) Further studies on the incidence of Dupuytren’s contracture. Med J Aust 1: 586Google Scholar
  6. Hueston JT (1969) The control of recurrent Dupuytren’s contracture by skin replacement. Br J Plast Surg 22: 152–156CrossRefGoogle Scholar
  7. Hueston JT (1973) Skin replacement in Dupuytren’s contracture. In: Hueston JT, Tubiana R (eds) Dupuytren’s contracture. Churchill Livingstone, Edinburgh, pp 119–122Google Scholar
  8. Piulachs P, Mir-mir L (1952) Consideractiones sobre la enfermedad de Dupuytren. Folia Clin Int 2Google Scholar
  9. Tonkin MA, Burke FD, Varian JPW (1984) Dupuytren’s contracture: a comparative study of fasciectomy and dermofasciectomy in 100 patients. J Hand Surg [Br] 9: 156–162CrossRefGoogle Scholar
  10. Varian JPW, Hueston JT (1990) Occurrence of Dupuytrens disease beneath a full thickness skin graft: a semantic reappraisal. Ann Hand Upper Limb Surg 9 (5): 376–378Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • J. Varian

There are no affiliations available

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