Abstract: Digital Sympathectomy at the Time of Fasciectomy for Dupuytren’s Contracture

نویسندگان

  • Jesse R. Smith
  • Orhan Kaymakcalan
چکیده

CASE REPORT: A 78-year-old, right-handed male who is a retired laborer was diagnosed with Dupuytren’s contracture involving the right long finger. The metacarpophalangeal joint and the proximal interphalangeal joint of the long finger were contracted in approximately 85 and 60 degrees of flexion, respectively. A standard open fasciectomy involving the palm and the long finger was performed under tourniquet. Prior to closure, a Jeweler forceps was used to carefully dissect off 1 cm of adventitia from each of the digital arteries supplying the long finger. At the end of the case, with the long finger in near full extension, the digit appeared pink and without evidence of vasospasm immediately following deflation of the tourniquet. At time of 1-month follow-up, the patient had a favorable outcome without complication.

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عنوان ژورنال:

دوره 5  شماره 

صفحات  -

تاریخ انتشار 2017