Watson H K, Lovallo J L
J Hand Surg Am. 1987 Mar;12(2):287-9. doi: 10.1016/s0363-5023(87)80291-5.
Severe recurrent digital Dupuytren's contracture, with pseudomotor changes and inadequate palmar tissue, is often treated with amputation. In this study, 11 patients had 14 proximal interphalangeal joint fusions with shortening done for salvage of recurrent Dupuytren's rather than amputation. Indications for operation were pseudomotor changes, severe palmar fibrosis, previous operations, and a flexion contracture of greater than 70 degrees.
伴有假运动改变且手掌组织不足的严重复发性手指掌腱膜挛缩症,通常采用截肢治疗。在本研究中,11例患者为挽救复发性掌腱膜挛缩症而非截肢,进行了14次近端指间关节融合并缩短手术。手术指征为假运动改变、严重手掌纤维化、既往手术史以及屈曲挛缩大于70度。