Rajesh K R, Rex C, Mehdi H, Martin C, Fahmy N R
The Hand Unit, Stepping Hill Hospital, Stockport, Cheshire, UK.
J Hand Surg Br. 2000 Oct;25(5):442-4. doi: 10.1054/jhsb.2000.0412.
Thirty-four patients with a Dupuytren's contracture in excess of 70 degrees of the proximal interphalangeal (PIP) joint were treated by preliminary palmar fasciotomy, release of the accessory collateral ligaments and PIP joint distraction using the S-Quattro for 6 weeks. A formal fasciectomy with full thickness skin graft was then performed 2 weeks after removal of the fixator. There was a mean residual flexion deformity of the PIP joint of 22 degrees (mean correction of 67 degrees) at an average follow-up of 30 months. There were no infections or amputations. We recommend this technique for the management of severe Dupuytren's contracture of the PIP joint.
34例近端指间关节（PIP）杜普伊特伦挛缩超过70度的患者，先行掌侧筋膜切开术、松解副侧副韧带，并使用S-Quattro进行PIP关节牵引6周。去除固定器2周后，再行全层皮肤移植的正式筋膜切除术。平均随访30个月时，PIP关节平均残留屈曲畸形为22度（平均矫正67度）。无感染或截肢情况。我们推荐该技术用于治疗PIP关节严重的杜普伊特伦挛缩。
